Neurosis may cause itchy skin


What to do if your whole body itches from nerves

A disorder such as skin neurosis can be easily confused with an allergy or fungal infection, but burning of the body skin during neuroses has other causes.
Therefore, you must first consult a dermatologist to rule out skin diseases. Neurosis is treated jointly by a dermatologist and a psychologist.

Causes and symptoms of skin neurosis

Skin neurosis is a consequence of a nervous system disorder in which the entire body itches. The reasons for its appearance are psychological problems. It can be provoked by:

  • intense brain activity, mental fatigue;
  • constant conflicts and stress;
  • regular lack of sleep;
  • physical fatigue;
  • depressing chronic diseases;
  • exhaustion of the body as a result of diets and fasting;
  • hormonal imbalances;
  • brain injuries.

All these factors have in common that they are caused by some kind of nervous shock or physical trauma to the head. The body includes a protective reaction in response to exhaustion of the nervous system, which gives rise to various neuroses. You can understand that a person has neurosis, and not another disease that has nothing to do with nerves, by a number of symptoms, such as:

  1. Lack of adequate skin response to irritants.
  2. Changes in the sensitivity of the epidermis. The skin becomes either overly sensitive to even the slightest irritants, or reduced sensitivity is observed, including to pain and other influences.
  3. Feeling of dryness and tightness of the dermis. A tingling sensation is felt throughout the body, a tickling irritation occurs, which causes the patient to scratch the skin.
  4. Tactile hallucinations. As if an insect were crawling on the body or a feeling of goosebumps.
  5. Marble color of the epidermis. The skin becomes pale, and sometimes with a bluish tint.
  6. Absent-mindedness and irritability. The patient has difficulty concentrating and constantly feels powerless and apathetic.

Treatment of itching in neurosis

If any of the above symptoms are noticed, a person needs to consult a dermatologist to determine whether it is a skin disease or a neurosis. If skin pathologies are not identified, you should consult a neurologist.

When the disease is diagnosed, the doctor prescribes treatment. Sedatives prescribed for nervous system disorders are used.

To improve sleep - sleeping pills and sedatives - to reduce irritation. Vitamin complexes help support immunity.

In combination with medications, ointments are used that eliminate itching and burning of the skin during neurosis. All medications must be prescribed by a doctor.

It is also recommended to visit a psychologist to stabilize the general state of the psyche and reduce emotional stress.

A person suffering from skin neurosis should monitor his diet, eating more vegetables, fruits, and other healthy foods, excluding fried and smoked foods. Bad habits also have a detrimental effect on the general condition of the body, so it is better to avoid alcohol, coffee and cigarettes.

Exercising has a beneficial effect on blood vessels, as a result of which the cells are better saturated with oxygen. Everyday walks also have a good effect on the body, but it’s better if it’s a morning jog. There must be a stable daily routine, without lack of sleep. It is better to replace tea and coffee with herbal infusions, and add soothing and relaxing essential oils to the bath.

Such a lifestyle change will be a good prevention not only of neuroses, but also of many other diseases. Experts recommend taking a vacation and going to the sea or nature. Such a change of environment stabilizes a person’s psycho-emotional state.

Prognosis and prevention

If you ignore the problem of neurosis, this can lead to a number of negative consequences. Since cutaneous neurosis is primarily a disease of the nervous system, it has a number of consequences for the psyche and general condition of the body, these include:

  • exacerbation of chronic pathologies;
  • Strong headache;
  • disruptions in the functioning of the cardiovascular system;
  • indigestion;
  • poor memory and fatigue;
  • apathy, depression, chronic fatigue;
  • weakness in the body.

To prevent illness, you need to take a break from work from time to time and lead a healthy lifestyle, try not to get into conflicts and be able to get out of stressful situations, thereby avoiding nervous strain.

Source: https://eustress.ru/nevroz/zhzhenie-kozhi-tela-pri-nevrozah

Skin changes due to neurosis

Skin changes during neurosis are not uncommon. Pain may not always be present, but itching and burning of the skin often accompany this disease. In medicine, this condition is called vegetative skin syndrome. The very appearance of the skin also changes: it becomes marbled with a bluish tint.

In addition to the main symptoms of neurosis, there are also those that do not appear in everyone. An example is skin neurosis, in which the following symptoms occur:

  • Sensitivity changes. The skin becomes either hypersensitive, when even minor contact with clothing causes irritation, or with a reduced sensitivity threshold, when even sharp pain is practically not felt. Microdisturbances in the functioning of the brain and nerve endings are possible.
  • Impaired mobility, in which the lower limbs become stiff and a pulling sensation occurs.
  • Itching. It can be felt both throughout the body and in individual areas.
  • Dry skin or, on the contrary, increased oiliness.
  • Change in skin color. It takes on a bluish or pale tint.
  • Tactile hallucinations. This means that goosebumps appear on a person’s skin and he feels the bites of non-existent insects.
  • Skin neurosis is one of the symptoms of general neurosis, so treatment must be comprehensive.

    Psychogenic itching: treatment. Symptoms of psychogenic skin itching

    Neurosis progresses due to disorders of the autonomic nervous system (ANS). Has mental and physiological signs. With the latter, itching of the skin, burning, tingling, numbness, pain, and convulsive muscle contractions are noted. It can appear on the entire body or on individual parts of it.

    Burning sensation in lower extremities

    Burning in the legs in various forms of the disease is a nonspecific symptomatology. This is an unnatural process in the brain.

    It occurs under the influence of a psychogenic factor or is a consequence of strong physical activity, involving monotonous movements aimed at one muscle group.

    For example, prolonged sitting at a computer, work that requires standing in a standing position for more than 4–6 hours a day.

    No distinctive symptoms are observed, since the sign of burning in the lower extremities is not a consequence of pathology in a particular system, but occurs under the influence of a disruption of neurotransmitter connections in the parts of the brain responsible for the susceptibility of the skin. There are only general signs that are characteristic of other diseases:

    • burning of the skin of the legs above the knee, in the feet;
    • muscle soreness;
    • burning sensation turning into heaviness, feeling of warmth;
    • swelling at the end of the day.

    The pattern of the venous network becomes more distinct after increasing physical activity. At night, convulsive contractions of the calf muscles are observed, the skin becomes bluish, and in some cases, lumps appear.

    A correct diagnosis can only be made with the help of certain studies. With neurosis, a change in the structure of the parasympathetic and sympathetic brain centers is observed.

    Poor blood saturation leads to redistribution of blood flow to vital organ systems. Metabolic processes slow down, which leads to the formation of blood clots and the formation of cholesterol plaques.

    If treated incorrectly, the pathological process becomes more complicated and new symptoms are added.

    There are clear signs of malnutrition of the dermis. The burning sensation is constant and goes away only for a short time. Unpleasant sensations are not localized in one place. Paroxysmal headaches are observed.

    Burning in the body

    Burning skin with neurosis is a common symptom. This also occurs in diseases of an allergic, infectious and fungal nature. This is caused by disturbances in the functioning of the autonomic nervous system. Main symptom: increased sensitivity of the dermis. The dermis becomes marbled.

    Disorders in the functioning of the autonomic part of the brain appear as a result of prolonged stress, interpersonal conflicts, and physical overload. The disorder can be triggered by traumatic brain injury or a surge in hormones during puberty.

    Symptoms are aggravated as a result of uncontrolled sleep and wakefulness and nutrition. The manifestations of the disease may differ depending on which chain of nerve receptors is turned off. When the sensitivity threshold changes, the dermis becomes irritated at the slightest contact with the tissue base or becomes so unreceptive that the person loses the ability to feel pain.

    Sometimes the skin hardens and tightens, which is accompanied by a feeling of dryness. There is itching and burning throughout the body or in a separate area.

    Scabies in neurosis is the main symptom, but sometimes the itching turns into tactile hallucinations: the patient feels the movement of insects under the skin, their bites.

    Causes of itching and how to deal with them

    There are two main types of itching: physiological and pathological. The first occurs as a result of some external irritating influence, and the second - due to a certain disease of the body.

    Baking of the skin is a relatively common symptom. It's like pain or itching protection from a skin reaction. The burning sensation of the skin is a complex experience that results from the cooperation of nearly all types of nerve endings in the skin to receive stimulation, as opposed to pain caused by stimulation of several types of nerve endings.

    Receptors stimulated by disruptive stimuli, night receptors. Skinning is caused by chemical, thermal, mechanical and electrical stimuli. This experience is carried out behind the main roots and cranial nerves, then into the cortical centers, and then into the cerebral cortex. It should not only cover the skin; it can also touch internal organs.

    The most common cause of physiological itching is a common mosquito bite. Everyone has gone through this; there is no need to explain how to deal with it. But experts identify burns as the most dangerous cause of this type.

    Genital neurosis

    With neurasthenia, a reddish rash, similar to eczema, may appear on the genitals, causing severe itching. When examining microflora, the disease is not always detected.

    Neurosis of the genital organs is accompanied not only by itching, but also by tingling, numbness, and discharge. All this causes severe anxiety and a feeling of discomfort. Often symptoms arise due to a psychogenic factor, experiences that are sometimes associated with masturbation.

    Source: https://knyazhinskaya.ru/drugoe/zhzhenie-kozhi-pri-nevroze-2.html

    Treatment of skin neurosis.

    For effective therapy, medications are used:

  • to normalize sleep, sleeping pills. For example, Noxiron or Phenobarbital;
  • medications that cause sedation and reduction of irritability;
  • vitamin complexes will help in the fight against fatigue and loss of appetite;
  • In addition to drug treatment, remember the following rules:

  • Take a walk in the fresh air every day, you can also go jogging in the fresh air.
  • Take herbal infusions. Take baths with the addition of medicinal herbs and aromatic oils.
  • Try to avoid stressful and conflict situations, get rid of negative thoughts. It is important to know that changing your lifestyle is an excellent prevention for many diseases.

    Very often, doctors recommend taking a vacation and going to the sea, to the mountains, or just take a trip outside the city to nature, to fresh air. Such holidays close to nature have a positive effect on a person’s psycho-emotional state. Experts recommend such trips for those who have been depressed for a long time or have suffered serious stress and trauma. Remember that you need to take care of your nerves.

    If you are very nervous, will nervous scabies necessarily appear, and how to recognize it?

    Itchy skin due to nervous stress has irreparable consequences. It is important to recognize the symptoms of pathology in time and seek medical help.

    How to recognize and treat nervous scabies

    Nervous scabies, or skin itching on a nervous basis, is a pathological condition characterized by irritation of the skin due to excessive stimulation of the nervous system (hereinafter referred to as NS).

    Itchy skin due to nervous stress

    This condition usually develops against the background of severe nervous shock. The body strengthens its defenses, which sometimes do not work properly.

    Causes and symptoms

    There are many factors that can trigger the development of nervous scabies, and, unfortunately, no one is immune from them. Constant stress at work, a troubled family life, strong worries about a loved one, the death of a relative - all these life events can lead to nervous itching of the skin.

    How to recognize the disease:

    • severe itching occurs, which only gets worse due to stress;
    • the appearance of rashes and inflammation of the skin.

    Diagnostics

    First of all, the specialist will examine the patient. More often, due to nervousness, the patient scratches the rash vigorously, until wounds appear. The state is either depressed or excited and uncontrollable.

    Afterwards, he will ask for complaints, since nervous itching bothers not only a certain area of ​​skin on the body, but also in the anal area.

    Laboratory methods to confirm the diagnosis include skin scraping and an allergy test.

    How to treat

    The disease will not go away on its own. It is necessary to begin treatment, which consists of the following:

    1. Nutrition adjustments.
    2. Normalization of the nervous system.
    3. Elimination of stress and nervous experiences.
    4. Treatment of symptoms.

    To stabilize the nervous system, the doctor first of all prescribes sedatives and antidepressants that will help overcome anxiety and stress.

    Popular drugs are:

    • Bulgarian valerian;
    • Novo-Passit;
    • Persen.

    You should not overuse antidepressants; the medicine can be addictive.

    Antihistamines will help relieve itching and inflammation of the skin. Among them are:

    • Suprastin;
    • Cetrin;
    • Zyrtec;
    • Erius.

    Admission is prohibited for pregnant women, small children and people with chronic diseases.

    To eliminate unpleasant symptoms, topical medications are prescribed, which include glucocorticoids.

    It could be the following ointments:

    • Lokoid;
    • Diprosalik;
    • Photocort.

    When treating itchy skin, you may also need antiallergic drugs - Fenistil or Gistan.

    To improve the functioning of the body's defenses, you need to take vitamins and minerals. Vitamin complexes include essential substances.

    The best are considered:

    • Invigorates;
    • Vitrum Superstress;
    • Neuromultivitis;
    • Doppelhertz active magnesium;
    • Stress Aid.

    The diet should also be rich in fortified foods, protein and complex carbohydrates. It is also equally important to normalize healthy sleep.

    Physiotherapeutic procedures can be prescribed as an auxiliary therapy.

    These include:

    • acupuncture;
    • hypnosis;
    • RMT (reflexive manual therapy).

    In the most advanced cases, you will need the help of an experienced psychologist. His task will be to teach the patient to control himself in stressful situations and react calmly to everything.

    Negative consequences

    The negative impact of stress affects the body, especially during long-term recovery of the body. The NS begins to work unstably. A person becomes less resistant to the appearance of depression, irritation and easily enters into conflicts.

    Duration of therapy

    The duration of treatment will directly depend on the severity of the condition and the main provoking cause, which is important to eliminate during treatment. Therapy can take 2-3 months or more than a year.

    Neuroses and consequences for the body

    Neuroses develop against the background of a nervous disorder and a long-term depressed state. This is a group of diseases of the nervous system that cause irreparable harm to the body.

    The quality of life and productivity decrease, various phobias appear, and the idyll in family life is disrupted.

    But the main danger is the development of chronic diseases, memory impairment and the development of causeless aggression. Against the background of neuroses, diseases of the gastrointestinal tract and cardiovascular system often develop.

    To avoid the appearance of nervous scabies, you need to spend more time in fresh air, sleep at least 7 hours and surround yourself only with people with positive emotions. A balanced and calm person is much more stress-resistant and less susceptible to various diseases.

    Source: https://cleanskin.online/nevrologija/nervnaja-chesotka.html

    Treatment of neurosis

    For treatment to be successful, the cause that caused the changes in the body must first be established. Therefore, the doctor’s task is to find out what kind of life the patient leads, what his habits are, his work, whether the person has had nervous breakdowns recently, etc. There is no need to hide important aspects of your life from the doctor, since in this case the course of treatment will be chosen incorrectly.

    Therapy is mainly aimed at normalizing the functioning of the nervous system. Discharged:

  • medications that improve sleep;
  • sedatives that will restore a person’s nervous balance;
  • painkillers;
  • local products in the form of creams, gels, ointments, etc., relieving itching and burning on the skin;
  • antispasmodics.
  • All medications for neurotic conditions must be taken continuously, with the exception of sedatives, which should not be taken for a long time. Psychological assistance also plays an important role in the treatment of neuroses. A psychologist will help a person cope with his problems and fears and tell him how to resolve them.

    Other treatment methods are also prescribed as additional therapy:

  • Taking vitamin complexes. They are important against the background of constant stress, fatigue, lack of sleep and poor appetite. Vitamins must be taken throughout the entire treatment course.
  • Complete and balanced nutrition. It plays an important role in restoring the body during therapy. Microelements contained in many vegetables and fruits have a good effect not only on the functioning of the nervous system, but also on human skin as a whole. The epidermis begins to recover and rejuvenate.
  • Physical exercises and hardening. Start exercising after you have completed therapy. This should not be done abruptly; strength exercises should be introduced gradually and preferably under the guidance of an experienced trainer. The same applies to hardening. At the same time, the body is able to get stronger, which means the nervous system will become stronger. Remember that exercise is the best cure for depression.
  • Take some time to rest. It is very important to be able to rest properly. This also includes emotional rest. Daytime worries, stress, worries, mental and physical stress must be left behind during the day and be able to relax. To prevent them from overpowering you, you need to correctly calculate your daily routine, wake up and go to bed at the same time, observe breakfast, lunch and dinner times, and get proper rest on weekends.
  • For muscle neurosis, physical exercise and physiotherapy are recommended:

  • Physical exercise should be aimed at improving muscle tone.
  • Application of massage.
  • Taking relaxing baths.
  • Acupuncture method of influence.
  • Thermal events.
  • If spasms and convulsions are present, medications are needed.
  • The symptoms and treatment of neurosis are known to an experienced specialist, so if you suspect the development of this disease, you should seek help from a doctor.

    mypsihologiya.ru

    Urticaria, rash and scabies due to nerves: causes and treatment of psychogenic itching

    Psychogenic itching is a rare bodily symptom in patients with anxiety disorder, so-called VSD and other mental problems.

    Often anxiety and stress intensify the manifestations of existing dermatological diseases, for example, eczema. But scabies due to nervous conditions, in isolation from true skin diseases, rarely occurs.

    How you can itch due to nervousness: symptoms

    Psychogenic itching can manifest itself in the form of:

    • hives (usually on the hands, face, ears, genital area);
    • itchy rash that occurs against the background of excessive sweating;
    • severe itching all over the body;
    • unbearable scabies in certain parts of the body, usually in the distal parts of the limbs.

    Often, psychogenic skin discomfort is felt as a burning sensation, reminiscent of a burn.

    Different manifestations of nervous scabies can appear separately, or they can replace or complement each other.

    The intensity of the ailment can vary from hour to hour, day to day, month to month. Sometimes symptoms can completely go away for several days, months and even years, and sometimes they begin to plague you with incredible force.

    The intensity of scabies often increases at night, leading to severe chronic insomnia, which in turn causes a deterioration in the person's psychological state and increases bodily symptoms of anxiety.

    In most cases, malaise is accompanied by other physical manifestations of mental discomfort - dizziness, palpitations, increased fatigue, indigestion, etc.

    Physiological causes of rash, urticaria, scabies due to nerves

    The brain itches, not the skin.

    In order for a person to feel itching, the motor, affective and sensory areas in his brain must simultaneously be activated, which will form the corresponding sensation. Therefore, any scabies may always have a mental component.

    People experiencing psychogenic itch constantly irritate their skin. Scratching provides temporary relief. But it activates central and peripheral sensitivity, reducing the threshold for the perception of unpleasant sensations.

    When scratching, inflammatory mediators are released in the skin, which increase peripheral sensitivity. When inflammation becomes chronic, it accelerates signal transmission through the spinal cord and enhances its processing in the brain. Central sensitization occurs.

    The habit of psychogenic itching is always formed through a vicious feedback circle.

    1. There is a desire to scratch.
    2. The person itches and feels some relief.
    3. Positive reinforcement is triggered - if you scratch yourself, it becomes easier.
    4. But scratching provides only short-term relief. But in fact, it only intensifies the itching, as it exacerbates central and peripheral sensitivity to irritants of this kind.
    5. As the sensitivity has increased, you want to itch even more. Combing again provides short-term relief and again forms positive reinforcement for this action. And so on ad infinitum.

    Why psychogenic itching can be contagious

    The “contagious” effect of nervous scabies is known to most people. Probably everyone has noticed that if you look at how furiously another person is itching, you want to start itching yourself, even if there was no itching before.

    In sensitive people, psychogenic itching can begin from seeing pictures of insects or scratched skin. The more prone a person is to developing rashes and scabies due to nervousness, the faster he gets infected. Neurotic patients are usually more susceptible to such “infection” than people with a stable psyche.

    Mental basis of nervous scabies

    There are several theories explaining the mental basis of the occurrence of nervous scabies.

    The simplest and most understandable is the cognitive-behavioral model, according to which the symptom of psychogenic itching is based on catastrophizing.

    1. Against the background of excitement, a person experiences mild itching. Which is normal, since skin hypersensitivity often develops under stress.
    2. However, instead of not paying attention to the slight discomfort, the person gets scared.
    3. Begins to consider the desire to scratch as a symptom of some serious illness.
    4. Constantly itches and thinks about how he should itch and how terrible it is.
    5. Quite quickly, this line of thinking leads to the formation of a vicious circle and the development of persistent psychogenic itching.

    There is also the concept of “personal skin”, somatoform dissociation, a psychobiological concept. They all explain the development of nervous itching in different ways, but in essence they only complement each other.

    It has been noticed that nervous scabies most often affects people who are depressed and those who suffer from social anxiety.

    Patients with chronic pruritus, even if due to dermatological causes such as psoriasis, often show signs of the classic Beck triad of depression. That is, they evaluate the present as hopeless, do not see the future, and do not value themselves. These are often people with low psychological stability and self-efficacy.

    All these signs of mental discomfort are even more noticeable in patients with chronic scabies, in whom it is not possible to diagnose any dermatological disease.

    What does nervous itching lead to: physical consequences

    Unlike some other bodily symptoms of mental discomfort, which impair quality of life but do not cause real harm to health, nervous itching can be accompanied by very real side effects. The main one is scratching.

    The skin most often affected is the arms, legs, abdomen, head, neck and face.

    Over time, scratches can become permanent. The skin in the affected area thickens and becomes hyperpigmented. The scratches may become infected with the development of severe inflammation.

    Psychogenic itching causes increased mental discomfort

    Rash, redness and damage to the skin lead to aggravation of the patient’s mental state. This is especially noticeable when open areas of the body are affected - hands, face.

    One of the causes of psychogenic itching is social phobia. Obviously, for a person who is already “afraid” of people, exposing himself to everyone with a face covered in hives and scratches is terribly painful.

    A “damaged” appearance increases social phobia, which makes the manifestations of scabies more severe.

    As a result, a pathological neural connection is formed. And it becomes more and more difficult to get rid of the nervous itch.

    Psychotherapeutic treatment of urticaria and itching from nervous excitement

    As with the treatment of any other physical symptom of mental discomfort, psychotherapy occupies the main place in the treatment of scabies due to nervousness. The treatment regimen should include three areas: working with the symptom, with emotions, and with thoughts.

    The use of cognitive behavioral therapy, administered by a professional, can help break the vicious cycle of itching.

    It is assumed that independent work with the problem is also possible. However, there is no clinically proven data on its effectiveness.

    Tablets for scabies due to nervousness

    To relieve symptoms of psychogenic itching, doctors most often use:

    • antidepressants (selective serotonin reuptake inhibitors);
    • tricyclic antidepressants, for example, Amitriptyline (along with the antidepressant effect, it exhibits antihistamine properties);
    • benzodiazepines (if the patient has acute signs of anxiety);
    • GABA analogues (Gabapentin, Pregabalin) are used against the background of the presence of systemic diseases.

    All of the drugs listed have side effects. Admission is permitted only with a doctor's prescription.

    Emergency self-help for psychogenic itching

    The more you scratch, the more it itches. Therefore, the main condition for getting rid of psychogenic itching is not to scratch. To reduce the intensity of unpleasant sensations you can use:

    • topical agents with cortisone;
    • cold compresses;
    • creams and gels with Aloe vera;
    • traditional medicine for external use based on soda or oatmeal.

    Soda compress

    Soda is mixed with water in a ratio of 3 to 1. The resulting mass is applied to the itchy area of ​​the skin.

    Can only be used on intact skin. If the area has already been combed and the integrity of the skin is compromised, do not use soda.

    Oatmeal compress

    Oatmeal is mixed with water to form a paste. Apply to the affected area and keep for 20-30 minutes.

    A simple method to get rid of nervous scabies

    It has been established that the more a person focuses attention on any bodily sensation, including itching, the more clearly it manifests itself. Distraction helps reduce the intensity of unpleasant sensations.

    Therefore, the most effective and at the same time safe method of self-help is to distract attention from your itch and switch it to something else.

    This approach cannot be called a genuine treatment, because it does not eliminate the underlying cause - the underlying mental problems. But it allows you to improve your condition here and now without taking medications or side effects.

    Source: https://nevrozanet.ru/trevoga-i-fobii/simptomyi/fizicheskie/zud/

    Causes of the disease.

    Many factors can cause skin neurosis; sometimes it is quite difficult to name the exact cause of this disease. Since this is a combination of circumstances and factors that led to skin neurosis.

  • constant mental overstrain, which leads to exhaustion of the body. This is a kind of defensive reaction;
  • diseases, including chronic ones, that depress the patient;
  • hormonal imbalances;
  • In children, this problem can be caused by an unstable and unhealthy family environment.
  • With neuroses, the symptoms are very similar to dermatitis. However, only a doctor can make an accurate and competent diagnosis. You should not self-medicate.

  • Numbness of the skin of the legs, a feeling of tightness occurs.
  • Tickling irritation of the skin against the background of a psychological disorder, causing the need to scratch the irritated area. This type of itching can be caused by experienced stress.
  • It can manifest itself as severe dryness of the epidermis or its excessive moisture.
  • Diseases that are characterized by varying degrees of vascular disorders. The skin may become very pale or have a bluish tint.
  • In addition to these signs, a person may be irritated, absent-minded, he cannot concentrate his attention on any one thing. Many people ignore the manifestations of skin neurosis, thereby driving themselves to complete powerlessness.

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