Having a doctor who is culturally sensitive – and knows about how psoriasis affects skin of color – may help you feel more comfortable and make for a better care experience. Research shows that seeing a Black doctor lowers pain and anxiety for Black patients. Having a doctor with experience treating psoriasis in different skin types is important as you go through your psoriasis journey.

People of color who have psoriasis are more likely to get a wrong diagnosis, for several reasons. Medical school textbooks most often show light skin. The condition looks different on darker skin, so doctors aren’t always sure. And there hasn’t been as much research on psoriasis in people of color. Ask for the reasons behind your diagnosis. If you feel you aren’t being heard or getting the care you need, try another provider.

Psoriasis treatment can be a trial-and-error process. Help your doctor find the right therapy for you by showing up for any follow-up visits. Let them know if you have concerns or new or worsening symptoms. Be honest about your symptoms and things in your life that may affect your treatment. Communication is vital. 

It may be helpful to have a family member or friend you trust come to your appointments with you. They can help you remember to ask all the questions you planned and take notes on what you and your doctor discuss. This can be especially helpful if your primary language isn’t the same as your doctor’s. 

Understanding psoriasis and how it affects skin of color is key to getting the best care and managing your symptoms. You can find information online from reputable sources, such as the National Psoriasis Foundation. The foundation, the Skin of Color Society, and BlackDoctor.org have provider directories to help you find a specialist, too.  

When you have a chronic condition, it can help just to know you’re not alone. There are in-person and online support groups where you can meet and get to know other people of color with psoriasis. You can find information about them at the website for the National Psoriasis Foundation, or you can ask your doctor. 

It helps to keep a record of your symptoms so you can report clearly what’s been going on with your skin. At your office visit, be sure to ask questions if you have them and write down what your doctor says so you can remember it accurately. Come to your appointments with your questions and concerns written down in order of importance to you. This way, you’ll get what you need from your visit, even if your time is cut short.

Before your visit, take some time to write down your medical history. Include all your symptoms, along with any illnesses, allergies, or unexplained pain. If you’re taking any medications, bring a list with the names of each one and the dosage you take. Better yet, bring the containers so your doctor can see the labels. If anyone in your family has psoriasis, be sure to make a note of that. This can free up time for you to ask questions. 

Your doctor has medical training, but you’re the expert on how your body feels and what questions you need answered. Trust your gut and make your voice heard. If your treatment isn’t working, let your doctor know so you can work together to find a solution.