5 Mind-Body Therapies to Soothe Psoriasis

The stress-psoriasis relationship can be reciprocal. Stress often plays an important role in psoriasis by triggering flares and exacerbating symptoms. At the same time, a psoriasis flare can bring on or worsen stress and anxiety.
For this reason, stress management can be an important aspect of managing psoriasis, according to Neil Korman, MD, PhD, the director of the Murdough Family Center for Psoriasis at University Hospitals Cleveland Medical Center. He says mind-body practices may be a helpful addition to your psoriasis treatment plan.
Mind-body practices include meditation, biofeedback, aromatherapy, and cognitive behavioral therapy (CBT), which have the potential to help “reduce stress and better manage psoriasis,” Dr. Korman says. Here’s how.
1. Meditation: Quiet Your Mind to Relax Your Body
There are many ways to meditate, most of which have roots in ancient Eastern spiritual practices. Some techniques involve sitting in a quiet place and focusing on your breathing. Others meld meditation with physical movement, such as walking meditation and tai chi.
2. Biofeedback: Meditation Meets Technology
Biofeedback is a technology in which a therapist attaches electronic sensors to specific parts of the body. The sensors are able to measure blood pressure, heart rate, muscle tension, body temperature, and other physiological functions that change in response to stress. This allows you to receive in-the-moment feedback about how a stress-reduction practice such as deep breathing or muscle relaxation is working, so you can learn to use these tools more effectively.
3. Cognitive Behavioral Therapy: Counter Negative Thinking
Cognitive behavioral therapy, also known as CBT, involves exploring with a trained therapist how your thoughts, feelings, and behaviors interact. The goal of CBT is to reveal negative patterns of thinking that lead to stress and teach skills for changing those thought patterns.
4. Spa Therapy: Soak Away Stress and Soften Skin
A salt bath combined with phototherapy essentially mimics the Dead Sea experience of sunbathing and soaking in seawater, which is known to be beneficial to psoriatic skin.
You can tap into the stress-reducing benefits of spa therapy by adding Dead Sea or Epsom salts to a warm (not hot) bath at home. Limit your dip to 15 minutes, and rinse off quickly when you get out of the tub. Slather on moisturizer while your skin is still damp, to keep the salt and minerals from drying out your skin.
5. Aromatherapy: Breathe in Soothing Scents
Aromatherapy is a complementary practice in which essential oils derived from plants are used to bring about healing, promote relaxation, and improve overall well-being. The scents can be diffused into the air, applied by adding them to massage oil, or added to bathwater to enhance a soak in the tub.
It stands to reason these same oils might be calming for anyone experiencing stress, including someone with psoriasis. One word of caution: Pure essential oil may be irritating or even trigger a flare when applied directly to the skin. To be safe, talk to your doctor before using any oil in this way or stick with sniffing as a way to stick it to stress.
The Takeaway
- By soothing stress, mind-body practices such as meditation, biofeedback, and cognitive behavioral therapy may alleviate psoriasis symptoms.
- A 15-minute soak with Dead Sea or Epsom salts followed by moisturizing can mimic the therapeutic effects of a spa, helping to reduce psoriasis plaques.
- While aromatherapy has shown promise in relieving stress, direct application of essential oils to the skin may cause irritation; consult your healthcare provider before use.
- These complementary therapies aren’t a substitute for medical treatment. If your psoriasis symptoms persist or worsen, check with your doctor to safely adjust your treatment plan.
- Reangsing C et al. Effects of Mindfulness Interventions on Depressive Symptoms in Adolescents: A Meta-Analysis. International Journal of Nursing Studies. March 2021.
- Gál É et al. The Efficacy of Mindfulness Meditation Apps in Enhancing Users’ Well-Being and Mental Health Related Outcomes: A Meta-Analysis of Randomized Controlled Trials. Journal of Affective Disorders. January 15, 2021.
- Bartholomew E et al. Mindfulness and Meditation for Psoriasis: A Systematic Review. Dermatology and Therapy. October 2022.
- Alrabadi LS et al. Mindfulness-Based Stress Reduction May decrease Stress, Disease Activity, and Inflammatory Cytokine Levels in Patients with Autoimmune Hepatitis. JHEP Reports. May 2022.
- Paschali M et al. Mindfulness-Based Interventions for Chronic Low Back Pain: A Systematic Review and Meta-Analysis. The Clinical Journal of Pain. February 1, 2024.
- Koncz A et al. Meditation Interventions Efficiently Reduce Cortisol Levels of At-Risk Samples: A Meta-Analysis. Health Psychology Review. July 7, 2020.
- Schlatter S et al. Implementing Biofeedback as a Proactive Coping Strategy: Psychological and Physiological Effects on Anticipatory Stress. Behaviour Research and Therapy. May 2021.
- Piaserico S et al. Efficacy of Biofeedback and Cognitive-behavioural Therapy in Psoriatic PatientsA Single-blind, Randomized and Controlled Study with Added Narrow-band Ultraviolet B Therapy. Acta Dermato-Venereologica. August 2016.
- Graubard R et al. Stress and Skin: An Overview of Mind Body Therapies as a Treatment Strategy in Dermatology. Dermatology Practical & Conceptual. September 1, 2021.
- American Psychological Association. What Is Cognitive Behavioral Therapy?
- Sijercic I et al. A Systematic Review of Cognitive and Behavioral Treatments for Individuals with Psoriasis. The Journal of Dermatological Treatment. September 2020.
- Integrative Approaches to Care. National Psoriasis Foundation. October 1, 2020.
- Peinemann F et al. Indoor Balneophototherapy for Chronic Plaque Psoriasis: Abridged Cochrane Review. Dermatologic Therapy. November 25, 2020.
- Moini Jazani A et al. Efficacy of Hydrotherapy, Spa Therapy, and Balneotherapy for Psoriasis and Atopic Dermatitis: A Systematic Review. International Journal of Dermatology. February 2023.
- Bertone AC et al. Aromatherapy in Obstetrics: A Critical Review of the Literature. Clinical Obstetrics and Gynecology. September 1, 2021.
- Yang H et al. Evaluating the Impact of Lavender Aromatherapy and Music Therapy on Reducing Stress, Anxiety, and Depression in Female Nurses During the COVID-19 Pandemic. Complementary Therapies in Clinical Practice. May 2025.

Jacquelyn Dosal, MD
Medical Reviewer
Jacquelyn Dosal, MD, is a board-certified dermatologist practicing at The Dermatology House in Park City, Utah. Her areas of expertise include acne, rosacea, integrative treatments of inflammatory skin diseases, as well as laser treatment of the skin and injectables.
Dr. Dosal writes cosmetic questions for the certifying exams for the American Board of Dermatology. She is also the deputy editor for the American Academy of Dermatology's podcast, Dialogues in Dermatology.

Dennis Thompson Jr
Author
Dennis Thompson is a career journalist with 30 years of experience, writing for newspapers in Virginia, West Virginia, Florida, Delaware, and Oregon. He is a senior reporter for HealthDay and covers health news from a consumer angle, taking the latest medical advances and explaining their importance in an approachable way. Thompson holds a bachelor of arts degree in communication studies from Virginia Tech and a master of arts degree in mass communication from the University of Florida. He is an avid cyclist, geek culture enthusiast, and avowed foodie.