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4 Things the Doctors are Doing Wrong for People Living with Psoriasis

4 Things the Doctors are Doing Wrong for People Living with Psoriasis

I’ve had psoriasis for over 2 decades and I have found there is a lot of work which needs to be done within the health community to better treat patients. I also attend medical conferences with doctors and researchers who are honestly clueless of the patient experience which involves more than a prescription. Here are four challenges I have seen within the medical community when it comes to the care of patients.

Doctors just band-aid the symptoms

What is band-aiding the symptoms versus treating it? To me a band-aid is a temporary fix which targets the appearance of the disease but neglects to solve the internal problem which is an over-reactive immune system, the culprit for psoriasis. It also bothers me when I hear people living with psoriatic disease say the doctor just gives them pain pills to manage. Pain pills are a band-aid to a bigger problem which is inflammation. Pills will help minimize the pain for a short while but it doesn’t stop the progression of the disease.

Doctors don’t spend enough time with the patient

Most times when I visit the doctor I’m in the waiting room longer than the conversation I have with the doctor. The shortest appointment I’ve ever sat with a doctor was literally 60 seconds. I went to the emergency room due to numbness and arm pain. I waited for 6 hours. The doctor walked in, asked me where the pain was, had me lift my arms up and down, she left, came back with discharge papers and asked me if I wanted some pills to manage the pain. I was furious. She advised I should have gone to primary care first, which I HAD DONE… Primary care advised due to my symptoms I needed to go to the ER, thus they would not see me. My psoriasis appointments haven’t been that bad but the appointments are typically less than 15 mins and don’t really assess my needs, I also sometimes feel rushed.

Doctors don’t do enough testing 

A lot of people I’ve met admit when they first showed signs of psoriasis they assumed it was something else like a rash or eczema. Some have shared even the doctor misdiagnosed them with similar diseases. I’ve experienced the disappointment of a doctor appointment that simply ended with a prescription for a cream  I couldn’t pronounce. Doctors typically survey the skin and make an assessment based on the physical features of the disease. A biopsy can be given to a patient which requires a small removal of skin to reviewed under a microscope. There is also a blood test which can be done to review proteins levels to determine if someone has arthritis.

Doctors don’t assess the quality of life

I’ve had at least 10 doctors throughout my life and not a single one has ever asked me if psoriasis affected my mental and emotional health, when in reality sometimes the anxiety, panic attacks, cry spells, and low self-esteem were the worse parts of living with the disease. Psoriasis negatively impacted my quality of life. I avoided certain social gatherings, I combated depression, and I isolated. A dermatologist’s job is not therapy, however, I feel as though physicians should assess the mental state of patients and then refer them to helpful resources.

Have you experienced any of the items listed? What advice can you give to others to overcome these challengings?

This article represents the opinions, thoughts, and experiences of the author; none of this content has been paid for by any advertiser. The team does not recommend or endorse any products or treatments discussed herein. Learn more about how we maintain editorial integrity here.


  • Rebekaus
    10 months ago

    I also have crying spells, once while at the pharmacist, I never know when it’s going to happen. Sad part I am on 2 antidepressants and anxiety medication that I have been taking prior to PSA diagnosis. I have lower back pain that is sometimes very extreme. My doctor told me NSAIDS, that didnt work, she prescribed 3 other medication to relieve pain. One of them I wasnt supposed to take because of a drug reaction from another prescription. My rheumatologist said I didnt know about my other diagnosis. Thank God it wasnt a fatal combination. The 2 medications caused severe depression and I still havent received the right medication for my pain

  • sadskin
    10 months ago

    I’ve had the crying spells, too 🙁 One time my insurance was refusing to cover my prescription, and I just broke down sobbing. The poor pharmacist didn’t know what to say. It’s like, this condition is bad enough I don’t need my insurance (that I pay for mind you) making it any worse. I hope you find something soon that helps.

  • Rebekaus
    10 months ago

    Hello, were you able to get a prescription. I receive Enbrel from their pharmaceutical company. They wavered the $2,000 that my insurance didnt cover. Also my Dr. contacted my insurance company to persuade them to cover the Enbrel prescription.

  • RebeccaB moderator
    10 months ago

    YIKES! That is scary! Are you happy with your doctor or are you thinking about getting a second opinion for pain relief?

  • VickiN moderator
    10 months ago

    This sounds like a tough time, @rebekaus. Are there any reputable pain management clinics in your area? Do you find that the anti-depressants have helped any for pain? (I know they are sometimes prescribed for it). I hope that you can get everything sorted out soon. We’re here anytime you need to talk.
    -Victoria, Community Moderator

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