Table 2.

Treatment Options

Treatment	Pros	Cons
Skin directed therapy	-Essential component of treatment approach -Clinical improvement may improve psychosocial function	-Adherence can be variable when there are complex coexistent psychosocial issues -Clinicians may focus on this and neglect holistic approach
Cognitive behavioural therapy	-Can be helpful in combination with standard treatment -Particularly useful to interrupt learnt negative behaviours	-Requires patient and time commitment -Not always accessible
Meditation and mindfulness-based therapy, hypnosis, motivational interviewing	-Small number of studies show promise as adjunctive treatment	-High attrition from studies due to time commitment -Not always accessible
Psychotropic therapy	-Can be a useful adjunct to standard therapy -Research ongoing into use of biologics to directly reduce neuroinflammation	-Limited evidence to date as direct treatment for cutaneous psoriasis -Can cause a paradoxical flare of psoriasis

Notes: Adapted with permission from Springer Nature Switzerland AG: Psoriasis. In: Bewley A, Lepping P, Taylor R, editors. Psychodermatology in Clinical Practice. 1st ed. Springer, Cham; 2021. doi:/10.1007/978-3-030-54307-5.²⁷ Copyright © Springer Nature Switzerland AG 2021.