Psychocutaneous disorders (PCDs) are conditions that are characterized by 
psychiatric and skin manifestations. Classifications of PCDs and their 
nomenclature are matters of debate. For the purpose of this review, we adopted 
the classification that distinguishes primary dermatologic disorders with 
psychiatric co-morbidity (PDDPC) from primary psychiatric disorders with 
dermatologic manifestations (PPDDM). PDDPC includes the psychophysiologic 
disorders such as atopic eczema, psoriasis, vitiligo, and alopecia areata. PPDDM 
includes impulse control disorders, obsessive-compulsive disorders, factitious 
disorder, factitious disorder by proxy, self-mutilation, delusions of 
parasitosis, psychogenic purpura/Gardner-Diamond syndrome, and cutaneous sensory 
disorders. Diagnosis and treatment of PCDs are challenging and require that the 
underlying psychopathology be addressed. A specific PCD may have different 
underlying psychopathologies and, at times, multiple overlapping 
psychopathologies may coexist. Most often, both non-pharmacologic management and 
psychopharmacologic treatment are necessary. The choice of psychopharmacologic 
agent depends on the nature of the underlying psychopathology (e.g. anxiety, 
depression, obsessive-compulsive disorder, psychosis). This article reviews the 
spectrum of PPDDM in children.