PsA IMPACT Toolkit
AI

Stigma and mental health1

Chronic illnesses like PsA may carry stigma1 that can impact a patient’s mental health and willingness to seek medical care. Sensitivity and non-judgmental attitudes are crucial to help create a safe and supportive environment for patients to discuss their concerns openly.

Key principles

Head with gears

Reduce stigmatizing language

Depression

Support mental health care for patients

Core principles to help reduce stigmatizing language2,3

Insights

Use mindful person-first language

Instead of referring to someone as an “PsA patient” use “person living with PsA” or “patient with PsA” in clinical contexts

FAQs

Avoid stereotypes and generalizations

Refrain from using terms like “non-compliant,” or “poor historian” that can perpetuate negative stereotypes

Education awareness

Assign blame to the system or disease, not the individual

For example: “patient chooses” rather than “refuses”; “Medication failed in this person with PsA” rather than “patient failed this medication”; “the symptoms of PsA are causing difficulty” instead of “the patient is not managing their condition properly”

Leader

Eliminate derogatory terms or negative connotations

For example: convict, prostitute, alien, sickly, weak, burden

Lightbulb

Think critically and be intentional about using social identifiers

For example: race, socioeconomic status, and language don’t belong in the one-liner

Community connections

State the facts–avoid interpretations

For example: “patient alleges/claims 10/10 pain”

Network

Use inclusive language

For example: “patient uses a wheelchair” rather than “wheelchair-bound”

Healthcare provider

Use the active voice

For example: “I prescribed biologics” rather than passive language “Biologics were prescribed by me”

Chat

Avoid misusing quotes or exaggerating descriptions

For example: “The patient reported experiencing significant pain” instead of “patient is having ‘horrible’ pain”

Adopted from Core Principles with input from people living with PsA and an expert steering committee.

Mental health and PsA4

Compared to the general population, people with PsA have a higher lifetime rate of psychiatric disorders such as depression and anxiety4. Ensuring adequate attention is given to a patient’s mental health is a vital part of providing quality care.

Key consideration for mental health support:

Books

Network with mental health services

Refer people living with PsA to mental health support services.

User search

Monitor emotional well-being

Track patients’ emotional well-being as well as their physical symptoms.

Topology ring

Connect patients to PsA support groups

Help facilitate connections to PsA support groups for shared experiences and support.

Gradienter

Provide guidance on expectations

Help patients understand what to expect and what’s next. Helping resolve the unknown may help patients feel less anxious.

Patient-centered mental health conversations

Asking about mental health in a patient-centered way requires sensitivity and awareness of how perceptions of mental health can differ.

Below are some thoughtful, open-ended questions clinicians can ask to ensure a patient-centered discussion about mental health:

Can you tell me what’s been going on in your life lately that has been affecting your well-being?

What role does your family or community play in your mental health and well-being?

How do you understand the feelings or thoughts you’re experiencing? Are there specific words or terms in your language that describe what you’re going through?

How comfortable are you talking about your mental health with your friends or family? Are there certain things you might not feel comfortable sharing?

How can I best support you in your mental health journey? Are there specific things you need or want from me as a clinician?

Content informed and developed with input from people living with PsA and an expert steering committee. The items above are not an all-inclusive list and may not apply to all patients living with PsA.

  1. Armstrong AW, Bohannan B, Mburu S, et al. Patient perspectives on psoriatic disease burden: Results from the Global Psoriasis and Beyond Survey. Dermatology. 2023;239(4):621-634. doi: 10.1159/000528945
  2. Healy M, Richard A, Kidia K. How to reduce stigma and bias in clinical communication: A narrative review. J Gen Intern Med. 2022;37(10):2533-2540. doi:10.1007/s11606-022-07609-y
  3. Temple Health. Reduce Stigmatizing Language in Healthcare. Core Principles. Accessed May 22, 2026. https://www.templehealth.org/for-healthcare-professionals/reduce-stigmatizing-language/core-principles
  4. Zhao SS, Miller N, Harrison N, et al. Systematic review of mental health comorbidities in psoriatic arthritis. Clin Rheumatol. 2020;39(1):217-225. doi: 10.1007/s10067-019-04734-8