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            PSYCHODERMATOLOGY                                                       aestheticmed.co.uk














































             Outside                                         in






            Eleanor    Vousden     finds out what aesthetic

            practitioners can learn from holistic therapists
            about addressing the mind-skin link









                n his book Skin Deep, psychologist Dr Ted Grossbart   Dr Alia Ahmed, a consultant dermatologist who runs
                writes: “Shut anger or sadness or frustration out the   a psychodermatology service at Eudelo Skin Clinic in
                door and it comes through in the window, or often  London, and practises in the NHS. “Psychodermatology
                enough, through the body. Your heart ‘attacks’. Your  considers both the mind and the skin together when seeing
            Iasthma ‘gasps’. Your eczema  ‘weeps’.”        a person with a skin problem.” These patients are often
               If we’re unable to process stress or emotion, it can  facing a breadth of skin problems or body dysmorphia
             show up in the form of acne, eczema, psoriasis, rosacea or   disorder, coupled with emotional distress.
             even disorders such as dermatillomania, which manifests   Neuroscientist Dr Claudia Aguirre, who specialises in
             as repetitive and compulsive skin picking. This can affect   the mind-skin link, explains that our negative thoughts
             our emotions and self-esteem. In fact, a study published   can affect the skin far more than we may realise. A term
             in the British  Journal of Dermatology  found that those  in psychology called rumination, which is when someone
             who suffered with acne were 63% more likely to develop   has a recurring stream of negative thoughts, can wreak
             depression in the first year of being diagnosed. 1  havoc on the skin. “This can hinder our healing, since it can
               “The link between mind and skin has been known  lead to depressive thoughts or feelings of defeat about
             for centuries, dating as far back as Hippocrates,” says  a recurring condition,” she says. “So, we can get stuck in


       62   Aesthetic Medicine • June 2020
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