During the dermatologic preoperative evaluation and management what are signs of psychological issues?

Updated: Mar 16, 2020
  • Author: Robert A Schwartz, MD, MPH; Chief Editor: Dirk M Elston, MD  more...
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Psychological problems are often the cause of "doctor shopping." Warning signs to the physician include the following:

  • Unrealistic expectations regarding the outcome of a procedure

  • Obsession about cosmetic appearance (ie, the problem is exaggerated beyond reality)

  • Wrong perception of the surgery (eg, the patient expects cosmetic surgery to help other aspects of his or her life)

  • Reluctance to accept the physician's explanation or excessive criticism of prior physicians treatment

If a mutual satisfactory understanding has not been established prior to the procedure, the patient may not be a surgical candidate.

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