5 Mind-Body Therapies to Soothe Psoriasis

5 Mind-Body Therapies to Soothe Psoriasis

Psoriasis and stress are closely connected. Practices such as meditation, biofeedback, aromatherapy, and cognitive behavioral therapy can help you manage both.
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.

Mindfulness meditation, which emphasizes focusing on what you’re experiencing in the moment physically, mentally, and emotionally, with no judgment, can be especially effective. A review of research found mindfulness meditation moderately improved depression in young adults.

 And according to a meta-analysis, mindfulness meditation apps showed promise in improving well-being and mental health.

A review of research found that meditation and mindfulness could be beneficial as an add-on therapy for people with psoriasis. While more studies are needed, according to the review, five of six randomized controlled trials showed improvement in severity of symptoms after mindfulness interventions.

Other research has found mindfulness interventions can help relieve stress and physical symptoms in people with chronic conditions.

 Similarly, a study found meditation effectively lowered cortisol levels in people at risk for elevated levels of this stress hormone.

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.

Plenty of research shows biofeedback can lower stress.

 But less is known about its direct impact on psoriasis.
There is some evidence, though, that it may be promising as part of a holistic approach to psoriasis management. For example, a study of 40 participants found those receiving phototherapy had better results after eight weeks if they also used biofeedback and cognitive-behavioral therapy.

 And studies have shown that biofeedback helped lessen the severity of other skin diseases.

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.

CBT has proved effective for reducing anxiety and depression and treating a number of mood disorders, according to the American Psychological Association.

 It also has been found to help ease stress and improve mental well-being and quality of life in people living with chronic conditions, including psoriasis.

4. Spa Therapy: Soak Away Stress and Soften Skin

According to the National Psoriasis Foundation, a soak in a mineral or salt bath can treat psoriasis plaques.

 What’s more, a review of research found that a salt bath during phototherapy was more effective than phototherapy alone.

 And a review of studies concluded that balneotherapy (soaking in mineral-rich water), spa therapy, and hydrotherapy reduced the effects of psoriasis by reducing inflammation and improving quality of life.

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.

No matter how a scent is delivered, it’s thought to send chemical messages to mood and emotion centers of the brain. There’s a fair amount of evidence that scents work in any number of situations. For example, a review of research found that certain scents relieved anxiety during pregnancy and childbirth. Especially effective were lavender, petitgrain (bitter orange), and bergamot.

Another study found that aromatherapy with lavender essential oil effectively reduced the physical and psychological stress of nurses during the COVID-19 pandemic, providing not only immediate effects but lasting benefits.

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.
EDITORIAL SOURCES
Everyday Health follows strict sourcing guidelines to ensure the accuracy of its content, outlined in our editorial policy. We use only trustworthy sources, including peer-reviewed studies, board-certified medical experts, patients with lived experience, and information from top institutions.
Resources
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Jacquelyn Dosal

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

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.