Many people who suffer from psoriasis also say it affects their confidence and self esteem. It is understandable but there is no need to suffer in silence as there are many ways to cope with psoriasis and improve the self esteem without allowing the condition to control the quality of life a person may have. Flare ups are one of the major issues for those with psoriasis and self esteem and although it is easier said than done; sufferers must learn to avoid the stress relating to the fear of flare ups. Fear, anxiety and stress can lead to psoriasis becoming aggravated and self esteem hitting an all time low.