9 Grooming Tips Every Man With Psoriasis Skin Rash Should Know

From stylerave.com

Living with a chronic skin condition goes beyond appearance. It affects comfort, confidence, and your overall sense of control. For many men dealing with eczema, Rosacea, or Psoriasis skin rash, daily grooming becomes a balancing act, looking presentable while avoiding irritation. Because inflammation is often persistent, visible, and misunderstood, a more thoughtful approach to skincare is essential.

In recent years, dermatologists have shifted how they approach men’s grooming. A basic bar of soap and any lotion is no longer enough. The focus now is on targeted care, repairing the skin barrier, and maintaining consistency, especially when managing conditions like psoriasis skin rash. The good news is that with the right habits, you can reduce flare-ups, improve skin comfort, and keep your routine simple.

Here are 9 grooming tips every man with a skin condition should know…

#1. Switch to a Gentle Cleanser

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If you’re still using a harsh bar soap on your face, it’s time to switch. Gentle, fragrance-free cleansers are far less likely to strip the skin or trigger irritation. Over-washing can also worsen dryness and inflammation, so aim to cleanse twice daily, morning and night, and keep the routine minimal.

#2. Moisturize Like It Matters

Moisturizing is essential when managing chronic skin conditions. A rich, barrier-repairing cream helps strengthen skin that is often compromised in conditions like psoriasis. Apply moisturizer while your skin is still slightly damp to lock in hydration, and reapply as needed throughout the day. With consistency, this step alone can reduce itching and make flare-ups less severe over time.

#3. Prioritize Mineral Sunscreen

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Sun exposure can trigger or worsen inflammatory conditions, particularly rosacea. Mineral sunscreens containing zinc oxide or titanium dioxide are typically better tolerated by sensitive skin than chemical formulas. Wearing sunscreen daily isn’t just about preventing sunburn; it also protects already-reactive skin from further irritation.

#4. Learn to Read Labels

When managing chronic skin issues, ingredients matter just as much as routine. Look for beneficial components like ceramides, hyaluronic acid, and colloidal oatmeal, which support hydration and barrier repair. At the same time, avoid common irritants such as fragrance, alcohol, and aggressive exfoliants. Even products labelled “natural” can aggravate sensitive skin or trigger a psoriasis flare if they contain hidden irritants.

#5. Always Patch Test New Products

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Introducing a new product without testing it first can lead to unnecessary flare-ups. Apply a small amount to a discreet area and wait 24 hours to monitor your skin’s reaction. It’s also best to introduce one product at a time, so you can clearly identify what works and what doesn’t.

#6. Shave Smarter, Not Harder

Shaving can be particularly harsh on sensitive or inflamed skin. Use a single- or double-blade razor, shave in the direction of hair growth, and always use a moisturizing shaving cream. Avoid alcohol-based aftershaves and opt for soothing balms with calming ingredients like aloe or niacinamide to minimize irritation.

#7. Turn Down the Heat

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Hot showers may feel relaxing, but they can worsen dryness and inflammation. Stick to lukewarm water and keep showers brief. Afterward, gently pat your skin dry instead of rubbing it. Friction alone can aggravate sensitive areas and make conditions like psoriasis skin rash more uncomfortable.

#8. Simplify During Flare-Ups

When your skin is flaring, less is more. Strip your routine back to the essentials: a gentle cleanser, prescribed treatments (if any), a moisturizer, and sunscreen during the day. Avoid introducing new products or using active ingredients like retinoids or exfoliating acids, as these can worsen irritation during sensitive periods.

#9. Know When to See a Dermatologist

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A solid routine can go a long way, but some skin conditions require professional care. If symptoms persist or worsen, it’s important to consult a dermatologist. Prescription treatments and expert guidance can significantly improve how you manage chronic inflammation.

Time To Get Smarter With Your Skincare

Having a chronic skin condition doesn’t mean giving up on looking good—it means being more intentional about how you care for your skin. Small, consistent changes, from choosing the right cleanser to identifying your triggers, can make a meaningful difference.

With the right approach, even persistent conditions like psoriasis can become far more manageable. In the end, good grooming isn’t about perfection. It’s about feeling comfortable in your own skin.

https://www.stylerave.com/psoriasis-skin-care-tips/ 

Signs Your Rash is Actually Psoriasis

From balconesdermatology.com

Psoriasis is a chronic skin condition that affects more than eight million Americans. However, the symptoms of psoriasis can be similar to other types of skin issues, and it can be difficult to know what’s going on without a professional skin evaluation.

The basics of psoriasis

Psoriasis is a skin disorder that’s triggered by an autoimmune disorder. The immune system dysfunction causes skin cells to develop rapidly. This leads to a build-up of cells on the surface of the skin, which results in noticeable and often uncomfortable side effects.

While the root cause of psoriasis and the immune dysfunction related to it isn’t well-understood, there are known triggers for the condition. You may experience flare-ups due to:

• Weather changes
• Skin infections and injuries
• Exposure to cigarette smoke
• Use of high blood pressure medications and other drugs

Psoriasis is a chronic disease without a cure. If left unmanaged, psoriasis can increase your risk of developing permanent skin damage. People with psoriasis are also more likely to develop Type 2 diabetes, obesity, and cardiovascular disease.

Additionally, sufferers may be prone to mental or emotional health issues, such as depression, if they feel self-conscious about the appearance of their skin during a psoriasis flare-up.

5 warning signs of a psoriasis flare-up

There are different types of psoriasis that affect adults and kids, and each causes its own distinctive symptoms. However, many psoriasis conditions cause similar symptoms, which can also be confused with rashes and other skin conditions.

Here’s an overview of some common symptoms of a psoriasis flare-up: 

1. Dry, thick skin patches

Dry patches of skin that become thick and sometimes appear raised from the skin are hallmarks of plaque psoriasis. These patches, known as plaques, may start small, but they can grow together and create a larger plaque.

Plaques can develop anywhere on the body, but they’re more common on the lower back, scalp, knees, and elbows.

2. Silvery, scaly skin

Plaques that appear silver in colour or have a white coating are also hallmarks of plaque psoriasis. If you have very light skin, the scales may be pink or red in colour. On very dark skin, plaques may be brown or purple with grey scales.

3. Persistent itching

Plaques are often itchy, which causes many people to scratch the areas. However, scratching could make the plaques grow thicker and cause skin damage.

 

Itchy skin is a common symptom of plaque psoriasis and erythrodermic psoriasis.

4. Red bumps

Guttate psoriasis is a lifelong condition that causes the sudden appearance of red bumps. Bumps usually form on the torso and limbs, but they may also affect the scalp, face, and ears. They can last for several weeks or months before clearing.

5. Pus-filled bumps

Pustular psoriasis is a rare condition that causes pus-filled bumps to develop on widespread areas of the skin. Often, the bumps break open and leak within 24 hours of forming. The skin then becomes very dry and begins to peel, revealing the smooth skin beneath. The cycle typically repeats within a few days or weeks.

https://www.balconesdermatology.com/blog/signs-your-rash-is-actually-psoriasis 

What to Eat (and Avoid) for Psoriasis Relief, According to Experts

From gq.com

No amount of any food will make psoriasis disappear. But what you put on your plate can help. Experts share the best diet to dial down your symptoms 

Psoriasis is more than just itchy skin that won’t cooperate. It’s a condition driven by an overactive immune response beneath the surface. “Under the skin plaques, in addition to intense inflammation, there is also angiogenesis, or the abnormal growth of blood vessels,” says William Li, MD, physician, scientist, and author of Eat to Beat Disease: The New Science of How Your Body Can Heal Itself. “These new blood vessels deliver even more inflammatory cells and cytokines to the skin, making the lesions and symptoms worse in a vicious cycle.” Medical treatments for psoriasis are designed to target those pathways, and it turns out that certain foods can also impact them—for better or worse.

There’s no miracle diet that can make psoriasis disappear. But what you put on your plate could dial down inflammation or rev up the intensity or frequency of your flares. Ahead, discover what’s worth eating and limiting to help keep them in check.

                                                                                               Kelsey Niziolek; Getty Images

The best foods for psoriasis

The dietary pattern with the strongest evidence behind it hails from across the Atlantic. Dr. Li and Shira Wieder, MD, a board-certified dermatologist at Montefiore Einstein Advanced Care, both say that the Mediterranean diet has the most evidence to alleviate psoriasis. One recent randomized controlled trial in adults with mild to moderate psoriasis looked at the effects of this style of eating. Compared to a control group on a low-fat diet, the Mediterranean dieters showed significant improvements in psoriasis severity within 16 weeks. According to Dr. Li, the staples of the famed diet—including fruits, veggies, legumes, whole grains, fish, extra virgin olive oil, and nuts—help since they’re loaded with polyphenols, fibre, and healthy fats that have anti-inflammatory and antiangiogenic properties.

Dr. Li singles out fatty fish—including sardines, salmon, and anchovies—for their rich content of anti-inflammatory omega-3s. (Not fond of fish? Unfortunately, the evidence on fish oil supplements for psoriasis is mixed.) He also emphasizes the utility of EVOO, which contains potent polyphenols like hydroxytyrosol and oleocanthal, as well as berries of all kinds, which pack polyphenols like anthocyanins and ellagic acid.

And some good news if you’re a coffee drinker: Your morning brew and midday pick-me-up could work in your favour. “Coffee contains chlorogenic acid and other polyphenols that suppress inflammation and angiogenesis,” says Dr. Li. Just be sure not to exceed three cups per day, he warns, as too much caffeine may have the opposite effect.

Foods to limit or avoid

On the flip side, the foods linked with worse outcomes probably won’t surprise you. Ultraprocessed foods—especially those with artificial preservatives, colouring, sweeteners, and other additives—are a no-go if you’re determined to avoid triggering flares. Their impact is in part attributed to their effects on the gut-skin axis. Chemical additives may disrupt healthy gut bacteria, which can increase systemic inflammation and make psoriasis worse, Dr. Li explains. He also advises nixing processed meats and soda (including Diet Coke, a.k.a. the fridge cigarette) for the same reason. Per Dr. Wieder, other foods that aren’t doing you any favours include pro-inflammatory simple carbs, high-sugar snacks, and alcohol. “In addition, there is evidence that reducing saturated fat intake can be helpful,” she says. (If you’re also among the estimated 86 million adults in the U.S. with high cholesterol, consider lowering saturated fat as a two-for-one benefit.)

Some research also shows the merits of avoiding high amounts of salt and restricting calories. And in one survey, hundreds of psoriasis patients reported that they experienced relief by removing nightshades (such as tomatoes, eggplants, and peppers), as well as by going vegan or paleo, though the research there is limited.

Lastly, gluten may be a trigger for some. That said, Dr. Wieder advises against cutting it out of your diet unless you truly have to. “Self-imposed gluten-free diets have not shown to be beneficial in psoriasis control unless the person has been diagnosed with celiac disease,” she explains.

The bottom line

While your diet won’t replace your dermatologist, what you put into (and not just onto) your body day in and day out could impact psoriasis. And though the right foods may help reduce the number or severity of flares, it’s one piece of a larger system. Sleep, stress, exercise, and medical treatments all matter, too. All said, consider your diet to be a supporting player—not a replacement—for the treatments that keep your immune system in check.

https://www.gq.com/story/what-to-eat-for-psoriasis-relief-according-to-experts

6 ways an anti-inflammatory diet can help manage psoriasis and reduce flare-ups

From msn.com/en-in

By TOI Lifestyle Desk 

Psoriasis is a chronic inflammatory skin condition affecting millions of people worldwide. It causes red, scaly patches, itching, and discomfort, impacting both physical and mental well-being. While genetics and immune system factors play a role, research shows that lifestyle choices, particularly diet, can influence the severity and frequency of flare-ups.

A study published on PubMed Central highlights the role of nutritional therapy in managing psoriasis. The research suggests that incorporating anti-inflammatory foods such as fruits, vegetables, whole grains, and omega-3-rich fatty fish can help reduce inflammation. Conversely, processed foods, high-fat dairy, and red meat may worsen symptoms by promoting inflammation.

Understanding the link between diet and psoriasis allows individuals to make informed choices that support both skin health and overall well-being. This article explores 6 ways to adjust your diet according to research-backed recommendations to reduce inflammation, improve skin health, and complement medical treatments for psoriasis.

Psoriasis diet tips: 6 ways to reduce inflammation and improve skin health

Embrace anti-inflammatory foods

Incorporating anti-inflammatory foods into daily meals can help calm psoriasis-related inflammation. Colourful fruits like berries and citrus, and vegetables such as spinach, kale, and broccoli, are rich in antioxidants that protect skin cells from damage. Adding omega-3-rich foods like salmon, flaxseeds, and walnuts can further reduce flare-ups and promote overall skin health.

Fatty fish, including salmon, mackerel, and sardines, are excellent sources of omega-3 fatty acids, which have been shown to reduce inflammatory markers in psoriasis patients. Eating these foods regularly may help manage flare-ups and improve overall skin appearance.

Limit saturated fats and processed foods

The PMC study emphasises that saturated fats and heavily processed foods can trigger inflammation and worsen psoriasis symptoms. Red meat, fried foods, full-fat dairy, and packaged snacks are common culprits.

Replacing these with healthier fats, such as olive oil, avocados, and nuts, can provide essential nutrients without increasing inflammation. Reducing processed food intake also supports general well-being and energy levels.

Incorporate vitamin-rich foods

Vitamins play a crucial role in maintaining skin health. Vitamins A, C, and E, along with selenium, have antioxidant properties that protect skin cells from oxidative stress.

Including a wide variety of colourful fruits and vegetables ensures adequate vitamin intake. Carrots, bell peppers, berries, and leafy greens are excellent options that support the immune system and may help reduce psoriasis flare-ups.

Maintain a healthy weight

Maintaining a healthy weight is linked to fewer psoriasis flare-ups. Excess body fat can increase inflammation, exacerbating symptoms and affecting joint health for those with psoriatic arthritis.

A balanced diet, portion control, and regular exercise can help achieve and sustain a healthy weight. This strategy improves overall health and may enhance the effectiveness of prescribed psoriasis treatments.

Stay hydrated

Proper hydration is essential for skin elasticity and overall health. Drinking enough water daily helps prevent dryness and flakiness, which can worsen psoriasis symptoms.

Incorporating hydrating foods like cucumbers, watermelon, oranges, and other fruits and vegetables can complement water intake and provide additional antioxidants that benefit the skin.

Consider gluten-free options

Some individuals with psoriasis may be sensitive to gluten, which can trigger inflammation. Research in the PMC study suggests that a gluten-free diet may reduce flare-ups in those with gluten intolerance or sensitivity.

Before making any major dietary changes, it is important to consult a healthcare professional to ensure nutritional balance. Tailoring your diet to your personal needs can be an effective complement to medical treatment.

Diet plays a significant role in managing psoriasis alongside medical treatments. Incorporating anti-inflammatory foods, reducing processed and high-fat items, consuming vitamin-rich produce, maintaining a healthy weight, staying hydrated, and considering gluten-free options can all help reduce inflammation and improve skin health.

These six dietary strategies empower individuals to take an active role in managing psoriasis. Thoughtful nutritional choices can decrease flare-ups, enhance quality of life, and support long-term skin wellness.

For those looking to combine lifestyle management with professional treatment, following these research-backed dietary tips offers a credible path toward healthier skin and overall well-being.

Disclaimer: This article is for general informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider regarding any medical condition or lifestyle change.

https://www.msn.com/en-in/health/other/6-ways-an-anti-inflammatory-diet-can-help-manage-psoriasis-and-reduce-flare-ups/ar-AA1M6z85?apiversion=v2&domshim=1&noservercache=1&noservertelemetry=1&batchservertelemetry=1&renderwebcomponents=1&wcseo=1

New pill could change plaque psoriasis treatment

From medicalxpress.com/news

Folks with severe plaque psoriasis often have to choose between convenient pills that don't work very well or highly effective injections that come with the hassle of needles. That trade-off may soon change. New clinical trial data suggests a once-daily pill called zasocitinib may provide the clear skin once only expected from shots.

The medicine is in the final stages of study and is not yet approved by the U.S. Food and Drug Administration (FDA).

Takeda Pharmaceuticals recently shared results from two late-stage clinical trials involving nearly 1,800 adults with moderate-to-severe plaque psoriasis across 21 countries.

The findings—presented at a meeting of the American Academy of Dermatology in Denver—showed that about 70% of participants taking the pill reached the goal of having clear or almost clear skin within 16 weeks.

Plaque psoriasis makes skin cells grow too fast, forming thick, scaly raised red patches with silvery scales. It causes itching and burning feelings on the skin during flare-ups.

The studies compared zasocitinib to a placebo and to apremilast, a widely available pill for psoriasis.

About 30% of patients on apremilast saw significant skin improvement, compared to more than double that amount with zasocitinib.

Researchers reported that zasocitinib worked with surprising speed.

Many patients noticed their skin starting to clear as early as four weeks into the treatment.

The results were lasting: Of the patients who had clear skin at the nine-month mark, more than 90% still maintained those results after more than a year of daily use.

"Our goal in psoriasis treatment is clear or almost clear skin, and previously this has been achieved primarily with injectable therapies," said lead researcher Dr. Melinda Gooderham, a dermatologist in Ontario, Canada.

She added that these results show it is possible for a daily pill to deliver rapid, lasting relief.

No new or unexpected safety concerns were discovered during the trials. The most common side effects reported were generally mild, such as upper respiratory infections like a common cold.

About 6.5% of patients taking the drug also experienced acne, which is a known side effect of this specific class of medication, called TYK2 inhibitors.

"Our Phase III results demonstrate that highly selective TYK2 inhibition can offer many people with moderate-to-severe plaque psoriasis the potential for clear or nearly clear skin," said Dr. Chinweike Ukomadu, a senior vice president at Takeda and head of the company's gastrointestinal and inflammation areas.

Takeda plans to submit the drug to the FDA for approval within the next year.

https://medicalxpress.com/news/2026-04-pill-plaque-psoriasis-treatment.html 

This Is the Skin I’m In: Embracing Your Psoriasis

From healthcentral.com

Four psoriasis warriors share how they found their confidence 

Psoriasis can be challenging and it can threaten your self-confidence, especially when your plaques are visible. But it doesn’t have to. Meet four psoriasis warriors who have found unique ways to feel comfortable in every situation—from dating to working. If you're ever having one of those days with your PsO, you'll find comfort and inspiration in this roundtable of body-positive tips:

                                                                                                                                    iStock

Meet Our Four Warriors

• Jill Leonard, 52, Vancouver, Canada

• Sam Howe, 33, Lynchburg, Virginia

• Jill McMahon, 38, Robbinsville, New Jersey

• Aya Lew, 38, Tulum, Mexico

HeathCentral: How long have you had psoriasis and what are your main symptoms right now?

Jill L: I’ve had psoriasis for seven years. After periods of intense or prolonged stress, flare-ups of blisters full of puss appear on my feet and palms. Luckily, they’re not painful, but they’re terribly itchy so I unconsciously scratch them in my sleep until they pop. Sometimes they get infected.

Sam: I’ve had psoriasis since I was a toddler. I currently have patches that cover some of my legs and arms.

Jill M: I’ve had psoriatic arthritis for 23 years. I’m on a new biologic and the plaques are lessening even in this first month of treatment. However, upwards of 75% of my body is still covered with psoriasis spots.

Aya: I’ve had psoriasis for six years. My main symptom these days is one small spot on my lower back.

HC: Is there a social or work situation in which you feel the most self-conscious about your psoriasis? If so, how do you handle those feelings?

Jill L: Prior to the pandemic, I was self-conscious every time I shook hands with anyone, which happens a lot on a normal day. Of course, most people don’t have the habit of gawking at one’s hands, but I knew they could feel the blisters and scales. I’m the only person I know who welcomed the new social norm of not shaking hands!

I have spent years putting in considerable effort to overcome this feeling. One day, I decided to just start openly excusing myself for not shaking hands by explaining that I have psoriasis on my palms, which is not contagious. Branding myself in this way doesn’t feel comfortable, but I think it’s a good thing because I am doing my small part to help raise awareness that psoriasis is there, can happen to anyone, and it’s not a sign of poor personal hygiene.

Sam: When I was younger, especially in middle school, I was really self-conscious about my skin. I would wear long pants in the summer so people wouldn’t see my psoriasis. By the time I reached high school, I realized I would rather be comfortable than hide my skin. Now as an adult I don’t really notice my psoriasis, except when it occasionally flares up.

Jill M: I’m a single woman and my psoriasis makes me most self-conscious when I’m dating someone new. Even in the summer months, I can often hide the major sections with my fashion choices. When it comes to being intimate, there’s no getting around having to prepare my partner that my body or skin looks different and what psoriasis actually is. I find men often have dark coloured sheets and nothing makes me panic more than feeling like I’m leaving behind body dandruff all over his bed. It’s more embarrassing because it feels like I’m dirty. I handle these insecurities by sharing the reality of my psoriasis with the person prior to being intimate.

It also helps that I’m so open with my friends and family and on social media. Talking about it and being connected with the psoriasis community really helps remind me that I’m not alone. Whenever I come in contact with another person with psoriasis who is struggling with their self-confidence, I feel so much love for them. I try to remember that I need to turn that love inwards as well.

Aya: When my psoriasis was at its worst a few years ago, I was the most self-conscious about going swimming as I was in bandages and was unable to wear a bikini for years. I handled it by always telling myself that my body was just communicating, and I had to become a better listener to what it needed. By listening and being more compassionate to myself I created space for healing and taking my health back into my own hands.

HC: Can you share any great advice you’ve received or ideas you lean on?

Jill L: A very close friend of mine was a victim of sexual abuse early in her life. After long years of therapy, she finally felt empowered enough to tell me the following: ‘I suffered through it and I still suffer because of it today, but thanks to my own strength, there is someone left to suffer.’ These two experiences are not comparable in any way. But it’s a truth that can be applied to so many different situations. Whenever I get overwhelmed with insecurity, it helps me get back on my feet, blistered though they are!

Sam: I’ve come to realize my skin only has as much impact on my life as I allow it to have.

Jill M: I saw this quote on Instagram: “What makes you beautiful has nothing to do with how you look.” I’m kind, thoughtful, smart, dynamic, artistic, funny, and so much more. None of my value has anything to do with the flakiness or redness of my skin.

Aya: When I was depressed, I would remind myself that life is short, and I am grateful to be alive as others have it harder. Gratitude has brought me back from my most difficult times.

HC: How do you tap into your self-confidence when you're feeling self-conscious?

Jill L: I keep repeating to myself: People don’t react the way they do because they are mean or want to hurt me. It’s their brain that is hardwired to shrink back from anything that resembles “disease.” It’s an evolutionary trait that has probably kept us out of harm’s way more times than we can imagine. With psoriasis, as with many other things, education can help. And it’s up to us to make that happen!

Sam: I go for a run. I find exercising to be a great way to clear my head and focus on what really matters.

Jill M: If I ever feel my self-confidence waning, I try to take a few deep breaths. This simple process helps me check back in with the inner me. Often when I feel self-conscious, I’m focusing too much on the outside world and what people around me might be thinking.

Aya: Being confident in life means always showing up from a place of love, especially when you are at your worst. No matter how much pain and suffering you are going through, to know and to love yourself is the only thing that matters.

HC: What's your number-one tip to other psoriasis patients about how to feel comfortable in any situation where their psoriasis is evident?

Jill L: In life, there are things you can control and those you can’t. Psoriasis is somewhere in between: You can’t really control it, but you can manage it and learn to live with it. Instead of soaking up the perceived negativity derived from people’s instinctive reactions, change the name of the game, and open up the “p” conversation whenever you can. You will be amazed at how a person can react normally after they backed away from you only yesterday. And, you will feel good, because the same person will never make another psoriasis patient feel bad.

Sam: Self-love goes beyond skin deep. When my daughter was five years old, she developed spots all over her body and my wife and I quickly realized it was psoriasis. Once she got that diagnosis, we tried to treat it with different medications and creams, but our daughter hated the medicines, and her skin didn’t bother her. We stopped aggressively treating it and instead focused on teaching her to love herself. We helped her and those around her (teachers, other parents, etc.) understand her spots through education and awareness. One day we overheard our daughter singing a song about a cheetah with beautiful spots. In the song my daughter had named the cheetah with her name. Much like a cheetah, anyone with psoriasis can be strong, resilient, and beautiful just the way they are.

Jill M: To feel confident in situations where your skin spots are on full display, check in with yourself just before you enter the social environment and remind yourself that YOU are not your skin. I find that after a few minutes my self-consciousness and feelings of anxiety slide into the background and my personality can shine.

Aya: Own where your body is, know that it does get better, and never lose hope. Remember: When you speak about psoriasis to people who don’t understand it, you are speaking for all the silent psoriasis warriors out there who don’t have a voice.

https://www.healthcentral.com/article/body-confidence-advice-psoriasis