She Strengthens

The Complex Relationship Between Psoriatic Arthritis and Anxiety

Breaking the Cycle of Pain and Fear

Psoriatic arthritis (PsA) and anxiety are intertwined, with each condition exacerbating the other. The physical symptoms of PsA, such as joint pain and inflammation, can lead to feelings of anxiety and depression. Conversely, anxiety and stress can worsen PsA symptoms, creating a vicious cycle.

Physical and Psychological Symptoms

PsA can cause a range of physical symptoms, including fatigue, painful and inflamed tendons, swollen fingers and toes, joint pain and stiffness, reduced range of motion, nail changes, and eye redness and pain. Anxiety symptoms may include anxious thoughts, restlessness, rapid heart rate, dizziness, shortness of breath, sleep disturbances, social withdrawal, fatigue, and muscle aches. Depression symptoms may include sadness, irritability, hopelessness, fatigue, trouble with concentration, sleep disturbance, appetite changes, physical signs like headache and digestive issues, and thoughts of suicide.

The Impact on Social Functioning

PsA can affect social functioning, making it difficult to enjoy time with friends, participate in social events, and travel. Social interaction is essential for well-being, but anxiety and depression can make it challenging. Research suggests that people with PsA are more likely to experience depression, with 51% of people living with PsA experiencing depression.

Building Confidence and Managing Anxiety

There are ways to manage social anxiety and build confidence despite PsA. Talk therapy, such as cognitive behavioral therapy (CBT), can help change thought patterns and improve social anxiety. Medication, such as selective serotonin reuptake inhibitors (SSRIs), may also be effective in reducing anxiety. Exercise, such as walking, strength training, and swimming, can reduce joint stiffness, pain, and fatigue, while also improving mood. Nutrition and diet may also play a role in easing PsA symptoms and improving mood.

The Power of Connection and Intention

Connecting with others who understand the challenges of PsA can be incredibly helpful. The National Psoriasis Foundation’s One to One program and Healthline’s Bezzy PsA forum provide opportunities for people with PsA to connect and share their experiences. Research suggests that self-critical behaviors can hinder PsA management, while positive beliefs and determination are essential for successful mental health strategies.

Taking Control of Your Mental Health

By acknowledging the complex relationship between PsA and anxiety, you can take steps to manage your symptoms and improve your emotional well-being. Medication, therapy, exercise, nutrition, and connection can all play a role in breaking the cycle of pain and fear. By prioritizing your mental health, you can regain control of your life and live with greater confidence and purpose.