Stress and Diet

Posted Wed 21 Aug 2024 10.23 by paradiselost

Hi everyone - I am 25 and have suffered with psoriasis since I was 17. I had my worst flare up in 2019, due entirely to stress. I was trapped in the familiar loop of the stress of my skin then exacerbating my symptoms. I was covered in guttate psoriasis from head to toe, had awful facial psoriasis, and a scalp so bad I was losing my hair. I then went on holiday to a country with high UV which miraculously cleared it completely. Following this, I kept my skin at bay for the next few years using Enstilar and getting sunlight. In 2023, I went travelling to the US. There I ate terribly, drank loads and experienced what I now reflect upon as quite intense stress (due to the often inherent stressful nature of travelling). I also took antibiotics whilst I was out there (which I have recently learned disrupts the gut). I started to experience a slight increase of guttate spots on my body. When I got back to the UK, a friend told me about TSW, causing me to immediately stop using Enstilar. As those experienced with psoriasis will probably sense, all of the above resulted in the worse flare up I've had in years. I still haven't used the steriods but I've spent the last year battling with trying to keep this flare up at bay - and I'm really struggling. I went to a dermatologist in April, and he said that the number one cause often not addressed is stress. He said I likely have chronic stress and this can be the cause/exacerbation of my flare ups. I can trace my last two flare ups to stress being present, so this isn't too surprising to me. I, however, don't often see stress mentioned in these forums as a trigger. He also said that diet played no role in flare ups, other than consuming alcohol. My friend is a dietitian who has eczema, and she has similarly said that diet plays no role in the disease, other than if you have other markers of a food intolerance (which I don't). Yet, I see so much on here about various diets, so I feel like I'm at a crossroads. Where I currently am is that I am doing at-home UVB phototherapy (as I am on a 52-week waiting list for the NHS, and simply cannot fathom waiting another year like this), I have only done 7 sessions, but am seeing slow improvement. I have given up alcohol, and have temporarily given up gluten, just to see if it makes a difference. I have also started yoga, meditation and regularly going to the gym to improve my stress. My questions are: 1. Has anyone noticed any particular improvements when addressing their stress levels? Has anybody been told that stress is a strong trigger, which needs to be addressed? 2. Has anybody tried certain diets and NOT seen improvements? I essentially want to get to the bottom of whether eliminating food is often just for people who have a pre-existing intolerance, or whether it would work well for everyone. Happy to hear any other thoughts/suggestions, too. Thank you!

Posted Thu 22 Aug 2024 09.06 by OhNo_NotAgain?

@Paradiselost: My brother was told in 1969 that stress was a major factor when he suddenly developed psoriasis. I suddenly developed psoriasis all over my body in 1980 during my final year at university - I was definitely feeling stressed and worried about my final exams. As soon as I graduated it began to fade noticeably - it did not go away, but was noticably less "angry" in appearance. In my case, I have never seen evidence of any link between my diet or alcohol consumption and my psoriasis. However, adjusting your diet or eliminating something for 2-3 months is a cheap way to try something for yourself. Over the last 44 years I have had years of heavy regular drinking, years of light, occasional drinking and even periods (6-12 months) of total abstinence - I saw no change at all in my psoriasis. good luck.

Posted Fri 23 Aug 2024 18.35 by ElleB

Hi paradiselost I was diagnosed with psoriasis in 1983, age 7. My skin has significantly improved over the last two years. If I stuck the remaining patches of psoriasis together, they'd fill a postage stamp. In response to your questions: 1) In 2021 I read Pete Walker's book "Complex PTSD: From Surviving to Thriving" and realised I'd experienced Complex PTSD most of my life. In 2022 I learnt from PTSD UK's website about the link between psoriasis and PTSD. There are two articles on the website: "The Link Between Skin Conditions and PTSD" and "Unexpected physical symptoms of PTSD". Also in 2022, I started working with a Chartered Clinical Psychologist. This included Eye Movement Desensitisation and Reprocessing (EMDR), hypnotherapy, and Rapid Transformational Therapy (RTT). 2) I realised 20 years ago that eating healthily improved my skin. To lose weight I stopped eating chocolate and crisps, switched to wholemeal bread, ate more vegetables etc. In 2020 I started working with a nutritional therapist. Although the industry isn't regulated, I've only worked with those who are members of the British Association for Nutrition and Lifestyle Medicine (BANT), and The Institute for Functional Medicine. My supplement plan is reviewed quarterly, and once a year a detailed blood test is undertaken. Hope this helps.

Posted Tue 27 Aug 2024 19.27 by Denwill

Hi paradiselost I have just joined this group on behalf of my 28 year old son. He developed psoriasis aged 18 when he was in a bad place physically and mentally and taking things he shouldn’t. His psoriasis is very bad all over he’s tried everything. Via the dermatologist including methotrexate and immunotherapy. He has had virtually identical issues including with Enstillar as you and is currently trying an exclusion diet avoiding gluten, dairy, sugar, citrus, nightshade plant based foods, alcohol. After 3 weeks there is slight improvement but it’s a very hard diet. I agree that stress could be the worst trigger however he was ill with tonsillitis a year ago and couldn’t eat for. a week and the psoriasis virtually cleared. It was this that made him think I could be related to diet. I’m also very interested to hear more from those who have tried using diet as a treatment and stress management.

Posted Sat 31 Aug 2024 17.38 by PrincessDi

I am 52 and I've had psoriasis since the age of 16. When I first got it we had no idea what it even was, started as one spot on my elbow then quickly popped up everywhere else. It was a very stressful time being a young female in 10th grade or at least I thought it was lol. The first doc I went to called it the crying disease. I must say though that I had strep throat not long before the psoriasis came along so I do believe it was a trigger which I've read about before. I have given up alcohol in the past and honestly have seen no difference, but alcohol is known to affect people in different ways so probably worth a try since it's also known to dry out your skin. My husband and I are trying to use the Mediterranean style diet but it's hard for me to pass up a steak and baked potato. Some doctors believe it is related to something similar to leaky gut. The Mediterranean Dish is what we've been reading, experimenting with a lot of varieties of vegetables and fish. It's made us branch out from our normal diets and it's been quite interesting. I have used numerous sorts of ointments, creams, liquids, you name it. I am currently on Humira and have been for 6 years. It's a biologic and I honestly don't care if I glow in the dark using it....I will use it until I can't. I hope the alcohol free and change in your diet helps, keep us posted. I live in the USA in NC but I haven't found any site locally here this interesting.

Posted Tue 3 Sep 2024 10.04 by paradiselost

Hi all Thank you so much for your helpful responses. It is interesting to hear about other people's experiences with stress and flare ups - I do think that this could be a trigger a lot of people don't necessarily think about. Diet-wise, it can be difficult to know what to do. I have read pretty much every food group is inflammatory at some point or another! As of now, I am sticking to eating lots of fruit and vegetables, reducing gluten and sugar, and no alcohol at all. Whether this actually makes a different or not, who knows, but it can't hurt to be eating a bit healthier! Wishing you all the best

To take part, sign in or register with us