Attractive appearance is vital to self-image, with the result that skin and hair disease can elicit substantial distress, reportedly more so in women than in men. Women who already experience a stigmatized illness such as schizophrenia or a related disorder find the added burden of an externally visible disease particularly upsetting. The aim of this review is to describe the skin and hair diseases most frequently associated with psychosis, especially as they affect women, and to discuss their treatment. Recent publications on this topic are reviewed and the pertinent diseases of skin and hair are grouped into a) delusional disorders b) medication reactions c) self-inflicted conditions and d) autoimmune disorders. Early recognition of disease allows for effective treatment. This is particularly important for dermatologic conditions because they contribute to the shame and self-stigma experienced by many women with schizophrenia and similar disorders.