The Role of Family Physicians in Managing Psychodermatologic Disorders: A Narrative Review

Abstract

Background: Psychodermatologic disorders (PDs) involve interactions between psychological factors and skin disease. Despite their clinical relevance, psychodermatologic disorders are often overlooked in primary care, particularly in resource-limited settings where mental health stigma, limited specialist availability, and inadequate physician training remain important barriers.
Objective: This review examines the classification, diagnosis, and management of PDs from a family medicine perspective, emphasizing practical strategies for primary care.
Methods: PubMed, Scopus, and Google Scholar were searched for relevant English-language publications published between January 2000 and October 2026. Eligible publications were synthesized narratively across the main themes of classification, diagnosis, management, interdisciplinary care, and physician education.
Results: PDs were commonly classified into three groups: primary psychiatric disorders with cutaneous manifestations, such as trichotillomania; psychiatric consequences of chronic skin disease, such as depression associated with psoriasis; and skin conditions exacerbated by psychological stress, such as eczema. Reported barriers to recognition and management included limited consultation time and insufficient professional training. Nevertheless, screening questionnaires, initial counseling, collaborative care, and targeted professional education may improve recognition and management.
Conclusion: Effective management of PDs in primary care requires focused physician education and integration of mental health support with dermatological care. Because family physicians often maintain continuous, trusting relationships with patients, they are well positioned to identify these disorders early, reduce barriers to care, and coordinate comprehensive management. This integrated approach is especially important in resource-limited and culturally diverse settings.