Skip to main content
Home » Dermatology » The misunderstood mental and physical impact of psoriasis
Skin Health 2025

The misunderstood mental and physical impact of psoriasis

Copyright Kaye Ford

Tassneem Miah

Communications Lead, The Psoriasis Association

Psoriasis is a chronic condition resulting from an overactive immune system. Affecting the skin and joints, this long-term condition can affect all aspects of one’s day-to-day life.


Psoriasis is an immune-mediated inflammatory disease (IMID), meaning the immune system is not functioning correctly. In psoriasis, the immune system is overactive, causing symptoms on the skin and sometimes joints. Despite being chronic, it is possible to lead a fulfilled life with psoriasis, overcoming the challenges the condition brings.

Symptoms and types of psoriasis

When thinking of psoriasis, dry, itchy skin and plaques may come to mind. Whilst plaque psoriasis is most common, it is not the only type. Guttate psoriasis affects younger individuals as well as rarer, severe forms like generalised pustular psoriasis (GPP) and erythrodermic psoriasis, which requires urgent medical attention. Psoriatic arthritis (PsA) is a chronic condition associated with psoriasis, affecting the joints and causing pain, swelling and stiffness. 

Your GP should be the first point of
contact if you notice changes to
your skin or pain in your joints.

Day-to-day impact of psoriasis

From uncomfortable clothing, impacting one’s self-esteem, to restless sleep or painful movement, living with psoriasis or PsA can negatively impact quality of life. The encouraging news is that many over-the-counter treatments are available to manage these symptoms. This may include topical creams, pain relief or psychological support available via the NHS.

Louis, who lives with psoriasis, shares: “Anyone with psoriasis knows it’s not just about managing the physical pain and discomfort, but also the mental toll. I went from being confident and outgoing to someone who shied away from social situations out of fear of being stared at or mocked for my skin. But now, I’ve learned that you can’t control what others think, and you certainly shouldn’t hide yourself away because of it.”

What support is available?

Your GP should be the first point of contact if you notice changes to your skin or pain in your joints. They can provide first-line treatments or a dermatologist or rheumatologist referral. If the condition affects your mental health, your GP can explore options such as medication or talking therapies. While there is currently no cure for psoriasis, with the right treatment and advice, you can live well with the condition.

Next article