How Latinxs Patients Are Managing Psoriasis Beyond Topical Creams
For years, psoriasis treatment has centered on managing flare-ups and alleviating visible skin symptoms. It’s no surprise, then, that topical therapies remain the most commonly used approach, especially within the Latinx community. However, growing research and expert insights are now shifting the conversation toward a more comprehensive approach, emphasizing the importance of holistic wellness in effectively managing psoriatic disease.
Psoriasis affects at least 1.9% of the Latinx population in the U.S. This immune-mediated disease causes skin cells to grow rapidly and build up. As a result, patches of inflamed, scaly, or discolored skin appear in areas such as the elbows, scalp and knees.
As with most autoimmune diseases, research hasn’t found the root cause of psoriasis. But experts note that a mix of genetic and environmental conditions might come into play for the condition to manifest. That’s why common symptoms like irritation, itchiness, patches of raised and flaking skin tend to appear cyclically. Each patient will experience flare-ups differently. Medicine, infections, weather, skin injuries or even food can prompt outbreaks. Among these, stress is one of the most common triggers.
“In my experience, stress is one of the biggest drivers of psoriasis flare-ups,” shares Dr. Hannah Kopelman, Chief Dermatologist at DermOnDemand. “I’ve seen patients who are managing well for months suddenly break out during a stressful period at work, a difficult life transition, or even after smaller day-to-day stressors build up.”
Reactions to stressful situations can be almost immediate. “The [stress during the] last period of my master’s studies abroad caused me a series of reactions involving severe itching and swelling,” shares Melina Vinueza, an international relations graduate coping with the condition, in an interview with Healthy Vibras.
Her experience is not an isolated case. Studies show that Latinx patients report stress as a psoriasis trigger more often than other individuals. Additionally, they present higher incidence of comorbidities like depression, diabetes or obesity. “Psoriasis is an inflammatory condition. The mind and skin are deeply connected through the immune system,” says Kopelman. “Anxiety, depression, and other mental health conditions can amplify this connection, so when the nervous system is under strain, it often shows up in the skin.”
The relationship between psoriasis and stress can go both ways. Because psoriasis is an inflammatory disease, patients can experience symptoms like fatigue and chronic pain. Others might encounter self-image issues and anxiety. Either exposes them to a higher risk of developing depression. On the other hand, stressful situations and day-to-day problems can trigger flare-ups or worsen the patient’s condition.
Kopelman recommends that people with psoriasis take an integral approach to wellness. “I encourage my patients to take care of their overall health—things like sleep, diet, and mental well-being all play a role in keeping inflammation under control,” she explains.
Maintaining mental health while living with psoriasis can look different for everyone. For Vinueza, that means turning to physical activity and beach strolls as a way to cope. Still, experts agree that relaxation techniques, engaging in hobbies, and building a support network are effective strategies for managing the emotional toll of chronic illness. “For patients struggling emotionally, I also remind them that therapy or support groups can be just as important as topical creams or medications,” adds Dr. Kopelman.
When it comes to managing flare-ups, Dr. Kopelman advises patients to treat their skin gently and avoid products that may cause irritation. She also suggests keeping a journal to help identify triggers and spot patterns over time. “Flare-ups are part of the journey with psoriasis, and learning how to manage them without self-blame is empowering,” she says.
Above all, Dr. Kopelman encourages patients to give themselves grace and remember that their identity is not defined by their condition. “One of the most important things I tell my patients is that psoriasis is not their fault. The plaques, itching, and discomfort can make people feel self-conscious, but I always remind them that this is a chronic medical condition, and it doesn’t define who they are.”
