Accurate and timely recognition and evaluation of psychodermatological disorders is still difcult today. This is partly because there are few specialized clinics and physi­cians who specialize in this area, and partly because it is difcult to identify psychiat­ric problems that go beyond problems that seem to affect only the skin. In clinics that do not specialize in psychodermatology, dermatologic evaluation does not routinely include an in-depth mental examination, and recognition of the disorders and subse­quent referral of patients to specialized clinics sometimes fail [50, 51]. Even where psychodermatology clinics have been set up, accesses for primary psychiatric disor­ders with dermatological manifestations remain more frequent than those for patients with primary dermatological disorders with associated psychiatric symptoms [52]. Early recognition of the psychodermatologic disorder would result in time and cost savings by reducing the number of often unnecessary examinations performed for diagnostic classication [2, 53]. Another difculty is that patients with psychoderma­tologic disorders often come to the physician believing that they have only a dermato­logic problem. The physician’s role is to take a detailed and comprehensive history and to have an accurate interview with the patient in order to instill condence and increase compliance with treatment. The performance of a correct objective examina­tion with a complete inspection of the skin and skin appendages is also fundamental in the search for signs of psychodermatological disorders, which must be described taking into account the number of lesions, the morphology of the lesion, the distribu­tion of the lesion, the time of appearance, and the course of the lesion.