Can stress trigger Psoriasis flare ups

February 7, 2025

Millions of people from across the globe suffer from Psoriasis, a chronic autoimmune disorder. It is a disease that manifests with red, scaly patches in the skin and can either be physically painful, or the discomfort can be psychologically traumatic. In the mainstream medical community, the exact cause of psoriasis is unclear, but experts agree that there are factors that can instigate, or even worsen flare-ups. In fact, stress is among these factors as a major cause. How does stress affect psoriasis, and what can you do about it? We explore the complicated relationship between stress and psoriasis and provide practical tips on how to handle both.

Do you or someone you know have Psoriasis?

Watch and learn from this video where Petrina answers the question “What Triggers Psoriasis?“

Understanding Psoriasis

Let’s begin our discussion with psoriasis, what it is, and what role stress may play in it. Psoriasis is caused by the immune system mistakenly attacking healthy skin cells, causing it to speed up the rate at which skin cells grow. As a result, dead skin cells accumulate on the surface and form thick, scaly patches of skin called plaques. Psoriasis can occur anywhere on your body but is most commonly found on the scalp, elbows, knees and lower back.

There are several types of psoriasis, including:

Plaque psoriasis

This type, characterised by raised, inflamed, and scaly patches is the most common.

Guttate psoriasis

This type usually appears as small dot-like lesions often triggered by infections.

Inverse psoriasis

It appears shiny and red in skin folds.

Pustular psoriasis

Characterised by white pustules with surrounding inflamed skin.

Erythrodermic psoriasis

Widespread redness, shedding and discomfort caused by a rare and severe type.

Psoriasis is a lifelong condition with no known cure in the mainstream medical community, and while the condition can be mild or severe in some people, it is lifelong. The aim of psoriasis management is to alleviate symptoms and reduce flare-ups.

The Link Between Stress and Psoriasis

Stress is natural, yet chronic or intense stress can be harmful to the body. Stress can be a double-edged sword for psoriasis sufferers; it can once more exacerbate symptoms, and the appearance of your psoriasis can also contribute to stress and so set up a vicious cycle.

How Stress Impacts Psoriasis

Immune System Activation

Other stress hormones are released when under stress. These hormones are helpful in a short burst, but long-term can mess with your immune system. For people with psoriasis, this dysregulation may make inflammation and plaque formation worse.

Inflammatory Pathways

Pro-inflammatory cytokines, signalling proteins that the body uses to respond to an immune attack, are produced in larger quantities under stress. High levels of these cytokines can make psoriasis flare-ups more frequent and more severe.

Behavioural Factors

Unhealthy coping mechanisms like a poor diet, lack of exercise, smoking or drinking start setting in when you’re stressed. Plus, they can make the condition worse and make treatments less effective.

Scientific Evidence

Stress has been proven to be one of the causes of psoriasis flare-ups. According to research published by the The International Society of Dermatology, 31-88% of psoriasis patients report stress as a psoriasis trigger. A study in JAMA Dermatology found that patients who perceived high amounts of stress were more likely to have severe symptoms compared with those who perceived low amounts of stress.

Intriguingly, stress doesn’t just make psoriasis worse, it may also be a trigger for its onset. Others may have a first psoriasis outbreak after experiencing a very stressful life event, like the loss of a loved one, divorce or job loss.

Breaking the Stress-Psoriasis Cycle

There’s no way to get rid of it all but learning how to cope with stress can diminish psoriasis flare-ups by a great deal. Here are some strategies to consider:

Mindfulness and Meditation

Meditation and deep breathing are mindfulness practises, which can help you reduce stress and relax your mind. Mindfulness-based stress reduction programmes (MBSR) have been found to be beneficial for the psychological and physical symptoms of psoriasis. A little time – even 10 minutes a day set aside for mindfulness exercises – can go a long way.

Regular Exercise

Exercise is a natural stress reliever and there are many benefits of exercise to overall health. People with psoriasis also need to engage in activities which are good for the skin and joints, such as yoga, swimming or walking. Exercise, too, helps boost mood and helps improve sleep, both of which can go a long way in diminishing stress.

Healthy Diet

Managing stress and psoriasis can be helped with a balanced diet rich in anti-inflammatory foods. Nutrients that support immune function and reduce inflammation are found in fatty fish, nuts, seeds, fruits and vegetables. It is also important to avoid processed foods, too much sugar, and too much alcohol.

Cognitive Behavioural Therapy (CBT)

CBT is a form of psychotherapy teaches that negative thoughts lead to negative behaviours. CBT is useful for psoriasis patients to tackle stress and self-esteem issues that feed a stress flare-up cycle.

Support Groups and Counselling

Being able to connect with folks that really know what you’re going through is so therapeutic. There are support groups both in-person and online to share experiences, learn coping strategies and decrease feelings of isolation.

Stress Management Techniques

Other stress-reduction techniques include journaling, listening to music, spending time in nature or pursuing hobbies. The trick is to find fun, relaxing activities.

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Natural Topical Treatments for Psoriasis

In addition to managing stress and following a holistic health treatment plan, some natural topical remedies can help soothe psoriasis symptoms:

Aloe Vera

It can reduce redness, scaling and itching. Known for its cooling properties, it is a favourite for relieving discomfort.

Coconut Oil

It’s great to use as a moisturiser, since it can soften plaques and reduce dryness, and it does wonders after a bath or shower.

Oatmeal Baths

Colloidal oatmeal can soothe itching and inflammation. When you add it into your bathwater, it makes a more soothing environment for the skin.

Tea Tree Oil

Tea tree oil is known for being anti-inflammatory and antiseptic, and may help soothe scaling and irritation. Apply diluted with a carrier oil.

Apple Cider Vinegar (ACV)

You can regularly drink ACV diluted in water, lemon/lime and honey. This will detoxify your body and target inflammation.

Turmeric Paste

Turmeric also has anti-inflammatory properties which can help to reduce redness and swelling. Drink turmeric tea or add turmeric powder to your dishes while cooking.

Shea Butter

Deeply hydrating and can lock in moisture, Shea butter relieves dryness and scaling.

The Importance of a Holistic Approach

Psoriasis is a disease that needs to be managed holistically, that is to say, both for physical health and emotional health. Psoriasis management should include stress reduction, as it not only improves your skin but also enhances your overall quality of life. You’re not alone in this journey, remember, resources and support are available to help you overcome the difficulties of living with psoriasis.

Do you or someone you know suffer from psoriasis? Petrina answers the question “Can stress trigger Psoriasis flare ups?“

Conclusion

There’s no denying the stress and psoriasis connection, however this is something you can manage with the right tools and strategies. There are some things you can do to help minimise flare-ups and lead a more comfortable, more fulfilling life: reducing stress, adopting healthy lifestyle habits, and working closely with your healthcare provider. Psoriasis can be a chronic condition, but it doesn’t have to control you. Empower yourself with knowledge and take charge of your health—your skin and mind will thank you.

What if we told you that you can heal and even reverse your Psoriasis without having to depend on conventional medication? Start your Psoriasis journey with confidence, using our resources that are meant to guide and encourage you. Start by downloading our FREE Psoriasis guide booklet, containing all relevant information and helpful tips. For those interested in gaining further knowledge and learning more about comprehensive approaches, enrol in our special Psoriasis course. Furthermore, you can book a free consultation from our wellness clinic to get professional help that will be aimed at meeting your needs. Do not let Psoriasis be a hindrance – begin your path to improved skin health right away!

To learn more about Psoriasis, check out our other related blogs:

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