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Use of psychotropic drugs in the dermatology patient: When to start and stop?

机译:在皮肤病学患者中使用精神药物:何时开始和停止?

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摘要

Dermatologists often find themselves treating patients with psychiatric disorders, most commonly anxiety and depression, in the context of skin disease. The psychiatric condition may either be present before the skin condition developed and exacerbate it or, in some cases, even create it (eg, delusions of parasitosis). Alternatively, the psychiatric condition may occur subsequent to the development of the dermatologic condition. The treatment of psychodermatogic disorders requires collaboration between psychiatrists and dermatologists. Dermatologists should be able to recognize primary psychiatric disorders and refer patients to psychiatrists for appropriate treatment; however, the patient may encounter delays in accessing psychiatric care, and dermatologists should be familiar with the basic use of psychotropic drugs. This review describes common psychiatric disorders encountered in a dermatology practice and their treatment with psychotropic drugs. For each commonly used drug, dose range, side effects, and how to initiate and terminate treatment are described. Although psychotherapy is an important part of the treatment of most psychiatric disorders, we have limited our focus to psychotropic drugs in this review.
机译:皮肤科医生经常发现自己在皮肤病的背景下发现自己治疗精神病疾病,最常见的焦虑和抑郁症。精神病病症可以在皮肤病发育和加剧它之前存在,或者在某些情况下,甚至创造它(例如,寄生症的妄想)。或者,在皮肤病的发育之后可能发生精神疾病。精神病学疾病的治疗需要精神科医生和皮肤病学家之间的合作。皮肤科医生应该能够识别初级精神疾病,并将患者转到精神科医生进行适当的治疗;然而,患者可能遇到延迟访问精神科护理,皮肤科医生应该熟悉精神药物的基本用途。本综述描述了在皮肤科实践中遇到的常见精神病疾病及其与精神药物治疗。对于每个常用的药物,剂量范围,副作用以及如何描述如何引发和终止治疗。虽然心理治疗是治疗大多数精神疾病的重要组成部分,但我们在本综述中将重点关注了精神药物。

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