COUNSELLING FOR SKIN CONDITIONS
The psychosomatic nature of skin conditions
Emotions cause many skin problems and aggravate others. Given the skin’s intimate bonds with the nervous system, the role of the mind in skin disease is not surprising. One’s skin is frequently utilized, either consciously or unconsciously, as an outlet for relieving tension. In this way, the skin has a double life both as an emotional and physical organ. When we don’t experience the pain of difficult events – when we don’t feel our feelings – we are much more prone to develop physical symptoms, including skin disorders.
Psychodermatology: psychotherapy and counselling for skin conditions
Psychodermatology is a very useful adjunct to conventional dermatologic therapy for conditions such as eczema, psoriasis and acne. It recognises that emotional issues may also be involved in difficult skin conditions, which often resist conventional treatment. Therapy may be particularly helpful with skin problems that are resistant to every medical treatment as an underlying psychological difficulty may be “speaking through the skin,” and exploring that possibility can benefit both skin and mind. Treating both the skin physiology and the accompanying psychological issue may create the best conditions for improvement.
- depression and anxiety
- problems with confidence and assertiveness
- isolation and loneliness
- relationship difficulties including problems with assertiveness and intimacy
- obsessive concern about appearance or intrusive thoughts about skin health
- unresolved issues from the past
Counselling can help by:
- providing a neutral and safe place to talk about the difficulties (the psychological impact)
- exploring the psychological factors that may be contributing to the skin problem (what is ‘speaking through the skin’?)
- supporting the development of healthier expression of feelings
- supporting a conventional dermatological treatment regime
Read more about psychodermatology and my approach to counselling for skin conditions in a recent interview here.