NEWS Mental Health News Skin Conditions Like Eczema and Psoriasis Take a Toll on Mental Health By Lo Styx Lo Styx Lo is a freelance journalist focused on mental health, sexual wellness and patient advocacy. She is based in Brooklyn and can be found on the internet @laurenstyx. Learn about our editorial process Updated on August 30, 2022 Fact checked Verywell Mind content is rigorously reviewed by a team of qualified and experienced fact checkers. Fact checkers review articles for factual accuracy, relevance, and timeliness. We rely on the most current and reputable sources, which are cited in the text and listed at the bottom of each article. Content is fact checked after it has been edited and before publication. Learn more. by Karen Cilli Fact checked by Karen Cilli Karen Cilli is a fact-checker for Verywell Mind. She has an extensive background in research, with 33 years of experience as a reference librarian and educator. Learn about our editorial process Share Tweet Email Print Verywell / Madelyn Goodnight Key Takeaways Millions of Americans deal with chronic skin conditions like psoriasis and eczema.While the physical symptoms are clear, the psychological impact can be less obvious.Research links psoriasis and eczema to anxiety and depression, but support groups, positive self-talk, and educating yourself can ease the struggle. It's summertime, and a historically hot one at that, which means people are more inclined to show some skin. But for those affected by psoriasis and eczema—skin conditions that can cause itchy, painful rashes—this may not be the case. Thirty-two million Americans deal with some form of eczema, and 7.5 million have psoriasis. While these conditions come with obvious physical symptoms, the mental impact of dealing with a chronic skin condition can be just as severe. With August being National Psoriasis Awareness Month, it's important to understand how skin conditions can affect our mental health. Links to Depression and Anxiety Research has shown that stress and mental struggle are significantly associated with skin issues. One study conducted across 13 European countries evaluated the burden of skin disease and found both psoriasis and hand eczema diagnoses had a significant association with depression and anxiety, and psoriasis was significantly associated with suicidal ideation. Psoriasis is also linked to other difficult emotions. One study found that increased anger levels and reduced self-esteem are remarkable in individuals with psoriasis. As research shows, the relationship between skin conditions and negative emotions is cyclical, as distress can spark flareups in skin conditions, which can then fuel further distress. Lauren, lives with eczema Having an ugly skin disorder is embarrassing to be out in public, especially around people you don’t know. You feel uncomfortable, like people are judging you. — Lauren, lives with eczema There is also a neuroimmunological link between psoriasis and depression through immune system mechanisms and melatonin. While this biological connection is clear, some of the ties between the two have more to do with self-perception. For Americans With Negative Body Image, the Wrong Comment Can Make It Even Worse Psychological Impact While Liia Ramachandra, PharmD, acknowledges that there is a physiological link between skin conditions and depression or anxiety, she also notes a psychological connection, as well. Having lived with psoriasis herself for many years, she understands the mental impact firsthand. "Every time I would look at myself in the mirror, I would feel sad seeing the spots and no matter what I did, they were always staring at me in the face," Ramachandra says. "I would make matters worse by not liking what I would see in the mirror and even hating myself for that." Lauren, who deals with eczema breakouts, says that because the physical pain of the condition alone can keep you from doing things you love, feelings of hopelessness and worthlessness can creep up, as well. "It can make you feel jealous of people around you," Lauren says. "Having an ugly skin disorder is embarrassing to be out in public, especially around people you don’t know. You feel uncomfortable, like people are judging you or they’re worried you could spread a disease to them. You feel alone, no one can really understand your physical and mental pain you are going through." How to Be More Confident: 9 Tips That Work Ramachandra's lifelong battle with psoriasis led to the creation of her company, Epilynx, a medically clean, gluten-free, hypoallergenic skincare and beauty brand she created with her husband. As a pharmacist and analytical chemist, Ramachandra began making her own products and sharing them with friends after being repeatedly disappointed by the available options. "I could not find any products out there that did not make my red spots worse," she says. "Even the super expensive, labeled 'clean' products, started to give me a rash and redness. At certain times, I could not use anything on my face." Liia Ramachandra, PharmD Every day is a new day. Stress relief and self-acceptance is something that is definitely helping with psoriasis but that is sometimes hard to achieve. — Liia Ramachandra, PharmD Lauren, who finally found some relief in natural skin health solutions, feels the beauty industry actually adds to the anxiety and pressure felt by people with skin conditions, especially when that condition is severe or painful and can't be covered with makeup. Social media has a similar effect. "It can be hard scrolling through the internet seeing nothing but flawless photos, thinking you’ll never look or be like that person, even though you know in reality that most of it is all photoshop filters," she says. Fixation on Appearance Linked to Anxiety When Dating Tools To Cope On the other hand, Lauren notes, certain corners of the internet can be great sources of support. Online support groups and Facebook groups dedicated to certain conditions can be helpful when feelings of depression or anxiety creep up. "It helps talking, venting and reading comments from people all around the world who are going through the same thing you are," she says. "It helps knowing you are not alone." Using the internet as an educational tool can be helpful, as well. Learning as much as possible about your condition via credible sources, Lauren says, can lead to a feeling of greater control. And you may discover new solutions to the issues you're experiencing. Focusing on what you can control is important. For example, Ramachandra starts each day with yoga and swimming in order to start the day in a positive state of mind. She also recommends positive self-talk and surrounding yourself only with people that love and accept you as you are. "It is a constant struggle and every day is a new day," Ramachandra says. "Stress relief and self-acceptance is something that is definitely helping with psoriasis but that is sometimes hard to achieve." Depending on the severity of a condition, meeting with a specialist should also be on the list of self-care practices. Professionals can help determine potential triggers and provide further solutions and coping mechanisms. But it's important to keep in mind that some fixes aren't quick or permanent, so be realistic with your expectations. "Recognize you’ll have good days and bad days," Lauren says. "Try not to be hard on yourself on the bad days, let yourself rest when you need to." What This Means For You Countless people are affected by conditions that affect their appearance. If you are one of them, it's important to focus on coping mechanisms that manage pain and bolster health and self-confidence. 90% of Women Report Using a Filter on Their Photos 5 Sources Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Penn Medicine. Eczema vs. psoriasis: Similarities, differences and treatments. Jafferany M, Pastolero P. Psychiatric and psychological impact of chronic skin disease. Prim Care Companion CNS Disord. 2018;20(2). doi:10.4088/PCC.17nr02247 Dalgard FJ, Gieler U, Tomas-Aragones L, et al. The psychological burden of skin diseases: A cross-sectional multicenter study among dermatological out-patients in 13 European countries. J Invest Dermatol. 2015;135(4):984-991. doi:10.1038/jid.2014.530 Aydin E, Atis G, Bolu A, et al. Identification of anger and self-esteem in psoriasis patients in a consultation-liaison psychiatry setting: A case control study. Psychiatry and Clinical Psychopharmacology. 2017;27(3):216-220. doi:10.1080/24750573.2017.1326740 Tohid H, Aleem D, Jackson C. Major depression and psoriasis: A psychodermatological phenomenon. Skin Pharmacol Physiol. 2016;29(4):220-230. doi:10.1159/000448122 See Our Editorial Process Meet Our Review Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? Other Helpful Report an Error Submit Speak to a Therapist Online Advertiser Disclosure × The offers that appear in this table are from partnerships from which Verywell Mind receives compensation.