Depression & Psoriasis (cont.)

Dear Ed: I have been treated for over 22 years for bipolar disorder ... multiple antidepressants. I truly do not believe there is a link between psoriasis and the drugs. My flakes are of the pustular palmar-plantar type and have recently invited some calf and forearm flakes to join them for a party on my bod. Methotrexate is the latest in a series of treatments. It's no fun. I didn't have any lesions until one year ago. There had been no change in my BP meds. I do know that the "Affective Spectrum" of disorders does include depression, bipolar disorder, migraines, arthritis, psoriasis, fibromyalgia, etc. It would not be a surprise to me if these conditions all have some sort of genetic link. -Delane (RN) [Email Delane]

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Hi Ed: I've had psoriasis since the age of 9, and have had problems with depression a lot of that time. I've taken a few different anti-depressants and have never noticed any link between them and the severity of my psoriasis. What I did notice was that they got me up out of my depression far enough that I wanted to do something about it. I've gone through a fair amount of therapy for depression, but oddly enough, have never spent much of my therapy time talking about my skin. My current therapist is helping me work on it though, but so far no change. I'm not taking anti-depressants now. I am taking methotrexate, though, and would like to stop it, but it works well and when I cut back my psoriasis starts to return. I'll let you know if I find any connection between becoming "healed," psychologically, if that ever happens, and psoriasis. By the way, I meditate as a non-harmful way to reduce stress. It requires a bit of a commitment of time and energy, but I can tell the difference between the times I do & don't make the effort. -Joe Loesch

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