Sources of information and support about psoriasis

There are many sources of information and support, both practical and emotional, that young people with psoriasis used. These include:

  • medical professionals, including referrals for professional counselling
  • the internet: websites, forums, discussion groups, social media, blogs such as NHS Choices and the Psoriasis Association (charity organisation) webpages
  • documentaries, books, pamphlets (including ‘patient information leaflets’ for medications)
  • family members
  • friends and partners
  • school and university e.g. teachers
  • work (e.g. Occupational Health services, colleagues, employers)
  • others with psoriasis – including those online (e.g. posting in forums)
  • religion – some found this was a source of support

Medical professionals were a key source of information about psoriasis. The main information young people wanted from their doctors and nurses were explanations of the condition (symptoms, causes, triggers) and treatments. Many also wanted information and support for emotional impacts.

At all stages of having psoriasis, from the first symptoms onwards, many young people looked online for more information. There were mixed opinions on whether it was helpful or not to self-diagnose before going to a doctor. A few people knew of psoriasis and skin condition charities, and had looked at their websites and social media accounts. Hannah says she would like to fundraise for a psoriasis charity in the future. Others weren’t aware that any psoriasis charities existed.

Before Jack was diagnosed with psoriasis, he found it reassuring to see photos online that looked like his symptoms.

Age at interview 24

Gender Male

Age at diagnosis 20

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Louis preferred going to the doctors than looking online for a diagnosis.

Age at interview 21

Gender Male

Age at diagnosis 18

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Russell was on holiday when he had his first major flare-up of psoriasis. He looked up his symptoms and worried about what it could be.

Age at interview 20

Gender Male

Age at diagnosis 19

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There were some things that young people hadn’t been told by their doctors, including information first heard about when looking online, reading a leaflet, from alternative therapy practitioners, or through friends with psoriasis. Russell’s GP gave him a general leaflet on psoriasis but didn’t mention anything about the role of lifestyle (especially diet). Lola learnt about associated health conditions, including psoriatic arthritis through internet searches, which left her wondering ‘what have I got left to find out?’ Most people said the emotional side of psoriasis wasn’t talked about in their medical appointments as much as they would have liked.

Some people looked online to find out about others’ experiences of having psoriasis, seeing doctors and using treatments. Adam feels that reading other people’s stories online ’empowered’ him to keep seeing GPs at times when he felt little progress was being made. Damini liked seeing other people’s ‘before-and-after treatment’ photographs of their psoriasis. Learning about others’ experiences helped some decide about treatments to try, such as phototherapy and systemic medicines. Hannah had used American forums and found out about treatments used there, some of which later became available in the UK. A few said that they had looked online for home remedies. Family members sometimes looked online about treatments on behalf of the person with psoriasis as well.

Steven uses social media to learn about others’ experiences with psoriasis and share his own.

Age at interview 22

Gender Male

Age at diagnosis 14

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Hannah helped educate her dermatologist about online psoriasis forums.

Age at interview 24

Gender Female

Age at diagnosis 16

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Louie didn’t like it at first when his mum would look online about psoriasis.

Age at interview 16

Gender Male

Age at diagnosis 13

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Online discussion groups and blogs were usually seen as a helpful addition to other forms of support (such as from friends, family and partners, and professional counselling). Lucy liked the blog of ‘Flaky Fashionista’ which talks ‘about different clothes to wear for your psoriasis and hairstyles and make-up and she’s fab.’ No one we spoke to had been to a face-to-face support group about psoriasis, but Damini and Lisa joined Facebook groups for people with psoriasis where they can connect to others and hear about their experiences of having psoriasis. Online emotional support could be helpful, especially for those who didn’t know anyone else with psoriasis in their ‘real’/offline life. It could be reassuring to know that the condition is more common than they had first realised.

Sometimes people met others with psoriasis through school/university, social circles (friends, partners), family members, work colleagues and medical waiting rooms. Swapping experiences of trying different treatments (like steroids creams and phototherapy, as well as alternative therapies) was valued. Lucy discovered some of her friends also had psoriasis when they responded to a blog post she had written about her experiences.

Adam found it a positive experience seeing others with psoriasis in the waiting room when he was having phototherapy treatment.

Age at interview 24

Gender Male

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Not everyone felt they needed or wanted to talk to other people (online or in ‘real life’) about their psoriasis. Some didn’t think that they would benefit from doing so or were too nervous about it. A few people said they would have liked more support early on, but felt that they didn’t need it now that they are older and have learnt to manage their psoriasis.

Some people who had used the online groups had read others’ posts but didn’t write anything themselves. However, a few had and this includes Hannah who posted about her positive experience with biological injections. Others had blogged and Carys used her closed social media to ‘vent’ when she felt frustrated about her skin.

Damini found it helpful to read about other peoples’ experiences of psoriasis and has recently started a blog to share her own.

Age at interview 21

Gender Female

Age at diagnosis 4

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It helped Megan being able to read online about others’ experiences with psoriasis.

Age at interview 16

Gender Female

Age at diagnosis 7

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When Jack’s psoriasis is more severe he finds it helpful to look online at the Psoriasis Association website, NHS websites and Twitter.

Age at interview 24

Gender Male

Age at diagnosis 20

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Downsides of looking online for information and support were also mentioned. Some pointed out that not everything you read is true or helpful and cautioned about scams promising a ‘cure’. Abbie found conflicting advice. A few people had looked up images of other people’s psoriasis, which could be worrying and upsetting. Adam found it off-putting when he saw a psoriasis support website that he didn’t think had been updated for a long time.

Steven struggled to find an explanation of the causes of psoriasis which was pitched at the right level.

Age at interview 22

Gender Male

Age at diagnosis 14

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Adam came across scams online promising long-lasting cures’ for psoriasis.

Age at interview 24

Gender Male

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A few people felt that there should be more tailored information and support for young people. Megan thinks an online ‘support group for teenagers’ would be good, as most of the things she found online were for older adults and so missed big topics for young people (such as school life). Ella would like to see more online video tutorials about applying make-up specifically to cover psoriasis on her face in a way that wouldn’t irritate the skin.

Jobs, work and psoriasis

Some of the young people we spoke to were currently working or had experience of part-time jobs. Some people said psoriasis didn't have a big...