Obsessive-Compulsive Skin Disorders: A Novel Classification Based on Degree of Insight
October 2016
in “
Journal of Dermatological Treatment
”
trichotillomania excoriation body focused repetitive behavior disorder dermatitis artefacta delusions of parasitosis body dysmorphic disorder contamination dermatitis neurotic excoriation hair-pulling disorder skin-picking disorder BFRB self-inflicted dermatitis delusional infestation BDD contamination OCD neurotic skin picking
TLDR The new classification system for skin disorders emphasizes the importance of understanding a patient's awareness of their condition for better treatment.
In 2016, a novel classification system for obsessive-compulsive skin disorders (OCSDs) was proposed, focusing on the degree of insight patients have into their condition. The Obsessive Compulsive Insight Continuum (OCIC) categorizes these disorders from minimal insight with delusional tendencies to good insight with minimal obsessions. The paper highlighted the importance of understanding a patient's level of insight for effective diagnosis and management, discussing conditions like delusions of parasitosis, dermatitis artefacta, body dysmorphic disorder, and contamination dermatitis. A study included in the document involved 34 patients with neurotic excoriation. The authors emphasized that insight level is crucial for symptom management and addressing psychopathology, suggesting that the OCIC could aid dermatologists in treatment. The document also noted that conditions such as Trichotillomania, Excoriation, and Body Focused Repetitive Behavior Disorder are classified under DSM-5 as Obsessive-Compulsive and Related Disorders, underscoring the relevance of insight in these disorders.
