Скачать или смотреть Is PSORIASIS Making You Depressed? Watch Now for SOLUTION - Dr. Subasanthosi S V | Doctors' Circle

Registration No: 166846 Tamil Nadu Medical Council, 2022
Dr. Subasanthosi S V | Phone 📞 : 9345339087 (Online & in-person appointment can be booked online or by call) | | Consultant Dermatologist | Aesthetica Veda Whitefield Bengaluru, India
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Today, I'll be discussing how psoriasis and depression are related and what we can do to help our patients who have both. Now, as I mentioned, psoriasis is a chronic inflammatory condition that manifests in the skin. Still, its effects also extend to other systems, including the central nervous system and the cardiovascular system. When we have a pimple, many of us wake up with acne before an important event, and we feel really upset. It's a very devastating thing. So we look up our dermatologist, and then we go and get it treated at the first possible instance. Many of us sometimes do not attribute this level of seriousness to other illnesses. We may have some cholesterol issues or we may be having vitamin E deficiencies, but we cannot see it right in person, in the flesh. So it doesn't occupy the same importance as a skin disease does in our lives. That said, now psoriasis, as we know, is characterised by large areas of silvery red lesions that are scaly, with silvery scales, red, and itchy. Some of them are fissured, some of them are bleeding. It affects the scalp affects the nails. And can you imagine the consequence that psoriasis can have on someone's psyche, for that matter? Right? We have a pimple, so we go out with a pimple patch. Now we have large areas of our body covered with scales. What are we supposed to do? Do we really go out of the house with the same confidence that we would if our skin were clear? Would we go to a job interview with full confidence that yes, we'll do a good job, and there’s a good chance that we’ll get the job offer? Even if we get the job offer, will we go to work regularly, even if we have a psoriasis flare? The answer is probably not, right? So psoriasis wreaks havoc on a patient's lifestyle, quality of life, productivity, satisfaction, and intimate relationships. Now, psoriasis and depression, I hope none of you have experienced them. I have experienced it personally. Depression sometimes feels like a big dark cloud always hanging above your head. It's there in the periphery, no matter what you do, you may be having a good time with your family, you may be in a movie theatre, you may be at a restaurant, you may be shopping, but there’s always this sense of heaviness in your heart. At least that’s how I can describe my personal experience with this illness. Like I said, one in four people can suffer from one or the other form of mental illness. Depression ranks up there, followed by anxiety. Depression can literally rip joy out of your life. Psoriasis and depression have a strong correlation; people with psoriasis have also been found to suffer from depression more often than people without it. So every patient with psoriasis has to be inquired about their wellness. They have to be asked: Do you feel like you do not have the energy to do the things that you love? Do you feel that the pleasure you used to get out of doing things you love is not there anymore? Focus on the DSM-5 criteria that list out the symptoms of depression. The diagnostic criteria. I think we can all make ourselves familiar with the DSM-5 criteria to diagnose depression, even if we're not psychiatrists. At least we can focus on what questions to ask our patients with psoriasis so that we do not miss out. Sometimes the patient who is suffering the most appears to be smiling. The people who suffer the most sometimes do so in silence. So it's up to us to break past those barriers because these are patients who have been shamed, who have been marginalised by society. After all, people think it’s contagious. These are patients who will not be forthcoming to discuss what they’re feeling, least of all to a stranger they have just met. So creating rapport and establishing trust is key. The moment the patient knows that you care, they will open up. The floodgates will break down. If you're familiar with the DSM-5 criteria to diagnose depression, we can also focus on concrete questions to ask, about constant guilt, constant shame, loss of productivity, loss of pleasure in previously pleasurable activities, that is called anhedonia.

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