Dissociative cutaneous disorders are those in which certain psychological factors are involved regarding the skin manifestations in the patient. These can be either the primary, or the principal, psychiatric disorders with certain skin symptoms or the secondary psychological disorders secondary to another skin illness. Examples are delusional parasitosis, trichotillomania, and psychogenic pruritus. Precise and accurate diagnosis is best achieved with the cooperation of a psychiatrist and a dermatologist. Work is being done to improve classification and obtaining a definitive diagnosis in order to enhance and optimize therapy.