Psoriasis , medically known as psoriasis , is a chronic inflammatory skin disease that is not only visible externally but can also severely impact mental well-being and quality of life. Itching, pain, noticeable skin changes, and flare-ups make life difficult for many sufferers. But the good news is that there are numerous effective treatment options – from medical therapies to natural healing methods and lifestyle factors.
In this article, you will learn how psoriasis develops, what types of treatment are available, and what you can do to alleviate symptoms and prevent relapses.
What is psoriasis?
Psoriasis is an autoimmune disease in which the immune system attacks skin cells, dramatically accelerating their renewal. While healthy skin renews itself approximately every 28 days, psoriasis does so within a few days. This leads to thickened, reddened, inflamed patches of skin , often covered with silvery scales.
Common symptoms:
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Redness and scaly plaques (especially on elbows, knees, scalp, back)
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Itching, burning or pain
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Dry, cracked skin
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Thickened or altered fingernails (nail psoriasis)
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In severe cases: joint involvement (psoriatic arthritis)
Causes and triggers
The exact cause of psoriasis is not fully understood, but it is a multifactorial process . Genetic predisposition plays a role, as do environmental factors and the immune system.
Possible triggers:
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Stress (one of the most common triggers)
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Infections (e.g. streptococci)
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Injuries to the skin (so-called Köbner phenomenon)
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Medications (e.g. beta-blockers, lithium)
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Hormonal changes
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Obesity and unhealthy diet
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Alcohol and smoking
Treating psoriasis – an overview of the options
The treatment of psoriasis depends on the severity , location , and individual course of the disease . A combination of different measures has usually proven particularly effective.
1. External (topical) treatment
For mild to moderate cases, local treatment is the main focus:
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Creams or ointments containing cortisone : anti-inflammatory, but only of limited long-term use
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Vitamin D3 derivatives (e.g. calcipotriol) : regulate cell division
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Salicylic acid, urea or tar preparations : dissolve dandruff and care for the skin
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Dithranol : inhibits the growth of skin cells (mostly used in hospitals)
2. Systemic therapy (tablets or injections)
For moderate to severe psoriasis or when skin care alone is not enough:
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Methotrexate (MTX) or ciclosporin : suppress the immune system
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Fumaric acid esters : anti-inflammatory, in tablet form
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Biologics (e.g., adalimumab, secukinumab) : targeted drugs that specifically intervene in the immune system – very effective, but expensive
3. Light therapy (phototherapy)
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UVB radiation : inhibits the overactive immune system in the skin
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PUVA therapy (psoralen + UVA): combination of light and medication, for more severe cases
Naturopathic approaches & complementary measures
1. Nutrition
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An anti-inflammatory diet can positively influence the course of the disease. Recommended:
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Lots of fruit and vegetables
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Omega-3 fatty acids (e.g. from fish or flaxseed)
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Low sugar, alcohol, red meat
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Some sufferers report improvement through a gluten-free diet or avoiding dairy products
2. Stress reduction
Since stress is a common trigger, relaxation techniques are essential:
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Yoga, meditation, mindfulness
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Regular sleep and breaks in everyday life
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Psychological support or behavioral therapy in cases of severe suffering
3. Natural remedies
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Aloe Vera , tea tree oil or Mahonia aquifolium can have a soothing effect
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Baths with Dead Sea salt or sulfur baths help against itching and dandruff
4. Probiotics and intestinal health
New studies suggest that a disrupted microbiome (especially in the gut) may be linked to autoimmune diseases such as psoriasis. Probiotics could help better regulate the immune system – this is still in scientific testing, but it's a promising approach.
Living with psoriasis – everyday tips
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Skin care is the be-all and end-all : Apply cream daily, ideally with moisturising products
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No skin irritation from aggressive care products, perfumes or tight clothing
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Keep a diary : document attacks, identify possible triggers
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Be patient : The right therapy sometimes takes time – stay tuned and work with your dermatologist
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Self-help groups & exchange : Knowing that you are not alone can be incredibly relieving
Conclusion: Psoriasis is treatable – individually and holistically
While psoriasis is not curable, it is highly treatable . The key lies in a holistic approach that combines medical therapies with lifestyle measures. Every person reacts differently, so it's important to work with specialists to find the best individual treatment .
Anyone who understands and cares for their skin, takes care of themselves and also looks after themselves mentally can lead an active, fulfilling life with psoriasis – without being limited by the disease.
Tip at the end:
If you suffer from psoriasis, seek regular dermatological care and don't be afraid to seek psychological support if needed. Your skin is a reflection of your health—and you have control over it.
