Identification and management of mental health issues by dermatologic surgeons: a survey of American Society for Dermatologic Surgery members

Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]
David B SarwerKenneth R Beer

Abstract

Dermatologists have long been interested in mental health issues of their patients. Some psychosocial distress likely motivates the pursuit of cosmetic dermatologic treatments. However, a percentage of patients seeking treatment suffer from significant psychopathology, such as body dysmorphic disorder (BDD), which may contraindicate treatment. To assess dermatologic surgeons' strategies for identification and management of mental health issues among patients seeking cosmetic procedures. A survey was sent to 2,855 practicing members of the American Society for Dermatologic Surgery by e-mail. Two hundred sixty members completed the survey (9.1%). Approximately, 60% of respondents indicated that they ask new patients about psychiatric treatment history, and 92% reported that they have declined to provide a cosmetic treatment because of concerns about mental health status. Most (94%) indicated that they were aware of BDD, and 62% indicated that they refused to treat a patient believed to have BDD. Respondents estimated that 13% of new patients had BDD and 63% considered BDD to be a contraindication to treatment. Approximately 60% of dermatologic surgeons inquire about the mental health issues of their cosmetic patients. Most are aw...Continue Reading

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Citations

Aug 16, 2016·Body Image·Laura BowyerBenedetta Monzani
Jan 26, 2017·Plastic and Reconstructive Surgery·Theo K BoumanBerend van der Lei
Aug 24, 2017·Journal of Cosmetic Dermatology·Maria Covadonga Martínez-GonzálezAurora Guerra-Tapia
Aug 15, 2019·Journal of Cosmetic Dermatology·Ezgi ÖzkurÇiğdem Aydın
Apr 9, 2021·Aesthetic Surgery Journal·David B Sarwer
May 27, 2021·Aesthetic Plastic Surgery·Nada Raafat Khattab, Dan Mills

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