Mental Health
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April 30, 2024

The Connection Between Mental Health and Skin Disorders: Strategies for Comprehensive Care

Written By
Kellie Blake RDN, LD, IFNCP
Medically Reviewed by
Updated On
January 14, 2025

Our skin is on display for the world to see, making it one of the most important contributors to our self-image, confidence, and interpersonal interactions. Blemishes, rashes, wounds, and the like can have a profound impact on our self-esteem and quality of life, placing those of us with skin disorders at particularly high risk of mental health conditions. 

In this article, we’ll dive into the emerging field of psychodermatology—a discipline that recognizes the bidirectional relationship between the mind and the skin and adopts a holistic approach to supporting skin health.

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Understanding the Mental Health-Skin Disorder Connection

Historically, the mind and the skin have been treated as separate entities—islands unto themselves. But we now recognize the complex interplay between the mind and the rest of the body, which includes the two-way relationship between psychological well-being and skin conditions. 

Patients living with chronic skin conditions like psoriasis, acne, rosacea, and eczema often find themselves in a continuous feedback loop. Stress, anxiety, depression, and trauma may influence their skin symptoms, but the daily struggle of living with the skin condition also places a huge burden on their mental health, contributing to more stress, anxiety, and depression. One survey found up to 85% of patients with skin conditions report mental health issues that stem from living with the condition, and there’s a higher risk of suicide in this population.

Mental Health Impact on Skin Disorders

Prolonged psychological stress can contribute to and exacerbate skin conditions in several ways.

The epidermis (outermost layer of skin) is instrumental in keeping us safe from the outside world, but it also interacts with the central nervous system. Chronic stress has been found to disrupt epidermal permeability, which may contribute to inflammatory skin conditions like eczema and psoriasis. Likewise, chronic stress can disrupt normal gastrointestinal tract function, potentially leading to a leaky gut. When gut barrier function is compromised, toxins, food particles, and other outsiders can enter the systemic circulation, potentially leading to inflammation and an increase in skin symptoms. Uncontrolled stress also contributes to HPA-axis dysfunction. The inflammatory cascade that follows can contribute to and exacerbate skin condition symptoms. 

Skin Disorders Impact on Mental Health

Living with a chronic skin condition may increase the risk of mental health symptoms. For example, it’s estimated that up to 84% of patients with psoriasis have comorbid mental health conditions. Skin conditions can be painful and difficult to manage, increasing the likelihood of depression and even suicide. Patients with skin lesions may also experience poor quality of life, anxiety, work-related issues, social phobias, low self-esteem, and poor body image.

Classification of Psychocutaneous Disorders

Generally, psychocutaneous disorders can be classified into three main categories:

Skin conditions arise from a complex interplay between unique environmental and lifestyle experiences, immune system function, hormonal balance, and genetics. While it’s unclear if poor gut health is a factor in all skin conditions, it is a constant theme in the literature:

  • Patients with rosacea tend to have higher rates of small intestinal bacterial overgrowth (SIBO). One trial found rosacea patients who addressed SIBO experienced almost complete resolution of their skin symptoms.
  • Patients with psoriasis who have altered GI barrier function may experience higher levels of inflammation and worse skin symptoms.
  • Patients with acne have higher rates of increased intestinal permeability and possibly SIBO, which can alter skin homeostasis.
  • Gut dysbiosis plays a pivotal role in the development of atopic dermatitis.

Assessment Strategies for Integrated Care

Helping patients improve the skin-mind connection requires a comprehensive assessment and an uncovering of root causes. Providers should take a deep dive into their patient’s specific skin condition antecedents, triggers, and mediators (ATMs). ATMs can include unmanaged stress, infections, food-related allergies or sensitivities, nutritional deficiencies, and toxin exposures. 

Having patients fill out an extensive symptom and history questionnaire before their appointment can provide valuable insight into ATMs. During the visit, allow patients time to elaborate on the information in their questionnaire to create a safe space for sharing. In addition, providers can employ a nutrition-focused physical exam to uncover potential nutrient deficiencies contributing to both skin and mental health symptoms. Based on the information gleaned from the patient’s written and oral history and the physical exam, providers may order various blood, saliva, stool, and urine tests to aid in the development of the personalized care plan.

Comprehensive Treatment Approaches

Many skin conditions are relapsing and remitting—symptoms will flare for a time and then go back to baseline. Some patients require the continuous use of strong medications, and others use prescription treatments only when needed. Either way, this back and forth can have a significant impact on quality of life and mental well-being. Providers can assist patients in breaking this cycle by targeting root causes with a comprehensive treatment approach.

While various pharmaceuticals like selective serotonin-reuptake inhibitors and other antidepressants, antipsychotics, biologics, corticosteroids, and anti-inflammatories are often used to manage skin and mental health symptoms, they can come with dermatologic and mental health consequences. Natural solutions may offer significant benefits with little to no side effects and could potentially reduce the need for medication. 

Mental Health Treatments 

Since stress is a major player in various skin conditions, mind-body therapies may offer meaningful support for skin and mental health symptoms. 

Mind-body therapies like meditation, mindfulness-based stress reduction, biofeedback, hypnotherapy, and guided imagery offer a multipronged approach—they may help alleviate the physiologic changes that are caused by stress (i.e., leaky gut and epidermal barrier disruption), support patients in eliminating harmful behaviors that exacerbate skin symptoms (i.e., skin picking, eating disorder behavior, and hair pulling), and improve overall mental well-being. 

Incorporating mind-body therapies can reduce the amount of medication needed by patients with eczema and psoriasis. Meta-analyses have also shown that mind-body techniques can improve itching, scratching, psychosocial outcomes, and skin symptom severity. 

Behavioral therapies like habit reversal and cognitive behavioral therapy offer benefits as well. Habit reversal is very promising for eczema, skin picking, and hair pulling. Cognitive behavioral therapy has been found to improve symptom severity, reduce anxiety and depression, and significantly support skin health in patients with eczema and psoriasis.

Dietary Treatment

Chronic inflammation may be a contributing factor in many skin conditions, including eczema, psoriasis, acne, and rosacea. Inflammation may also influence mental health symptoms.

The dietary pattern can be harnessed to support root causes like inflammation and gut health. While dietary approaches need to be personalized to the patient, an anti-inflammatory diet may support skin and mental health by reducing inflammation, supporting the gut barrier, and maintaining healthy immune system function. 

An anti-inflammatory diet is built around fruits, vegetables, unsaturated fats, whole grains, legumes, fermented foods, tea, coffee, herbs, spices, and oily fish. This dietary pattern also limits or excludes foods and beverages that may contribute to inflammation, like processed meats, ultra-processed foods, refined grains, sugar-sweetened beverages, candies, cakes, cookies, and excessive amounts of alcohol.

Dietary and Herbal Supplements

Dietary supplements may hold promise for skin and mental health conditions:

  • Vitamin D deficiency may be an underlying factor in skin conditions. Vitamin D supplementation may support skin health in conditions like eczema, psoriasis, and acne. One note of caution for patients with rosacea—elevated vitamin D levels may contribute to rosacea development and disease course.
  • Omega-3 fatty acids (>1800 mg/day) have been found to support psoriasis symptom scores, erythema, and scaling. And omega-3 supplements may support skin health in patients with atopic dermatitis, acne, and skin ulcers. 
  • Probiotics may support skin barrier function and reduce skin sensitivity, as well as help to improve gut microbiome balance. Probiotics may lead to symptom improvement in psoriasis patients, and a combination of probiotics and prebiotics may significantly support eczema severity. 
  • Chinese herbal medicine may significantly support quality of life and symptom severity in patients with psoriasis and atopic dermatitis. 
  • Herbal treatments, taken internally or applied topically, like vitex, essential oils, garlic, arnica, capsaicin, aloe vera, and gingko, have much anecdotal evidence but lack strong research at this time.

Lifestyle Treatments

In addition to stress management techniques and dietary modifications, lifestyle therapies can be very effective for managing skin conditions and their associated mental health effects.

  • Acupuncture has been used in Traditional Chinese Medicine (TCM) for the management of many skin conditions from urticaria and acne to herpes zoster and vitiligo. Systematic reviews have concluded that acupuncture is likely effective as an adjunct to treatment for acne, psoriasis, and eczema.
  • Smoking cessation (and avoidance of being around cigarette smoke) should be encouraged as smoking can disrupt blood flow to the skin, increase inflammatory cytokines, trigger the immune system, and disrupt hair follicle function. Smoking may especially contribute to psoriasis, contact dermatitis, alopecia, and possibly acne symptoms.
  • Restful sleep should be prioritized. Skin conditions and mental health conditions can disrupt sleep, but poor sleep can also upregulate inflammation, leading to further skin exacerbation and mental health symptoms. 
  • Time in nature may help patients better manage mental health symptoms. A systematic review found people who spend time in nature tend to have less anxiety and depression afterward. Another study found improvements in cortisol and blood pressure levels and a calmer autonomic nervous system after time in nature. 

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Key Takeaways

  • Skin-related conditions place a huge burden on mental well-being.
  • There’s a bidirectional relationship between the skin and the mind where poor skin health impacts mental health, and mental health impacts the health of the skin. Rather than one root cause, skin conditions result from the complex interplay between personalized emotional and environmental experiences, genetics, and hormonal and immune system balance. 
  • Pharmaceuticals offer relief for both skin conditions and the mental health conditions they may cause but often come with skin and mental health side effects.
  • Identifying the root causes of both skin and mental health symptoms in a specific person and addressing them with holistic approaches like mind-body therapies, nutrition, dietary supplements, and lifestyle modification can have an immense impact on patient outcomes. 
The information in this article is designed for educational purposes only and is not intended to be a substitute for informed medical advice or care. This information should not be used to diagnose or treat any health problems or illnesses without consulting a doctor. Consult with a health care practitioner before relying on any information in this article or on this website.

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References

  1. Khakham, C. (2023, Jun 30). Personalizing Skin Health: Leveraging Functional Medicine Labs to Tailor Dietary Interventions and Supplements. Rupa Health Magazine. https://www.rupahealth.com/post/using-dietary-interventions-and-supplements-to-support-healthy-skin
  2. Dalgard, F. J., et.al (2015). The psychological burden of skin diseases: a cross-sectional multicenter study among dermatological out-patients in 13 European countries. The Journal of investigative dermatology, 135(4), 984–991. https://doi.org/10.1038/jid.2014.530
  3. Ferreira, B. I., Abreu, J. L., Reis, J. P., & Figueiredo, A. M. (2016). Psoriasis and Associated Psychiatric Disorders: A Systematic Review on Etiopathogenesis and Clinical Correlation. The Journal of clinical and aesthetic dermatology, 9(6), 36–43.
  4. Jafferany M. (2007). Psychodermatology: a guide to understanding common psychocutaneous disorders. Primary care companion to the Journal of clinical psychiatry, 9(3), 203–213. https://doi.org/10.4088/pcc.v09n0306
  5. Yoshimura, H. (2023, Jun 26). Unlocking Radiant Skin By Reducing Stress Hormones: The Power of Specialty Labs, Integrative Nutrition, and Stress-Busting Supplement Recommendations. Rupa Health Magazine. https://www.rupahealth.com/post/the-impact-of-stress-on-skin-health-and-how-to-manage-it-with-integrative-medicine
  6. Kresge, K. (2023, Mar 21). An Integrative Medicine Team Approach to Treating Anxiety. Rupa Health Magazine. https://www.rupahealth.com/post/an-integrative-medicine-team-approach-to-treating-anxiety
  7. Kresge, K. (2023, Feb 21). An Integrative Medicine Approach to Depression. Rupa Health Magazine. https://www.rupahealth.com/post/an-integrative-medicine-approach-to-depression
  8. Yoshimura, H. (2023, May 12). Complementary and Integrative Medicine Treatment Options for PTSD Patients: Testing, Integrative Therapies, and Herbs. Rupa Health Magazine. https://www.rupahealth.com/post/complementary-and-integrative-medicine-treatment-options-for-ptsd-patients-testing-integrative-therapies-and-herbs
  9. Nguyen, A. V., & Soulika, A. M. (2019). The Dynamics of the Skin's Immune System. International journal of molecular sciences, 20(8), 1811. https://doi.org/10.3390/ijms20081811
  10. De Pessemier, B., Grine, L., Debaere, M., Maes, A., Paetzold, B., & Callewaert, C. (2021). Gut-Skin Axis: Current Knowledge of the Interrelationship between Microbial Dysbiosis and Skin Conditions. Microorganisms, 9(2), 353. https://doi.org/10.3390/microorganisms9020353
  11. Chen, Y., & Lyga, J. (2014). Brain-skin connection: stress, inflammation and skin aging. Inflammation & allergy drug targets, 13(3), 177–190. https://doi.org/10.2174/1871528113666140522104422
  12. Cloyd, J. (2023, Aug 21). A Root Cause Medicine Protocol for Patients With Psoriasis: Comprehensive Lab Testing, Therapeutic Diet, and Supplements. Rupa Health Magazine. https://www.rupahealth.com/post/a-root-cause-medicine-protocol-for-patients-with-psoriasis-comprehensive-lab-testing-therapeutic-diet-and-supplements
  13. Cloyd, J. (2023, Jul 7). A Functional Medicine Eczema Protocol: Testing, Nutrition, and Supplements. Rupa Health Magazine. https://www.rupahealth.com/post/a-functional-medicine-eczema-protocol-testing-nutrition-and-supplements
  14. Anderson, S. (2022, Jun 6). How to Talk to Your Patients About Leaky Gut: An Overview. Rupa Health Magazine. https://www.rupahealth.com/post/what-is-leaky-gut
  15. Weinberg, J. (2023, Aug 2). Integrative and Complementary Approach to Alopecia Areata: Testing, Nutrition, Supplements, and More. Rupa Health Magazine. https://www.rupahealth.com/post/integrative-and-complementary-approach-to-alopecia-areata
  16. Weinberg, J. (2023, Jul 6). An Integrative and Complementary Approach to Vitiligo: Testing, Nutritional Considerations, and Complementary Therapies. Rupa Health Magazine. https://www.rupahealth.com/post/an-integrative-and-complementary-approach-to-vitiligo-testing-nutritional-considerations-and-complementary-therapies
  17. Weinberg, J. (2023, Sep 20). Integrative Dermatology Approach to Rosacea. Rupa Health Magazine. https://www.rupahealth.com/post/integrative-dermatology-approach-to-rosacea
  18. Cloyd, J. (2024, Jan 3). Saliva Testing: Cortisol and Hormone Test Result Interpretation Guide. Rupa Health Magazine. https://www.rupahealth.com/post/saliva-testing-cortisol-and-hormone-test-result-interpretation-guide
  19. Cloyd, J. (2024, Jan 4). When To Order A Stool Test For Your Patients. Rupa Health Magazine. https://www.rupahealth.com/post/when-to-order-a-stool-test-for-your-patients
  20. Cloyd, J. (2024, Jan 24). The Value of Urinalysis in Functional Medicine: A Tool for Comprehensive Health Assessment. Rupa Health Magazine. https://www.rupahealth.com/post/the-value-of-urinalysis-in-functional-medicine-a-tool-for-comprehensive-health-assessment
  21. deGruy, F. (2022, Feb 3). Functional Medicine Recommended Annual Blood Tests. Rupa Health Magazine. https://www.rupahealth.com/post/functional-medicine-blood-tests
  22. DePorto, T. (2022, Sep 13). Understanding Acne and How to Treat it Naturally. Rupa Health Magazine. https://www.rupahealth.com/post/understanding-acne-and-how-to-treat-it-naturally
  23. Weinberg, J. (2023, Oct 2). An Integrative Medicine Approach to Hyperhidrosis. Rupa Health Magazine. https://www.rupahealth.com/post/an-integrative-medicine-approach-to-hyperhidrosis
  24. Weinberg, J. (2023, Sep 18). An Integrative Approach to Urticaria (Hives). Rupa Health Magazine. https://www.rupahealth.com/post/integrative-dermatology-approach-to-urticaria-hives
  25. Teeter, L. (2023, May 10). Complementary and Integrative Medicine Approaches to Eating Disorders. Rupa Health Magazine. https://www.rupahealth.com/post/complementary-and-integrative-medicine-approaches-to-eating-disorders
  26. Graubard, R., Perez-Sanchez, A., & Katta, R. (2021). Stress and Skin: An Overview of Mind Body Therapies as a Treatment Strategy in Dermatology. Dermatology practical & conceptual, 11(4), e2021091. https://doi.org/10.5826/dpc.1104a91
  27. Teeter, L. (2023, Apr 3). Mental Health Benefits of Yoga and Meditation. Rupa Health Magazine. https://www.rupahealth.com/post/mental-health-benefits-of-yoga-and-meditation
  28. Beurel, E., Toups, M., & Nemeroff, C. B. (2020). The Bidirectional Relationship of Depression and Inflammation: Double Trouble. Neuron, 107(2), 234–256. https://doi.org/10.1016/j.neuron.2020.06.002
  29. Blake, K. (2023, May 22). Anti Inflammatory Diet 101: What to Eat and Avoid Plus Specialty Labs To Monitor Results. Rupa Health Magazine. https://www.rupahealth.com/post/anti-inflammatory-diet
  30. Diorio, B. (2023, Jan 17) Why Most Functional Medicine Practitioners Say No to Alcohol. Rupa Health Magazine. https://www.rupahealth.com/post/why-most-functional-medicine-practitioners-say-no-to-alcohol
  31. Bertagna, B. (2024, Mar 7). Fermented Foods for Gut Health: What the Science Says. Rupa Health Magazine. https://www.rupahealth.com/post/fermented-foods-for-gut-health-what-the-science-says
  32. Mostafa, W. Z., & Hegazy, R. A. (2015). Vitamin D and the skin: Focus on a complex relationship: A review. Journal of advanced research, 6(6), 793–804. https://doi.org/10.1016/j.jare.2014.01.011
  33. Musumeci, M. L., Nasca, M. R., Boscaglia, S., & Micali, G. (2022). The role of lifestyle and nutrition in psoriasis: Current status of knowledge and interventions. Dermatologic therapy, 35(9), e15685. https://doi.org/10.1111/dth.15685
  34. Thomsen, B. J., Chow, E. Y., & Sapijaszko, M. J. (2020). The Potential Uses of Omega-3 Fatty Acids in Dermatology: A Review. Journal of cutaneous medicine and surgery, 24(5), 481–494. https://doi.org/10.1177/1203475420929925
  35. Zeng, L., Yu, G., Wu, Y., Hao, W., & Chen, H. (2021). The Effectiveness and Safety of Probiotic Supplements for Psoriasis: A Systematic Review and Meta-Analysis of Randomized Controlled Trials and Preclinical Trials. Journal of immunology research, 2021, 7552546. https://doi.org/10.1155/2021/7552546
  36. Sweetnich, J. (2023, May 4). Vitamin D 101. Rupa Health Magazine. https://www.rupahealth.com/post/vitamin-d-101-testing-rdas-and-supplementing
  37. Maholy, N (2023, Jun 29). The Role of Probiotics and Prebiotics in Gut Health: An Integrative Perspective. Rupa Health Magazine. https://www.rupahealth.com/post/the-role-of-probiotics-and-prebiotics-in-gut-health-an-integrative-perspective
  38. DePorto, T. (2023, Jan 6). Omega 3s: The Superfood Nutrient You Need to Know About. Rupa Health Magazine. https://www.rupahealth.com/post/omega-3s-the-superfood-nutrient-you-need-to-know-about
  39. De Pessemier, B., Grine, L., Debaere, M., Maes, A., Paetzold, B., & Callewaert, C. (2021). Gut-Skin Axis: Current Knowledge of the Interrelationship between Microbial Dysbiosis and Skin Conditions. Microorganisms, 9(2), 353. https://doi.org/10.3390/microorganisms9020353
  40. Parodi, A., Paolino, S., Greco, A., Drago, F., Mansi, C., Rebora, A., Parodi, A., & Savarino, V. (2008). Small intestinal bacterial overgrowth in rosacea: clinical effectiveness of its eradication. Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association, 6(7), 759–764. https://doi.org/10.1016/j.cgh.2008.02.054
  41. Sikora, M., Stec, A., Chrabaszcz, M., Giebultowicz, J., Samborowska, E., Jazwiec, R., Dadlez, M., Olszewska, M., & Rudnicka, L. (2021). Clinical Implications of Intestinal Barrier Damage in Psoriasis. Journal of inflammation research, 14, 237–243. https://doi.org/10.2147/JIR.S292544
  42. Sánchez-Pellicer, P., Navarro-Moratalla, L., Núñez-Delegido, E., Ruzafa-Costas, B., Agüera-Santos, J., & Navarro-López, V. (2022). Acne, Microbiome, and Probiotics: The Gut-Skin Axis. Microorganisms, 10(7), 1303. https://doi.org/10.3390/microorganisms10071303
  43. Moniaga, C. S., Tominaga, M., & Takamori, K. (2022). An Altered Skin and Gut Microbiota Are Involved in the Modulation of Itch in Atopic Dermatitis. Cells, 11(23), 3930. https://doi.org/10.3390/cells11233930
  44. Cloyd, J. (2023, May 4). A Functional Medicine SIBO Protocol: Testing and Treatment. Rupa Health Magazine. https://www.rupahealth.com/post/a-functional-medicine-sibo-protocol
  45. DeCesaris, L. (2022, Jun 6). What Is Gut Dysbiosis? 7 Signs To Watch For. Rupa Health Magazine. https://www.rupahealth.com/post/how-your-gut-bacteria-affects-your-overall-health
  46. Weiss, E., & Katta, R. (2017). Diet and rosacea: the role of dietary change in the management of rosacea. Dermatology practical & conceptual, 7(4), 31–37. https://doi.org/10.5826/dpc.0704a08
  47. Luo, Y., Chen, J., Kuai, L., Zhang, Y., Ding, X., Luo, Y., Ru, Y., Xing, M., Li, H., Sun, X., Li, B., & Li, X. (2021). Chinese Herbal Medicine for Psoriasis: Evidence From 11 High-Quality Randomized Controlled Trials. Frontiers in pharmacology, 11, 599433. https://doi.org/10.3389/fphar.2020.599433
  48. Cai, X., Sun, X., Liu, L., Zhou, Y., Hong, S., Wang, J., Chen, J., Zhang, M., Wang, C., Lin, N., Li, S., Xu, R., & Li, X. (2022). Efficacy and safety of Chinese herbal medicine for atopic dermatitis: Evidence from eight high-quality randomized placebo-controlled trials. Frontiers in pharmacology, 13, 927304. https://doi.org/10.3389/fphar.2022.927304
  49. Mansu, S. S. Y., Liang, H., Parker, S., Coyle, M. E., Wang, K., Zhang, A. L., Guo, X., Lu, C., & Xue, C. C. L. (2018). Acupuncture for Acne Vulgaris: A Systematic Review and Meta-Analysis. Evidence-based complementary and alternative medicine : eCAM, 2018, 4806734. https://doi.org/10.1155/2018/4806734
  50. Jing, M., Shi, L., Zhang, Y., Zhu, M., Yuan, F., Zhu, B., Chen, M., & Ge, X. (2021). Efficacy and safety of acupuncture therapy for psoriasis: an overview of systematic reviews. Annals of palliative medicine, 10(10), 10804–10820. https://doi.org/10.21037/apm-21-2523
  51. Li, X., Liang, L., Li, S., Wang, C., Cucco, A., Du, X., Zhang, J., Wang, S., & Yuan, W. (2023). Effect of acupuncture in eczema: An overview of systematic reviews. Complementary therapies in medicine, 73, 102925. https://doi.org/10.1016/j.ctim.2023.102925
  52. Tan, E. K., Millington, G. W., & Levell, N. J. (2009). Acupuncture in dermatology: an historical perspective. International journal of dermatology, 48(6), 648–652. https://doi.org/10.1111/j.1365-4632.2009.03899.x
  53. Lipa, K., Zając, N., Owczarek, W., Ciechanowicz, P., Szymaǹska, E., & Walecka, I. (2021). Does smoking affect your skin?. Postepy dermatologii i alergologii, 38(3), 371–376. https://doi.org/10.5114/ada.2021.103000
  54. Cameron, S., Donnelly, A., Broderick, C., Arichi, T., Bartsch, U., Dazzan, P., Elberling, J., Godfrey, E., Gringras, P., Heathcote, L. C., Joseph, D., Wood, T. C., Pariante, C., Rubia, K., & Flohr, C. (2024). Mind and skin: Exploring the links between inflammation, sleep disturbance and neurocognitive function in patients with atopic dermatitis. Allergy, 79(1), 26–36. https://doi.org/10.1111/all.15818
  55. Afzal, U. M., & Ali, F. R. (2023). Sleep deprivation and the skin. Clinical and experimental dermatology, 48(10), 1113–1116. https://doi.org/10.1093/ced/llad196
  56. Scott, A. J., Webb, T. L., Martyn-St James, M., Rowse, G., & Weich, S. (2021). Improving sleep quality leads to better mental health: A meta-analysis of randomised controlled trials. Sleep medicine reviews, 60, 101556. https://doi.org/10.1016/j.smrv.2021.101556
  57. Weinberg, J. (2023, Dec 19). The Science of Sleep: Functional Medicine for Restorative Sleep. Rupa Health Magazine. https://www.rupahealth.com/post/the-science-of-sleep-functional-medicine-for-restorative-sleep
  58. Weinberg, J. (2023, Nov 19). What is Nature Therapy, and How Can You Practice It to Boost Your Health? Rupa Health Magazine. https://www.rupahealth.com/post/what-is-nature-therapy-and-how-can-you-practice-it-to-boost-your-health
  59. Harris, S. R., Mordarski, B., Wolff, J., & Croniger, C. M. (2022). Teaching the Nutrition Focused Physical Exam (NFPE) To Medical Students Using an Interdisciplinary Approach. Medical science educator, 32(1), 9–11. https://doi.org/10.1007/s40670-021-01477-7
Kellie Blake
Author
Kellie Blake RDN, LD, IFNCP
Registered Dietitian Specializing in Functional Nutrition
Medically Reviewed by
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