Abstract
Managing a delusional patient is one of the most challenging situations experienced
by dermatologists. This is exacerbated by the scarcity of psychodermatology training
offered in residency and similar training programs. A few practical management tips
can be easily employed in the initial visit to avoid an unsuccessful encounter. We
highlight the most important management and communication techniques needed for a
successful first encounter with this traditionally tricky patient population. Topics,
such as diagnosing primary vs. secondary delusional infestation, how to prepare before
entering the exam room, how to write the initial patient note, and when is the ideal
time to introduce pharmacotherapy are discussed. Tips on preventing clinician burnout
and creating a stress-free therapeutic relationship are reviewed.
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Article info
Publication history
Publication stage
In Press Accepted ManuscriptFootnotes
Funding: None
Conflict of Interest: None declared.
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© 2023 Elsevier Inc. All rights reserved.
