As Dr. O’Leary got older she found ways to feel more at ease with her psoriasis. Read on to learn how to overcome some of the most common social challenges among people with psoriasis. “Our minds can go into overdrive, and we imagine that everyone is looking and judging us,” Dr. O’Leary says. If you don’t have access to CBT or can’t get an appointment right away, Dr. O’Leary says to practice catching yourself when your thoughts begin to escalate. Because of challenges like these, genital psoriasis is linked to higher rates of depression, relationship challenges, and sexual dysfunction, according to Dr. O’Leary.