Psychological impact of alopecia: alopecia may lead to social anxiety.

摘要: Editor—Hunt and McHale conducted an extensive clinical review about the psychological impact of alopecia.1 Alopecia is psychologically damaging, causes intense emotional suffering, leads to personal, social, work related problems.1,2 Although stressful life events may have important role in triggering some episodes alopecia,1 anxiety symptoms that follow its appearance closely resemble social disorder. Some patients with alopecia symptoms, avoidance behaviour, economic suffering similar disorder patients. Social characterised by fear humiliation or being judged negatively situations as well such performance situations.3 The diagnosis excludes whose fears are secondary other psychiatric disorders medical problems (for example, essential tremor stuttering).​stuttering). Figure 1 Patients initially unrelated begin avoid public out it would be embarrassing if others observed loss hair, they experience excessive humiliated embarrassment when their noticed. Identical primary anxiety, tend self conscious critical, often physical blushing, palpitations, sweating, trembling. Such has same consequences subtype.4 Patients disfiguring disabling conditions serious avoidance, since been shown respond antidepressant drugs,5 controlled trials should describe response pharmacological treatment.