i would like to live the rest of my life without ever again hearing a doctor sagely say "you know, stress triggers psoriasis"
this is such a trivially true statement it's embarrassing. what disease process feels better when you're stressed? also, a person who bothered showing up to the state gaslighter in chief to get psoriasis evaluated is probably stressed out by having psoriasis. it is stressful to have a skin disease, especially an undertreated one.
it is fascinating, by which i mean kill yourself, that by 'stress' in these formulations a physician virtually always means exclusively psychological stress, ie, your moodiness, ie, your fault. starvation is a highly biologically stressful state and yet i have never once heard any doctor suggest that chronic weight suppression might flare a disease such as psoriasis. if we're going to use the word 'stress' this nonspecifically (see also: 'inflammation'), then other diseases themselves can constitute biological stress states -- and in fact, viral infections are highly associated with the pathogenesis of multiple forms of psoriasis. yet, to the extent doctors even think about this at all, they consistently present it in the language of bio-causal disease ('the virus activates the psoriasis') rather than psychospeak ('have you recently lost a loved one? how are things at home?')
for all the talk about the bio-psycho-social, in practice we sure spend a lot of time on the psycho part. have you tried feeling less negatively about being sick? you know, treatment outcomes are better in patients who really commit to doing the work to improve. have you tried believing that all of your symptoms are fake neuropathic? of course we can help you with that, there's off label antidepressants or gabapentin! oh, that didn't work? you know, with such a negative attitude, it's no wonder your skin is so bad. i just don't know how i can help you... have you tried mindfulness?