[Psychotropics in dermatology].

In dermatology, psychotropics are sometimes useful. But it is not still popular in clinical dermatology. It is recommended to use them for the patients who have psychosomatic aspect, anxiety and depression due to skin disease. Psychotropics are also useful to alleviate the sensation of itch. Trichotillomania and excess scratch are treated with antidepressants, anticonvulsants or antipsychotics. Cutaneous dysesthesia and delusional parasitosis are treated with antipsychotics. In prescribing benzodiazepines and hypnotics, we have to check abuse and dependency. Decrease of dosage should be made gradually. Antidepressants, anticonvulsants (except barbiturates) and antipsychotics have no dependency. They are much easily used than benzodiazepines. Drowsy and thirsty are main side effects that antihistamines also have. It should be noticed to use both simultaneously.