The influence of stress on psoriasis

Written in association with: Dr Ravi Ramessur
Published:
Edited by: Karolyn Judge

Psoriasis is a chronic autoimmune condition that causes skin inflammation, leading to red, scaly patches. While the exact cause of psoriasis is not fully understood, various factors, including stress, play a significant role in triggering or worsening symptoms. Stress management is, therefore, a crucial part of psoriasis care.
 

Girl, who has psoriasis, which is influenced by stress

 

How does stress affect psoriasis?

 

Stress can trigger or exacerbate psoriasis symptoms by disrupting the body’s immune system. When you experience stress, your body produces stress hormones such as cortisol. Elevated cortisol levels can increase inflammation, which in turn worsens the skin inflammation seen in psoriasis.

 

Stress also impacts mental and physical well-being, which can indirectly affect the condition. For example:

  • Stress may lead to unhealthy habits, such as poor diet, lack of sleep, or neglecting skincare routines, which can worsen symptoms.
  • Chronic stress can weaken the immune system, making psoriasis flare-ups more frequent or severe.

 

 

Can managing stress improve psoriasis symptoms?

 

Learning to manage stress can significantly help reduce the frequency and intensity of psoriasis flare-ups. While stress management will not cure psoriasis, it can improve overall symptom control and quality of life. Techniques to consider include:

  • Relaxation practices: Activities such as meditation, yoga, or deep breathing exercises can help lower stress levels.
  • Regular exercise: Physical activity can reduce stress while promoting better immune function.
  • Adequate sleep: Ensuring sufficient rest supports both mental and physical health.
  • Counselling or therapy: Talking to a mental health professional can help individuals manage stress related to living with a chronic condition.

 

Stress and psoriasis are closely linked, with stress often acting as a trigger for flare-ups. Managing stress effectively can reduce inflammation and help patients better control their condition. If you are struggling to manage stress or notice worsening symptoms, consider seeking advice from a healthcare professional for tailored support.

By Dr Ravi Ramessur
Dermatology

Dr. Ravi Ramessur is a Consultant Clinical-Academic Dermatologist based at The Harley Street Dermatology Clinic, the Cadogan Clinic and the Skin 55 Clinics in London. He is dedicated to providing comprehensive, holistic care while ensuring his patients have access to the most advanced and effective treatments. He balances his private practice with his continued role as an NHS consultant, offering his expertise across both settings.

Dr. Ramessur has a specialist interest in inflammatory skin conditions, including psoriasis, eczema, acne and rosacea. He also has extensive experience in diagnosing and managing warts, cysts, mole checks, rosacea, vitiligo and skin cancer, consulting with both children and adults.

He completed his medical training at the University of Cambridge and the University of Oxford before undertaking specialist dermatology training in London and Cambridge. Following his dermatology training, he pursued a PhD at the St John’s Institute of Dermatology in London, focusing on the impact of lifestyle factors and genetics on psoriasis and its related health issues.

Dr. Ramessur’s clinical and research work has earned him numerous national and international awards. He has published over 20 peer-reviewed articles, including contributions to high-impact journals such as The Lancet, JAMA Cardiology, and the British Journal of Dermatology. He is frequently invited to present his findings at major international conferences. Since 2023, he has presented at research conferences in Amsterdam, Brussels, Dubai, Freiberg, Glasgow, Liverpool, London, Madrid, New Orleans, Oslo, Paris, San Diego, Singapore, Southampton, Tokyo, and Trondheim.

Beyond clinical practice, Dr. Ramessur is committed to advancing dermatology and healthcare more broadly through active roles in several key national organisations, including:
 
National Institute for Health and Care Excellence (NICE):

  • Technology Appraisal Committee: Ensuring new medical treatments are effective and cost-efficient for NHS use.
 
British Association of Dermatologists (BAD):
  • Therapeutics and Guidelines Subcommittee: Developing evidence-based recommendations for treating skin conditions to ensure safe and effective patient care.
  • Artificial Intelligence Working Party: Exploring the potential of artificial intelligence to enhance the diagnosis and treatment of skin conditions.
  • Audit Subcommittee: Overseeing quality improvement initiatives to ensure high standards of dermatology care across the UK.

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