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Scaly psoriasis patches may make you self-conscious about how you look. Your emotional response could cut even deeper. Having psoriasis increases your risk of depression by nearly 40% -- more than 70% if your psoriasis is severe. So it’s important to take care of your emotional health as well as your skin.

You’ll reap some surprising benefits. By reducing stress you may also reduce your risk of psoriasis flare-ups. You may also enjoy higher self-esteem and more energy.

Gain Confidence Talking to Others

Your first impulse may be to bury painful feelings about psoriasis. "A lot of people are embarrassed by what their skin looks like and have a hard time talking about it," says Linda Cornish, RN, a dermatology nurse at Kaiser-Permanente Medical Center in Oakland, Calif. That can lead to feelings of isolation and depression. Take some steps to make it easier for you to talk about your condition – you’ll feel more confident about yourself and more engaged with society.

  • Be honest with yourself. Ignoring your feelings won't make them go away -- you may even feel worse. The first step to ease anger or depression is to admit that you have those feelings.  
  • Be honest with family and friends. The more they understand about your psoriasis, the easier it will be on you. "When you're self-conscious because of a flare-up, say so. If people really care about you, they'll want to know how you feel and what they can do to help," Cornish says. It takes a lot of energy to hide the truth – free yourself from that burden.
  • Don't apologize about your psoriasis. "If you're confident and matter-of-fact, that's the message you'll convey," says Julie Nelligan, PhD, a Portland-based psychologist who specializes in counseling people with psoriasis and other chronic conditions. There's no reason to be ashamed about having a skin condition.

Find Stress-Busters That Work for You

Treating  psoriasis can be time-consuming and frustrating. "Putting lotion on. Going in for light therapy. Doing lengthy infusions of biological therapies. That all adds up to a lot of stress," Nelligan says, and stress is linked to psoriasis flare-ups. Make stress reduction part of your psoriasis treatment plan.

  • Use relaxation methods every day. Close your eyes. Consciously tighten, then relax one muscle group after another. Taking several deep breaths may also ease stress. Meditation, tai chi, and yoga are also relaxing.
  • Get some exercise most days. When you stay in shape, you feel better about yourself and how you look. “Exercise also releases endorphins, chemicals that enhance a feeling of well-being, says Lakshi M. Aldredge, MSN, a nurse practitioner who specializes in psoriasis at Portland's Veterans Affairs Medical Center.
  • Schedule pleasure into each day. Set aside time every day for things you enjoy, like listening to music or socializing with friends.

Is Psoriasis Holding You Back?

Assess the management of your psoriasis – and what might improve it.
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