Clearly explainedEvidence-based guidance

Psychological health

Self-image and psychological support

Visible surface area does not measure emotional impact. A small patch may be highly distressing while extensive vitiligo may be well accepted.

In brief

Key points

  • Impact is individual
  • Distress is legitimate
  • Screening helps
  • Support can be effective
01

Signs not to minimise

Avoidance, repetitive checking, anxiety, low mood, sleep problems or bullying deserve discussion in care.

02

Sources of support

Psychoeducation, psychological therapies, peer groups and patient organisations can complement dermatological treatment.

Editorial basis

Editorial basis: current AWMF S2k guideline on the diagnosis and treatment of vitiligo, register 013-093, version 2.0 dated 27 July 2026. Reviewed on 2 September 2026.

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