Merging Behavioral Health and Pediatric Dermatology Care

In this conference session, experts from Boston Medical Center – pediatric dermatologists Dr. Lisa Shen and Dr. Margaret Lee, and pediatric psychologist Dr. Laura Goldstein – discussed the integration of behavioral health services into pediatric dermatology. They emphasized the significant connection between mental health and skin conditions, detailing how stress, anxiety, and depression can exacerbate dermatological issues like atopic dermatitis and acne. The panel shared their experiences in establishing a multidisciplinary "Coping Clinic" that facilitates access to mental health care alongside dermatological treatment, thus reducing stigma. They presented findings and case studies illustrating how psychosocial stressors impact children's skin conditions and vice versa. They highlighted strategies for assessing and addressing patients' mental health within dermatology practices, such as normalizing the coexistence of behavioral health and skin conditions. Key points for identifying when to refer patients to behavioral health included persistent scratching, anxiety related to skin conditions, and self-esteem issues. Additionally, they provided specific recommendations for enhancing patient care through collaboration between dermatologists and mental health specialists, underscoring the importance of a warm handoff to mental health professionals. Lastly, they introduced Camp Discovery, a supportive camp for children with skin conditions, illustrating the positive impact such initiatives can have on the psychosocial well-being of young patients. Overall, the presentation aimed to equip practitioners with tools to better manage the intersection of skincare and mental health.