NEW YORK: At the annual meeting of the American Academy of Dermatology, Dr Mio Nakamura, Clinical Assistant Professor of Dermatology at the University of Michigan, Ann Arbor, shared insights into providing dermatologic care for patients with personality disorders, emphasising the need for flexibility and understanding.
During the meeting, Nakamura explained that personality disorders involve enduring patterns of maladaptive thinking and behavior, affecting up to 15 per cent of the general population. Nakamura highlighted challenges in treating such conditions, noting their resistance to traditional interventions.
For patients with Borderline Personality Disorder (BPD), Nakamura stressed the importance of recognising underlying psychological needs, cautioning against unnecessary tests or procedures. Instead, she advocated for empathetic communication and regular follow-ups to address emotional needs.
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However, Obsessive-Compulsive Personality Disorder (OCPD) patients, characterised by perfectionism and control, require structured encounters focusing on facts and knowledge, according to Nakamura. Detailed explanations and step-by-step instructions help alleviate anxiety and provide a sense of control over their condition.
Regarding Narcissistic Personality Disorder (NPD), Nakamura emphasised the importance of providing a sense of uniqueness and power. Engaging with patients at a professional level and involving them in decision-making can help manage their need for admiration.
Throughout her recommendations, Nakamura underscored the significance of maintaining professional boundaries and avoiding rejection, as it may provoke anger and further complications in patients with NPD.
