Background Skin conditions can result in many complex emotional and social problems. Psychological factors have long been associated with the onset, maintenance and exacerbation of many cutaneous disorders.

Conclusion This article is based on experience gained from contact with patients while on clinical placement at a specialist dermatology unit. It aims to assist nurses to understand the diverse ways in which stressors, coping strategies, acceptance, adaptation and compliance affect skin conditions. It will stimulate the reader to think about the psychological effect of skin conditions on everyday life and explore the advantages of specialised dermatology care in addressing the emotional problems of patients with such conditions.