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01:58

Psoriasis and Stress: What's the Connection?

Dermatologist Heather Summe, MD, explains how stress may trigger a psoriasis flare and why stress management is important.

Hilary WeissmanMaria Robinson, MD, MBA
Written by Hilary Weissman | Reviewed by Maria Robinson, MD, MBA
Updated on May 30, 2023

The vicious cycle of stress can wreak havoc on many facets of your life — and psoriasis is certainly not excluded. Stress can worsen most unpleasant autoimmune reactions humans face. To make it worse, when a psoriasis flare happens, it can create more stress for you. Kind of rude, huh?

The stress-flare cycle

Stress releases hormones like cortisol and adrenaline. These stress hormones can trigger psoriasis flares, or make symptoms like itchiness and redness worse. This creates a pretty continuous cycle because having a visible psoriasis outbreak is stressful and/or painful, but this stress can cause more flares, which makes psoriasis more stressful, and so on.

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Plus, people with psoriatic disease are at higher risk for developing depression or anxiety because they are living with an inconvenient, difficult, and unpredictable disease. There’s also some research that suggests that chronic inflammation itself can affect mental health.

Is it possible to get off this less-than-fun carousel? The thing to remember is that you are not alone. According to the National Psoriasis Foundation, over 8 million people in the U.S. live with the condition. There are plenty of ways people have learned to manage their stress, mental health, and psoriasis flares — and you can, too.

Common signs of a possible flare

Psoriasis symptoms may come and go. A sudden and severe onset of symptoms is known as a flare. Symptoms of a psoriasis flare include a sudden worsening of:

  • Red rashes (plaques) with a silvery sheen

  • Dryness or cracking of the skin

  • Itch

  • Swollen joints

  • Nail changes

  • Hair loss

Preventing a flare doesn’t just help you avoid visible symptoms and itchiness. It can also help your overall health by limiting inflammation. By taking control of your mental health, you can try and avoid certain flare ups from occurring, or at least from getting worse. This can in turn help prevent other health problems linked to inflammation.

Ways to minimize stress with psoriasis

Reduce stress by maximizing your treatment plan and picking up some of these helpful habits:

  • Talk to others with psoriasis to get support or advice

  • Pick up a hobby you enjoy that’s just for you

  • Meditate or practice deep breathing

  • Start light exercise like yoga or walking (as recommended by your doctor)

  • Spend time with loved ones

  • Get enough sleep

  • Eat nutritious and filling meals

  • Take a soothing bath

  • Find moisturizers and skincare routines that help you feel your best

Remember, having psoriasis is not uncommon and nothing to be ashamed of. However, sometimes life can induce stress that you are just unable to avoid. Talk to your doctor about available options. You may also consider finding a therapist to help you cope with your stress — whether it stems from your psoriasis or not.

Additional Medical Contributors
  • Heather Summe, MDHeather Summe, MD, is a board-certified dermatologist in New York City. Dr. Summe is the Chief of the Division of Dermatology at Lenox Hill Hospital.

    References

    American Academy of Dermatology Association. (n.d.). What is psoriasis?

    American Academy of Dermatology Association. (n.d.). Are triggers causing your psoriasis flare-ups?

    View All References (5)

    Harvard Health Publishing. (2018). A deeper look at psoriasis.

    Hormone Health Network. (n.d.). Autoimmune disorder.

    National Psoriasis Foundation. (2024). About psoriasis.

    National Psoriasis Foundation. (2023). Life with psoriasis.

    National Psoriasis Foundation. (n.d.). Emotional impact.

    GoodRx Health has strict sourcing policies and relies on primary sources such as medical organizations, governmental agencies, academic institutions, and peer-reviewed scientific journals. Learn more about how we ensure our content is accurate, thorough, and unbiased by reading our editorial guidelines.

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