Description

Psychological Support in Pectus Deformities (Excavatum & Carinatum) Pectus deformities, particularly pectus excavatum and pectus carinatum, often carry a significant psychosocial burden, especially in adolescents and young adults. While many patients have no physical symptoms, they may suffer from poor body image, low self-esteem, anxiety, or even depression. 🌪️ Common Psychological Challenges Area Examples Body Image Embarrassment, avoiding tight clothing or swimming Social Anxiety Avoidance of school, sports, or changing in locker rooms Self-Esteem Feelings of inferiority or “being different” Depression & Anxiety Especially during puberty/adolescence Bullying or Teasing Often reported in school-age children Surgical Anxiety Fear of pain, outcome, or visible scarring 🩺 When Psychological Support Is Essential Patient refuses physical activities due to embarrassment High body image dissatisfaction Preoperative distress or hesitation about surgical decisions Concerns persist after physical correction Parental anxiety or overprotection Non-compliance with braces or therapy due to emotional issues 🧰 Psychological Support Approaches 1. Clinical Psychology or Psychiatry Formal assessment of anxiety, depression, and self-image Support during decision-making about surgery or bracing Cognitive Behavioral Therapy (CBT) for distorted body image or anxiety 2. Counseling & Psychotherapy Safe space for teens to explore self-worth and emotions Can involve individual, family, or group therapy 3. Preoperative Counseling Education about surgical outcomes and pain management Realistic expectations (especially for cosmetic results) Post-op body image adaptation support 4. Peer Support & Patient Groups Sharing experiences with others who have undergone bracing or surgery Role models or peer mentors Online forums or local support networks 5. Multidisciplinary Team Involvement Psychologists, pediatricians, physiotherapists, and surgeons working together Helps personalize care and improve overall outcomes