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J Dermatolog Treat. 2015 Oct;26(5):456-60. doi: 10.3109/09546634.2014.996513. Epub 2015 Jan 20.

Delusions of parasitosis; suggested dialogue between dermatologist and patient.

Author information

1
a Irvine School of Medicine, University of California at Irvine , Irvine , CA , USA and.
2
b Department of Dermatology , Psoriasis and Skin Treatment Center, University of California , San Francisco , CA , USA.

Abstract

Delusions of parasitosis (DoP) is a psychocutaneous condition characterized by a fixed false belief that one is infested by skin parasites. Patients afflicted with DoP generally experience sensations of biting, stinging or crawling in the absence of any objective evidence of infestation. The most definitive treatment for DoP is antipsychotic agents. Though the diagnosis and treatment options are rather straightforward, the difficulty lies in the art of building a therapeutic rapport with the patient in order to encourage acceptance of antipsychotic treatment. This article is a practical guide that suggests verbatim how dermatologists might talk to a delusional patient in order to establish a strong therapeutic rapport. Strategies on how to optimize the initial encounter, build rapport and prescribe antipsychotic medications that are likely to be accepted by the patient are discussed.

KEYWORDS:

Delusions; dialogue; infestation; parasitosis; psychodermatology

PMID:
25490455
DOI:
10.3109/09546634.2014.996513
[Indexed for MEDLINE]

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