Family life and psoriasis

Some of the young people we talked to felt psoriasis had an impact on their relationships with family members and at home, in both good ways and bad ways. Families helped by:

  • being there to talk to if they’re feeling down
  • applying treatments for them
  • financial and practical support, including arranging appointments and paying for private dermatology treatment
  • researching the condition and treatments (including alternative therapies)

Parents were the main family members talked about, but others also mentioned siblings, grandparents and pets.

Megan talks about some of the ways psoriasis has affected her relationships with her siblings and pets.

Age at interview 16

Gender Female

Age at diagnosis 7

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Lucy’s family give her emotional and practical support.

Age at interview 24

Gender Female

Age at diagnosis 11

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Family support with diagnosis, medical appointments and treatment

For those who had psoriasis since they were little, parents had usually taken them to see doctors and helped them to use topical treatments. Some people couldn’t remember being diagnosed because it had happened a long time ago, they were very young or the information was unclear. Doctors often talked about the symptoms and diagnosis to the parents, rather than the young child with psoriasis. Megan explains: ‘I just sat there listening to my mum and the doctor, and I’d only pick up on certain things’. Parents often then had the difficult task of explaining the information to their children. Despite their parents’ best attempts, children sometimes still felt confused and worried about their diagnosis.

Others who developed psoriasis when they were older sometimes asked their parents for advice on symptoms before going to the GP for diagnosis and treatment. Steven showed his mum his scalp when he first noticed skin flaking. Russell says his mum ‘connected the dots’ between symptoms he had a few years before.

It was difficult for Louie to keep going back to the doctors in search of a diagnosis as his mum works full-time.

Age at interview 16

Gender Male

Age at diagnosis 13

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Parents often helped with psoriasis treatments, especially for young children. Megan couldn’t go on a residential primary school trip as she needed her mum to help with applying her topical creams. A few people said their mums wrote them sick notes so they didn’t have to take part in PE at school. Zara’s mum also contacted her school when she was being bullied about psoriasis.

As people grew up and for those diagnosed when they were older, parents were often less involved in going to appointments. Many young people started booking and attending doctor appointments on their own in their late teens. Lisa says she prefers to go to her medical appointments alone. Zara’s mum travels with her to dermatologist appointments but doesn’t always go in with her. Ella will soon ‘transition’ from a paediatric to adult dermatologist and thinks she’ll start going to appointments on her own. Others prefer to take a parent with them to consultations and ask for their advice when making treatment decisions.

Parents tended to help less with treatments as the person got older, but some help was often appreciated. This included applying topical treatments to difficult to reach/see places like the back and scalp. Megan’s mum used to do her biological injections for her, as she worried she might ‘muck it up’ herself by putting the needle in the wrong place. Parents often continued to research possible treatment options and alternative therapies for their children.

Parents sometimes gave financial support. Lucy’s parents paid for her to see a private dermatologist when she was first diagnosed so she could start her treatment sooner. The costs associated with psoriasis, including treatment and travel to medical appointments, was a pressure on some families. Generally, as people got older, they covered the costs of psoriasis themselves (e.g. prescription charges for those who have to pay and shop-bought products).

Emotional impact and family

Some people thought the emotional toll of psoriasis on them can be difficult for their families too. Megan remembers asking her mum lots of questions when she was younger which she thinks was hard. She explains, ‘I know I made my mum feel like really upset, cos she didn’t know what to do, and she’s a mother and her nine year old child’s questioning her about something that no nine year old child should talk to their mum about’. For some, their experience with psoriasis and the support they received had brought them closer as a family. Others felt they had less of a bond because they couldn’t do some activities their parents wanted them to do (for example, wear ‘feminine’ clothing).

The impact of psoriasis on Carys’ confidence was hard on her parents.

Age at interview 23

Gender Female

Age at diagnosis 22

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Many said they were grateful for emotional and practical support from their parents. At times though, some of the things family members said or did caused upset or were unwelcome. There were times when they didn’t want to talk to their family about psoriasis for various reasons: because they didn’t feel a need to, were embarrassed, didn’t want to worry/upset them or didn’t want to come across as ‘whiney’.

Itchiness has become an everyday part of Steven’s life. Family members sometimes tell him not to scratch, even if it’s a normal’ itch.

Age at interview 22

Gender Male

Age at diagnosis 14

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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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Louie’s siblings used to tease, but are now very supportive.

Age at interview 16

Gender Male

Age at diagnosis 13

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Some people said they ‘lashed out’ at their family when they were feeling very upset about psoriasis. Knowing of a genetic link to their psoriasis sometimes lead to feelings of blame and anger.

Hannah says she had a number of side effects while taking cyclosporine, including disrupted mood which impacted on her relationships with friends and family.

Age at interview 24

Gender Female

Age at diagnosis 16

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Zara was young when she developed psoriasis and didn’t understand why she had it. At first, she blamed her grandfather.

Age at interview 16

Gender Female

Age at diagnosis 2

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Having a family member with psoriasis could also be helpful. This includes sharing information about psoriasis and empathising with things like symptoms and emotional impacts. Lisa’s knowledge about psoriatic arthritis came mostly through her dad’s experience with the condition. However, some found their own approaches to treating psoriasis were very different to that of their family members. Adam says he moisturises his skin much more frequently than his dad does. Other people, like Hannah, were the only one in their immediate family to have psoriasis. No one had children, but some talked about having children in the future and a few people wondered if they would also develop psoriasis.

Abbie’s dad has psoriasis but she thinks that because is older and married their experiences with it are quite different.

Age at interview 20

Gender Female

Age at diagnosis 10

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Megan’s sister briefly had a psoriasis flare-up and they went to dermatology appointments together.

Age at interview 16

Gender Female

Age at diagnosis 7

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Hannah will stop systemic psoriasis treatment when she’s planning to have children.

Age at interview 24

Gender Female

Age at diagnosis 16

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Home life

For most, ‘home’ was a place where they felt more comfortable about their psoriasis. Adam says his parents don’t ‘bat an eyelid’ when he walks around the house topless with his topical treatments on. Lucy likes to take her make-up off at home to ‘let me skin breathe’. Damini says ‘at home, I can be myself. My parents know it’s normal that my skin flakes’. Others felt embarrassed about their psoriasis wherever they were. Zara tends to wear shoes and socks, even at home.

A key aspect of home life mentioned by lots of people was housework. This related to symptoms, like skin flaking, and treatments. Many were embarrassed about skin flaking and hoovered often (for Lucy, this was daily). Sometimes family members made comments about skin flakes, which could add to feeling self-conscious. Lisa and Louie both found dark-coloured bedding showed up skin flakes. Louie has a spare set of bedding he can use when he has friends to visit and uses a hairdryer to get rid of skin flakes. Impractical aspects of topical treatments were mentioned, such as waiting around for them to dry and rinsing down greasy baths/showers after using bath oils/soap replacements. Carys found her clothes would get covered in cream, making laundry ‘never ending’. Abbie has to be careful finding a laundry detergent/washing powder as some irritate her skin.

Steven hoovers his bedroom and car often because of skin flaking.

Age at interview 22

Gender Male

Age at diagnosis 14

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Carys found the bath oil/emollient made her skin feel greasy. She washed out the bath as it made the surface slippery.

Age at interview 23

Gender Female

Age at diagnosis 22

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Adam’s routine with topical treatments has been very time-consuming, requiring him to be at home for a long stretch of time.

Age at interview 24

Gender Male

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Sharing space at home can be tricky. People may need access to the bathroom a lot to do their topical treatments. Heating was also an issue affecting psoriasis for some, either with it being cold when putting treatments on or, for Louie, getting too warm with a radiator on overnight. A few people had woken up others who were sleeping in the same room by scratching so much.

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