The Takeaway Psoriasis can significantly affect your mental health, in particular contributing to feelings of low-esteem. While you can’t necessarily control the judgment and poor behavior of other people, there are things you can do to boost your sense of self-worth, including educating yourself and others about the condition, getting emotional support, changing the way you think about psoriasis, and taking care of your overall health. If psoriasis is affecting your mood, talk to your healthcare team in addition to practicing self-care. Your doctor may modify your treatment to address your concerns.
1. Become the Expert The more you know about psoriasis — what it is, how it’s treated, what causes it to flare — and how it affects you, specifically, the better you can handle the stares and comments that might otherwise affect you. Ottina, who has psoriatic arthritis as well, has learned a great deal about psoriatic disease. Being knowledgeable is comforting, she says, because when she has psoriasis flares she knows exactly what’s happening to her skin and isn’t afraid. She also knows what exacerbates her psoriasis symptoms — and how to avoid these situations as best she can, so that she has more body confidence. 2. Educate Others In addition to educating yourself about psoriasis, it can be helpful to educate those around you, too. Ottina says that sometimes little kids ask, “What’s that?” And if their parents say it’s okay, she tells them to touch her psoriasis and see that it doesn’t hurt. “I view these moments as an opportunity to say, ‘Don’t worry, you can’t catch it,’” she says. Educating people around you — your coworkers, friends, or family — may mean letting them know that psoriasis is a chronic inflammatory condition that is not contagious, that it can affect anyone, and that it’s relatively common.e60dc2a1-f33c-4a05-9b50-8e3e8e597629303aca4d-52bb-4f07-84b6-f2c87c9795bf Over eight million people across the United States are living with psoriasis .e60dc2a1-f33c-4a05-9b50-8e3e8e5976291177eb7e-4d19-4f70-8643-9500ddb1771d Being open about the condition may help you feel less alone and even lead to getting better psoriasis support .
6. Practice Positive Visualization You can overcome moments of low body confidence by visualizing yourself walking through a crowd during a psoriasis flare. Dr. Chino suggests thinking positive thoughts, such as, “It used to bother me a lot, but no longer — I’ve mastered it,” and, “I know I have this disease, but I am not this disease.” Visualizing yourself as strong sets your target, he says, and will define your goal. 7. Wear What Makes You Comfortable Ottina wears shorts and a bathing suit in the summer even though they won’t hide psoriasis — and she’s comfortable with that. “I find that what I run through my mind about how people react is always worse than the reality,” she says. But if you’re not comfortable with areas of psoriasis showing, wear long sleeves and long pants to suit the occasion, or use makeup to cover psoriasis lesions. Do whatever puts you most at ease.
Many people who have psoriasis say it affects their emotional well-being. “We live in a culture that tells us that our self-worth is dependent on the judgment of others,” says Allan Chino, PhD, a psychologist in Portland, Oregon. A visible condition like psoriasis can lead people to comment and make assumptions, even when they should know better than to remark on someone’s appearance. A review of research notes that people living with the skin symptoms of psoriasis experience stigmatization from others — which can include anticipation of rejection, a feeling of being flawed, along with guilt, shame, and secretiveness — that can lead to anxiety and depression and a lower quality of life.e60dc2a1-f33c-4a05-9b50-8e3e8e5976293d855e18-e7bb-42eb-ac48-57cabac0d500 Research has also found that increased severity of psoriasis is associated with lower self-esteem.e60dc2a1-f33c-4a05-9b50-8e3e8e5976294dc16407-1c08-413f-b55d-17af1f456982 Boston-area lawyer Tracy Ottina, 60, who has lived with psoriasis since age 14, doesn’t usually let the condition erode her self-esteem. Still, on occasion she fears judgment from people who look at her red, scaly skin plaques and don’t know what they are. Here are some ways that you can feel good about yourself and not let this condition hurt your self-esteem.
5. Don’t Let Psoriasis Define You John Latella, 84, has had psoriasis for more than 60 years and psoriatic arthritis for almost 50 years. “I never hid from the fact that I had psoriasis,” Latella says. “You have to recognize that psoriasis is part of you, but it doesn’t define you,” he says. Julie Shafer, PhD, a clinical psychologist in Portland, says it’s important to keep psoriasis from controlling your emotions. “From my work with psoriasis patients, a sense of having control over the situation can make a huge difference,” says Dr. Shafer.
8. Take Care of Your Overall Health Make being as healthy as possible part of your plan for body confidence. That means eating a healthy diet, exercising regularly, and giving up bad habits like smoking. Follow your psoriasis treatment plan as prescribed and re-evaluate as needed with your doctor to ensure you’re getting the maximum benefits. If you feel better physically, you’ll feel better mentally, and your self-esteem will be less likely to slip.
3. Join a Support Group When Ottina was first diagnosed with psoriasis and psoriatic arthritis, she was treated at an inpatient center. “What I found helpful about that was that I didn’t feel so alone,” she says. Ottina says that building psoriasis support can be a big boost to your self-esteem. Ask your doctor if there are any support groups that meet in your area. You can also search the National Psoriasis Foundation website for local resources or to connect with others online. 4. Consider Therapy When people point out your psoriasis plaques, make rude comments, or offer unsolicited advice, it can take an emotional toll. In fact, research shows that people with psoriasis are 1.5 times more likely to experience depressive symptoms.e60dc2a1-f33c-4a05-9b50-8e3e8e5976291aa695ef-a190-4b40-9475-de31f682dff9 Researchers believe that the elevated rates of depression and anxiety seen in patients with psoriasis are due to the inflammatory process that underlies psoriasis as well as the chronic stress associated with managing the condition.e60dc2a1-f33c-4a05-9b50-8e3e8e59762974772781-840e-4f5f-8cbc-bb9f437ebd42 Talking to a professional, particularly a therapist or counselor who understands psoriasis, can help and may also be a boon to your self-esteem and body confidence. Ottina says that therapy helped her when she was dating, especially when she felt more self-conscious about her psoriasis. A review of research suggests that cognitive behavioral therapy — a type of psychotherapy that helps you change negative thoughts and behavior patterns — in conjunction with psoriasis treatment is effective in improving anxiety and depression. Mindfulness interventions along with psoriasis treatment have also been found to be effective in improving quality of life.e60dc2a1-f33c-4a05-9b50-8e3e8e5976297f37f060-720b-499d-8d83-24fb4fea4163
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