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