Managing Expectations and Holistically Treating Patients With Vitiligo

Author(s):

Key Takeaways

Acknowledging the psychological impact of vitiligo is essential, with clinicians encouraged to offer empathetic support and consider psychological counseling for affected patients.
Clear communication about treatment outcomes and duration is vital to manage patients' expectations, especially regarding the gradual nature of repigmentation.
Differentiating between segmental and nonsegmental vitiligo is crucial, as segmental vitiligo often stabilizes faster, allowing for more targeted treatment plans.

Andrew Alexis, MD, MPH, discusses how holistic management of vitiligo requires addressing both the physical and psychological impact through empathetic counseling and support groups while setting realistic treatment expectations and timelines with patients through clear communication about repigmentation goals, potential outcomes, and available therapeutic options.

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Video content above is prompted by the following:

How do you approach the psychological and emotional burden of vitiligo, particularly in patients with more extensive or visible areas of depigmentation?
What strategies can dermatologists or clinicians use to manage their patients’ treatment expectations, such as repigmentation expectations, especially when it’s a long-term treatment that’s involved?
How do you manage treatment expectations differently with patients with segmental versus nonsegmental vitiligo?