Treatment: Topicals

People with mild to moderate psoriasis may benefit from topical treatments -- creams or ointments that reduce inflammation, itching, and the rate of skin cell growth. These include steroid topicals, moisturizers, salicylic acid, anthralin, retinoids, calcipotriene, (a form of vitamin D), and coal tar. Tar shampoos are helpful for psoriasis of the scalp

Treatment: Phototherapy
For moderate to severe psoriasis, UVB phototherapy is an effective treatment option. This strategy treats the skin with controlled exposure to ultraviolet light. It can be done at a doctor's office or at home using a special light device. PUVA is a form of phototherapy that combines a medicine called psoralen with UVA light. PUVA (seen here) and UVB phototherapy can help clear up psoriasis but may have troubling side effects

Treatment: Laser Therapy

A new twist on phototherapy is the use of lasers, which emit highly focused beams of light. This lets doctors aim the treatment at affected areas without exposing healthy skin. Laser therapy may have fewer side effects and a smaller risk of skin cancer compared to traditional phototherapy. It also appears to deliver results with fewer treatments.

Treatment: Oral Medications

Oral medications target the overactive immune system, not just the symptoms of psoriasis. These drugs are recommended only when psoriasis hasn't responded to other therapies. Options include methotrexate and cyclosporine. Both have serious side effects, so patients must be monitored carefully. Certain oral retinoids can also be used to treat severe psoriasis.

Treatment: Biologics
Biologics are a relatively new alternative for people with psoriasis. These are drugs made from living cells. Like some older psoriasis medications, they alter the activity of the immune system. Biologics are given by injection or intravenous infusion. Because they suppress the immune system, they can make you more vulnerable to serious infections.

Natural Remedies for Psoriasis

Soaking up the sun is a tried-and-true remedy for psoriasis. As many as 80% of people who get regular sun exposure say their symptoms improve. The trick is not to overdo it -- a sunburn actually makes psoriasis worse. Other natural alternatives include aloe, tea tree oil, and oatmeal baths to soothe itchy skin. Although alcohol has been linked to psoriasis, experts are skeptical about special diets that claim to treat psoriasis. There's no convincing evidence that they work.

Climatotherapy
For decades, people have claimed that visiting the Dead Sea in Israel is a powerful treatment for psoriasis. The sun and water, which is 10 times saltier than the ocean, are believed to be a healing combination. It may sound like a myth, but scientific evidence suggests this form of climatotherapy works. In studies, 80% to 90% of patients improved after visiting the Dead Sea. Almost half saw their rash disappear for the next several months.

Stress Reduction
Stress tends to worsen psoriasis, so relaxation techniques may help control flare-ups. Anything that helps you relax, whether it's yoga, deep breathing, or a long walk, may help ease your symptoms.

Social Support
There may be days when you feel like hiding at home. But it's a mistake to deprive yourself of the friendships and activities you enjoy. Isolation can lead to stress and depression, which tend to make symptoms worse. Experts recommend staying connected to the people you trust. You may also want to look into a support group through the National Psoriasis Foundation.