The Emotional Toll of Psoriasis

Psoriasis can make you itchy and uncomfortable. Treating it can be annoying and time-consuming. But some of the worst effects of psoriasis are emotional. You may feel like your psoriasis gets in the way of your relationships. It can make people treat you strangely.

Depending on where it is on your body, psoriasis can be an embarrassing disease. People around you may not understand your condition and be frightened by it. Even your good friends may refuse your offers to help them out in the kitchen by chopping vegetables. You may find that you don't get invited to beach parties anymore. You may feel like some people avoid you.

"Unfortunately, people's ignorance of this disease is hard to overcome," says Bruce E. Strober, MD, PhD, co-director of the Psoriasis and Psoriatic Arthritis Center at New York University. "It happens all the time that people with psoriasis won't be allowed in a swimming pool, or that others will move away from them on a crowded train. It's a shame."

The Psychological Cost of Psoriasis

Psoriasis can make you feel deeply isolated and excluded, and that can have serious psychological costs. When it's combined with the chronic discomfort that psoriasis can cause, your emotions can be difficult to handle. Coping with psoriasis can create stress, and stress can make psoriasis get worse. There's even some evidence that worrying about your psoriasis may make treatment less effective. This can become a vicious cycle.

"Psoriasis has a tremendous impact on quality of life," says Strober. He says studies have shown that psoriasis detracts more from quality of life than any other condition except depression -- and that's including life-threatening illnesses such as heart disease and diabetes.

A 2009 National Psoriasis Foundation survey found that 63% of respondents said their condition affected their emotional well-being. Obviously, psoriasis is much more than just a skin condition.

Coping With People's Reactions About Psoriasis

So what should you do? While it might seem like great advice to ignore other people's reactions to your psoriasis, that's not realistic for most people. We're all dependent on others. Even the most self-confident among us are affected by how people see us.

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