Ichthyosis – Not just “Skin Deep”
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Minding Your Mental Health and Positive Coping
Beyond the physical discomfort and limits, many people living with ichthyosis share the below experiences. While these experiences are challenging, it is possible to overcome them and emerge a stronger individual.
- Are teased, left out of activities (including recess and field days in warmer temperatures), or made to feel different as children and adolescents
- Have a hard time making and keeping friends
- Feel ashamed of their condition, especially when overheating precautions are necessary
- Stress out at school about being touched, hiding their skin, or looking different
- Have concerns about dating and relationships and finding a life partner
- Feel financially strained, anxious about holding a job
- Face fears and uncertainty about the lack of treatments and how the condition might affect them over time
- Deal with embarrassment and shame over their appearance and skin shedding everywhere
What is mental wellness?
It’s just as important as your physical health. But what do we mean by your mental health?
According to the Centers for Disease Control and Prevention, it’s a “state of well-being that enables us to cope with the stresses of life, realize our abilities, learn well and work well, and contribute to our community.”
And we know people with chronic physical conditions are more likely to have anxiety or depression than people without chronic illness.
One study found ichthyosis was associated with a more than two-fold increase in the odds of suffering with depression and anxiety.
Research shows that, as with other rare and lifelong conditions, ichthyosis can take a toll on one’s emotional, psychological, social and spiritual health and wellbeing. And how it affects you often goes well beyond the physical look and feel of your skin.
Being able to tune into and understand how the condition might be affecting your mental, social and emotional health is an important part of managing the disease – as is finding ways to cope and knowing you’re not alone on this journey.
It’s normal to feel a range of emotions – anger and denial to sadness, isolation and anxiety. Some studies show that one-third of people with ichthyosis have symptoms of depression and nearly all (95%) experience lessened quality of life. Patients with depression are three times more likely to not follow treatment plans compared with patients without depression, which can make their condition worse. Stress and anxiety can also make these skin conditions worse, triggering flare-ups and making it that much harder to follow skin care routines.
It’s not easy living with a lifelong, rare skin condition, but many people who are affected lead happy, comfortable and productive lives. Talk with your care team about how the condition affects your day-to-day routine and mental health too. Explore our website for trusted information, tools for coping, as well as opportunities to connect with other people living with these conditions.
It’s vital to recognize, accept and talk about your feelings and reach out to other people who have ichthyosis. Many people say it’s also important not to dwell on the negative or how the condition is holding you back. Instead, try to look for ways to focus on the positive aspects of your life.
Having ichthyosis has been linked to
- Poor self-esteem
- Feelings of embarrassment and shame
- Anxiety
- Depression
- Loneliness and withdrawing or isolating oneself from social situations, including sports and recreational activities
- Issues with body image, feeling self-conscious
- Reduced quality of life overall because of how the skin looks and the associated psychosocial distress
Ichthyosis affects people in highly variable ways, and that is true for both skin and mental health. And symptoms change with different phases of life! If you have any of the above concerns, know that you are not alone. There is probably someone in the FIRST community who also had that same concern and has overcome it. Consider reviewing our Mental Health Resource Library, reaching out to the FIRST office, or our private Facebook Groups to get others’ advice!