RÉSUMÉ
Transtornos psiquiátricos são amplamente evidenciados em pacientes que buscam tratamentos estéticos. Apesar de não configurarem necessariamente uma contraindicação para a realização de procedimentos, o reconhecimento desses sintomas pelo profissional tende a contribuir para o fortalecimento da relação profissional-paciente e para um melhor prognóstico, reduzindo as chances de insatisfação, complicações e agravos nos sintomas psiquiátricos, além de evitar complicações legais. No presente artigo, os transtornos psiquiátricos mais comuns no domínio cosmético e estético foram apresentados e discutidos, assim como as orientações para o reconhecimento de sintomas e de manuseio destes pacientes por profissionais de saúde.
Psychiatric disorders are widely reported in patients seeking aesthetic treatments. Although they are not necessarily a contraindication for procedures, the recognition of these symptoms by the professional tends to strengthen the professional-patient relationship, thus leading to a better prognosis. This reduces the chances of dissatisfaction, complications, and aggravation of psychiatric symptoms, in addition to avoiding legal complications. In this article, the most common psychiatric disorders arising in cosmetic and aesthetic treatment are presented and discussed, as well as guidelines for recognizing the symptoms and managing these patients.
Sujet(s)
Humains , Histoire du 21ème siècle , Psychiatrie , Chirurgie plastique , Troubles de l'alimentation , Santé mentale , Esthétique , Dysmorphophobies , Trouble de la personnalité multiple , Psychiatrie/méthodes , Psychiatrie/normes , Chirurgie plastique/méthodes , Chirurgie plastique/rééducation et réadaptation , Troubles de l'alimentation/complications , Troubles de l'alimentation/thérapie , Santé mentale/normes , Santé mentale/éthique , Esthétique/psychologie , Dysmorphophobies/complications , Dysmorphophobies/thérapie , Trouble de la personnalité multiple/thérapieRÉSUMÉ
The treatment issues encountered in the unified multiple personality disorder (MPD) patient have received little attention in the literature to date. This study reviews the therapy records of 91 such patients and identifies seven recurrent areas of concern: (1) coping with the psychophysiologic changes associated with unification, (2) coping with the psychologic changes associated with unification, (3) working through, (4) abandoning autohypnotic evasions, (5) modifying adaptive and coping mechanisms, (6) interpersonal adjustments, (7) and major life changes. Some therapeutic approaches are indicated.