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In reading Joe Dolson’s recent piece on the intersection of AI and accessibility, I absolutely appreciated the skepticism that he has for AI in general as well as for the ways that many have been using it. In fact, I’m very skeptical of AI myself, despite my role at Microsoft as an accessibility innovation strategist who helps run the AI for Accessibility grant program. As with any tool, AI can be used in very constructive, inclusive, and accessible ways; and it can also be used in destructive, exclusive, and harmful ones. And there are a ton of uses somewhere in the mediocre middle as well.
I’d like you to consider this a “yes… and” piece to complement Joe’s post. I’m not trying to refute any of what he’s saying but rather provide some visibility to projects and opportunities where AI can make meaningful differences for people with disabilities. To be clear, I’m not saying that there aren’t real risks or pressing issues with AI that need to be addressed—there are, and we’ve needed to address them, like, yesterday—but I want to take a little time to talk about what’s possible in hopes that we’ll get there one day.
Joe’s piece spends a lot of time talking about computer-vision models generating alternative text. He highlights a ton of valid issues with the current state of things. And while computer-vision models continue to improve in the quality and richness of detail in their descriptions, their results aren’t great. As he rightly points out, the current state of image analysis is pretty poor—especially for certain image types—in large part because current AI systems examine images in isolation rather than within the contexts that they’re in (which is a consequence of having separate “foundation” models for text analysis and image analysis). Today’s models aren’t trained to distinguish between images that are contextually relevant (that should probably have descriptions) and those that are purely decorative (which might not need a description) either. Still, I still think there’s potential in this space.
As Joe mentions, human-in-the-loop authoring of alt text should absolutely be a thing. And if AI can pop in to offer a starting point for alt text—even if that starting point might be a prompt saying What is this BS? That’s not right at all… Let me try to offer a starting point—I think that’s a win.
Taking things a step further, if we can specifically train a model to analyze image usage in context, it could help us more quickly identify which images are likely to be decorative and which ones likely require a description. That will help reinforce which contexts call for image descriptions and it’ll improve authors’ efficiency toward making their pages more accessible.
While complex images—like graphs and charts—are challenging to describe in any sort of succinct way (even for humans), the image example shared in the GPT4 announcement points to an interesting opportunity as well. Let’s suppose that you came across a chart whose description was simply the title of the chart and the kind of visualization it was, such as: Pie chart comparing smartphone usage to feature phone usage among US households making under $30,000 a year. (That would be a pretty awful alt text for a chart since that would tend to leave many questions about the data unanswered, but then again, let’s suppose that that was the description that was in place.) If your browser knew that that image was a pie chart (because an onboard model concluded this), imagine a world where users could ask questions like these about the graphic:
Setting aside the realities of large language model (LLM) hallucinations—where a model just makes up plausible-sounding “facts”—for a moment, the opportunity to learn more about images and data in this way could be revolutionary for blind and low-vision folks as well as for people with various forms of color blindness, cognitive disabilities, and so on. It could also be useful in educational contexts to help people who can see these charts, as is, to understand the data in the charts.
Taking things a step further: What if you could ask your browser to simplify a complex chart? What if you could ask it to isolate a single line on a line graph? What if you could ask your browser to transpose the colors of the different lines to work better for form of color blindness you have? What if you could ask it to swap colors for patterns? Given these tools’ chat-based interfaces and our existing ability to manipulate images in today’s AI tools, that seems like a possibility.
Now imagine a purpose-built model that could extract the information from that chart and convert it to another format. For example, perhaps it could turn that pie chart (or better yet, a series of pie charts) into more accessible (and useful) formats, like spreadsheets. That would be amazing!
Safiya Umoja Noble absolutely hit the nail on the head when she titled her book Algorithms of Oppression. While her book was focused on the ways that search engines reinforce racism, I think that it’s equally true that all computer models have the potential to amplify conflict, bias, and intolerance. Whether it’s Twitter always showing you the latest tweet from a bored billionaire, YouTube sending us into a Q-hole, or Instagram warping our ideas of what natural bodies look like, we know that poorly authored and maintained algorithms are incredibly harmful. A lot of this stems from a lack of diversity among the people who shape and build them. When these platforms are built with inclusively baked in, however, there’s real potential for algorithm development to help people with disabilities.
Take Mentra, for example. They are an employment network for neurodivergent people. They use an algorithm to match job seekers with potential employers based on over 75 data points. On the job-seeker side of things, it considers each candidate’s strengths, their necessary and preferred workplace accommodations, environmental sensitivities, and so on. On the employer side, it considers each work environment, communication factors related to each job, and the like. As a company run by neurodivergent folks, Mentra made the decision to flip the script when it came to typical employment sites. They use their algorithm to propose available candidates to companies, who can then connect with job seekers that they are interested in; reducing the emotional and physical labor on the job-seeker side of things.
When more people with disabilities are involved in the creation of algorithms, that can reduce the chances that these algorithms will inflict harm on their communities. That’s why diverse teams are so important.
Imagine that a social media company’s recommendation engine was tuned to analyze who you’re following and if it was tuned to prioritize follow recommendations for people who talked about similar things but who were different in some key ways from your existing sphere of influence. For example, if you were to follow a bunch of nondisabled white male academics who talk about AI, it could suggest that you follow academics who are disabled or aren’t white or aren’t male who also talk about AI. If you took its recommendations, perhaps you’d get a more holistic and nuanced understanding of what’s happening in the AI field. These same systems should also use their understanding of biases about particular communities—including, for instance, the disability community—to make sure that they aren’t recommending any of their users follow accounts that perpetuate biases against (or, worse, spewing hate toward) those groups.
If I weren’t trying to put this together between other tasks, I’m sure that I could go on and on, providing all kinds of examples of how AI could be used to help people with disabilities, but I’m going to make this last section into a bit of a lightning round. In no particular order:
We need to recognize that our differences matter. Our lived experiences are influenced by the intersections of the identities that we exist in. These lived experiences—with all their complexities (and joys and pain)—are valuable inputs to the software, services, and societies that we shape. Our differences need to be represented in the data that we use to train new models, and the folks who contribute that valuable information need to be compensated for sharing it with us. Inclusive data sets yield more robust models that foster more equitable outcomes.
Want a model that doesn’t demean or patronize or objectify people with disabilities? Make sure that you have content about disabilities that’s authored by people with a range of disabilities, and make sure that that’s well represented in the training data.
Want a model that doesn’t use ableist language? You may be able to use existing data sets to build a filter that can intercept and remediate ableist language before it reaches readers. That being said, when it comes to sensitivity reading, AI models won’t be replacing human copy editors anytime soon.
Want a coding copilot that gives you accessible recommendations from the jump? Train it on code that you know to be accessible.
I have no doubt that AI can and will harm people… today, tomorrow, and well into the future. But I also believe that we can acknowledge that and, with an eye towards accessibility (and, more broadly, inclusion), make thoughtful, considerate, and intentional changes in our approaches to AI that will reduce harm over time as well. Today, tomorrow, and well into the future.
Many thanks to Kartik Sawhney for helping me with the development of this piece, Ashley Bischoff for her invaluable editorial assistance, and, of course, Joe Dolson for the prompt.
I am a creative. What I do is alchemy. It is a mystery. I do not so much do it, as let it be done through me.
I am a creative. Not all creative people like this label. Not all see themselves this way. Some creative people see science in what they do. That is their truth, and I respect it. Maybe I even envy them, a little. But my process is different—my being is different.
Apologizing and qualifying in advance is a distraction. That’s what my brain does to sabotage me. I set it aside for now. I can come back later to apologize and qualify. After I’ve said what I came to say. Which is hard enough.
Except when it is easy and flows like a river of wine.
Sometimes it does come that way. Sometimes what I need to create comes in an instant. I have learned not to say it at that moment, because if you admit that sometimes the idea just comes and it is the best idea and you know it is the best idea, they think you don’t work hard enough.
Sometimes I work and work and work until the idea comes. Sometimes it comes instantly and I don’t tell anyone for three days. Sometimes I’m so excited by the idea that came instantly that I blurt it out, can’t help myself. Like a boy who found a prize in his Cracker Jacks. Sometimes I get away with this. Sometimes other people agree: yes, that is the best idea. Most times they don’t and I regret having given way to enthusiasm.
Enthusiasm is best saved for the meeting where it will make a difference. Not the casual get-together that precedes that meeting by two other meetings. Nobody knows why we have all these meetings. We keep saying we’re doing away with them, but then just finding other ways to have them. Sometimes they are even good. But other times they are a distraction from the actual work. The proportion between when meetings are useful, and when they are a pitiful distraction, varies, depending on what you do and where you do it. And who you are and how you do it. Again I digress. I am a creative. That is the theme.
Sometimes many hours of hard and patient work produce something that is barely serviceable. Sometimes I have to accept that and move on to the next project.
I am a creative. I don’t control my dreams. And I don’t control my best ideas.
I can hammer away, surround myself with facts or images, and sometimes that works. I can go for a walk, and sometimes that works. I can be making dinner and there’s a Eureka having nothing to do with sizzling oil and bubbling pots. Often I know what to do the instant I wake up. And then, almost as often, as I become conscious and part of the world again, the idea that would have saved me turns to vanishing dust in a mindless wind of oblivion. For creativity, I believe, comes from that other world. The one we enter in dreams, and perhaps, before birth and after death. But that’s for poets to wonder, and I am not a poet. I am a creative. And it’s for theologians to mass armies about in their creative world that they insist is real. But that is another digression. And a depressing one. Maybe on a much more important topic than whether I am a creative or not. But still a digression from what I came here to say.
Sometimes the process is avoidance. And agony. You know the cliché about the tortured artist? It’s true, even when the artist (and let’s put that noun in quotes) is trying to write a soft drink jingle, a callback in a tired sitcom, a budget request.
Some people who hate being called creative may be closeted creatives, but that’s between them and their gods. No offense meant. Your truth is true, too. But mine is for me.
Creatives recognize creatives like queers recognize queers, like real rappers recognize real rappers, like cons know cons. Creatives feel massive respect for creatives. We love, honor, emulate, and practically deify the great ones. To deify any human is, of course, a tragic mistake. We have been warned. We know better. We know people are just people. They squabble, they are lonely, they regret their most important decisions, they are poor and hungry, they can be cruel, they can be just as stupid as we can, because, like us, they are clay. But. But. But they make this amazing thing. They birth something that did not exist before them, and could not exist without them. They are the mothers of ideas. And I suppose, since it’s just lying there, I have to add that they are the mothers of invention. Ba dum bum! OK, that’s done. Continue.
Creatives belittle our own small achievements, because we compare them to those of the great ones. Beautiful animation! Well, I’m no Miyazaki. Now THAT is greatness. That is greatness straight from the mind of God. This half-starved little thing that I made? It more or less fell off the back of the turnip truck. And the turnips weren’t even fresh.
Creatives knows that, at best, they are Salieri. Even the creatives who are Mozart believe that.
I am a creative. I haven’t worked in advertising in 30 years, but in my nightmares, it’s my former creative directors who judge me. And they are right to do so. I am too lazy, too facile, and when it really counts, my mind goes blank. There is no pill for creative dysfunction.
I am a creative. Every deadline I make is an adventure that makes Indiana Jones look like a pensioner snoring in a deck chair. The longer I remain a creative, the faster I am when I do my work and the longer I brood and walk in circles and stare blankly before I do that work.
I am still 10 times faster than people who are not creative, or people who have only been creative a short while, or people who have only been professionally creative a short while. It’s just that, before I work 10 times as fast as they do, I spend twice as long as they do putting the work off. I am that confident in my ability to do a great job when I put my mind to it. I am that addicted to the adrenaline rush of postponement. I am still that afraid of the jump.
I am a creative. Not an artist. Though I dreamed, as a lad, of someday being that. Some of us belittle our gifts and dislike ourselves because we are not Michelangelos and Warhols. That is narcissism—but at least we aren’t in politics.
I am a creative. Though I believe in reason and science, I decide by intuition and impulse. And live with what follows—the catastrophes as well as the triumphs.
I am a creative. Every word I’ve said here will annoy other creatives, who see things differently. Ask two creatives a question, get three opinions. Our disagreement, our passion about it, and our commitment to our own truth are, at least to me, the proofs that we are creatives, no matter how we may feel about it.
I am a creative. I lament my lack of taste in the areas about which I know very little, which is to say almost all areas of human knowledge. And I trust my taste above all other things in the areas closest to my heart, or perhaps, more accurately, to my obsessions. Without my obsessions, I would probably have to spend my time looking life in the eye, and almost none of us can do that for long. Not honestly. Not really. Because much in life, if you really look at it, is unbearable.
I am a creative. I believe, as a parent believes, that when I am gone, some small good part of me will carry on in the mind of at least one other person.
I am a creative. I live in dread of my small gift suddenly going away.
I am a creative. I am too busy making the next thing to spend too much time deeply considering that almost nothing I make will come anywhere near the greatness I comically aspire to.
I am a creative. I believe in the ultimate mystery of process. I believe in it so much, I am even fool enough to publish an essay I dictated into a tiny machine and didn’t take time to review or revise. I won’t do this often, I promise. But I did it just now, because, as afraid as I might be of your seeing through my pitiful gestures toward the beautiful, I was even more afraid of forgetting what I came to say.
There. I think I’ve said it.
Picture this. You’ve joined a squad at your company that’s designing new product features with an emphasis on automation or AI. Or your company has just implemented a personalization engine. Either way, you’re designing with data. Now what? When it comes to designing for personalization, there are many cautionary tales, no overnight successes, and few guides for the perplexed.
Between the fantasy of getting it right and the fear of it going wrong—like when we encounter “persofails” in the vein of a company repeatedly imploring everyday consumers to buy additional toilet seats—the personalization gap is real. It’s an especially confounding place to be a digital professional without a map, a compass, or a plan.
For those of you venturing into personalization, there’s no Lonely Planet and few tour guides because effective personalization is so specific to each organization’s talent, technology, and market position.
But you can ensure that your team has packed its bags sensibly.
There’s a DIY formula to increase your chances for success. At minimum, you’ll defuse your boss’s irrational exuberance. Before the party you’ll need to effectively prepare.
We call it prepersonalization.
Consider Spotify’s DJ feature, which debuted this past year.
We’re used to seeing the polished final result of a personalization feature. Before the year-end award, the making-of backstory, or the behind-the-scenes victory lap, a personalized feature had to be conceived, budgeted, and prioritized. Before any personalization feature goes live in your product or service, it lives amid a backlog of worthy ideas for expressing customer experiences more dynamically.
So how do you know where to place your personalization bets? How do you design consistent interactions that won’t trip up users or—worse—breed mistrust? We’ve found that for many budgeted programs to justify their ongoing investments, they first needed one or more workshops to convene key stakeholders and internal customers of the technology. Make yours count.
From Big Tech to fledgling startups, we’ve seen the same evolution up close with our clients. In our experiences with working on small and large personalization efforts, a program’s ultimate track record—and its ability to weather tough questions, work steadily toward shared answers, and organize its design and technology efforts—turns on how effectively these prepersonalization activities play out.
Time and again, we’ve seen effective workshops separate future success stories from unsuccessful efforts, saving countless time, resources, and collective well-being in the process.
A personalization practice involves a multiyear effort of testing and feature development. It’s not a switch-flip moment in your tech stack. It’s best managed as a backlog that often evolves through three steps:
This is why we created our progressive personalization framework and why we’re field-testing an accompanying deck of cards: we believe that there’s a base grammar, a set of “nouns and verbs” that your organization can use to design experiences that are customized, personalized, or automated. You won’t need these cards. But we strongly recommend that you create something similar, whether that might be digital or physical.
How long does it take to cook up a prepersonalization workshop? The surrounding assessment activities that we recommend including can (and often do) span weeks. For the core workshop, we recommend aiming for two to three days. Here’s a summary of our broader approach along with details on the essential first-day activities.
The full arc of the wider workshop is threefold:
Give yourself at least a day, split into two large time blocks, to power through a concentrated version of those first two phases.
We call the first lesson the “landscape of connected experience.” It explores the personalization possibilities in your organization. A connected experience, in our parlance, is any UX requiring the orchestration of multiple systems of record on the backend. This could be a content-management system combined with a marketing-automation platform. It could be a digital-asset manager combined with a customer-data platform.
Spark conversation by naming consumer examples and business-to-business examples of connected experience interactions that you admire, find familiar, or even dislike. This should cover a representative range of personalization patterns, including automated app-based interactions (such as onboarding sequences or wizards), notifications, and recommenders. We have a catalog of these in the cards. Here’s a list of 142 different interactions to jog your thinking.
This is all about setting the table. What are the possible paths for the practice in your organization? If you want a broader view, here’s a long-form primer and a strategic framework.
Assess each example that you discuss for its complexity and the level of effort that you estimate that it would take for your team to deliver that feature (or something similar). In our cards, we divide connected experiences into five levels: functions, features, experiences, complete products, and portfolios. Size your own build here. This will help to focus the conversation on the merits of ongoing investment as well as the gap between what you deliver today and what you want to deliver in the future.
Next, have your team plot each idea on the following 2×2 grid, which lays out the four enduring arguments for a personalized experience. This is critical because it emphasizes how personalization can not only help your external customers but also affect your own ways of working. It’s also a reminder (which is why we used the word argument earlier) of the broader effort beyond these tactical interventions.
Each team member should vote on where they see your product or service putting its emphasis. Naturally, you can’t prioritize all of them. The intention here is to flesh out how different departments may view their own upsides to the effort, which can vary from one to the next. Documenting your desired outcomes lets you know how the team internally aligns across representatives from different departments or functional areas.
The third and final kickstart activity is about naming your personalization gap. Is your customer journey well documented? Will data and privacy compliance be too big of a challenge? Do you have content metadata needs that you have to address? (We’re pretty sure that you do: it’s just a matter of recognizing the relative size of that need and its remedy.) In our cards, we’ve noted a number of program risks, including common team dispositions. Our Detractor card, for example, lists six stakeholder behaviors that hinder progress.
Effectively collaborating and managing expectations is critical to your success. Consider the potential barriers to your future progress. Press the participants to name specific steps to overcome or mitigate those barriers in your organization. As studies have shown, personalization efforts face many common barriers.
At this point, you’ve hopefully discussed sample interactions, emphasized a key area of benefit, and flagged key gaps? Good—you’re ready to continue.
Next, let’s look at what you’ll need to bring your personalization recipes to life. Personalization engines, which are robust software suites for automating and expressing dynamic content, can intimidate new customers. Their capabilities are sweeping and powerful, and they present broad options for how your organization can conduct its activities. This presents the question: Where do you begin when you’re configuring a connected experience?
What’s important here is to avoid treating the installed software like it were a dream kitchen from some fantasy remodeling project (as one of our client executives memorably put it). These software engines are more like test kitchens where your team can begin devising, tasting, and refining the snacks and meals that will become a part of your personalization program’s regularly evolving menu.
The ultimate menu of the prioritized backlog will come together over the course of the workshop. And creating “dishes” is the way that you’ll have individual team stakeholders construct personalized interactions that serve their needs or the needs of others.
The dishes will come from recipes, and those recipes have set ingredients.
Like a good product manager, you’ll make sure—andyou’ll validate with the right stakeholders present—that you have all the ingredients on hand to cook up your desired interaction (or that you can work out what needs to be added to your pantry). These ingredients include the audience that you’re targeting, content and design elements, the context for the interaction, and your measure for how it’ll come together.
This isn’t just about discovering requirements. Documenting your personalizations as a series of if-then statements lets the team:
This helps you streamline your designs and your technical efforts while you deliver a shared palette of core motifs of your personalized or automated experience.
What ingredients are important to you? Think of a who-what-when-why construct:
We first developed these cards and card categories five years ago. We regularly play-test their fit with conference audiences and clients. And we still encounter new possibilities. But they all follow an underlying who-what-when-why logic.
Here are three examples for a subscription-based reading app, which you can generally follow along with right to left in the cards in the accompanying photo below.
A useful preworkshop activity may be to think through a first draft of what these cards might be for your organization, although we’ve also found that this process sometimes flows best through cocreating the recipes themselves. Start with a set of blank cards, and begin labeling and grouping them through the design process, eventually distilling them to a refined subset of highly useful candidate cards.
You can think of the later stages of the workshop as moving from recipes toward a cookbook in focus—like a more nuanced customer-journey mapping. Individual “cooks” will pitch their recipes to the team, using a common jobs-to-be-done format so that measurability and results are baked in, and from there, the resulting collection will be prioritized for finished design and delivery to production.
Simplifying a customer experience is a complicated effort for those who are inside delivering it. Beware anyone who says otherwise. With that being said, “Complicated problems can be hard to solve, but they are addressable with rules and recipes.”
When personalization becomes a laugh line, it’s because a team is overfitting: they aren’t designing with their best data. Like a sparse pantry, every organization has metadata debt to go along with its technical debt, and this creates a drag on personalization effectiveness. Your AI’s output quality, for example, is indeed limited by your IA. Spotify’s poster-child prowess today was unfathomable before they acquired a seemingly modest metadata startup that now powers its underlying information architecture.
Personalization technology opens a doorway into a confounding ocean of possible designs. Only a disciplined and highly collaborative approach will bring about the necessary focus and intention to succeed. So banish the dream kitchen. Instead, hit the test kitchen to save time, preserve job satisfaction and security, and safely dispense with the fanciful ideas that originate upstairs of the doers in your organization. There are meals to serve and mouths to feed.
This workshop framework gives you a fighting shot at lasting success as well as sound beginnings. Wiring up your information layer isn’t an overnight affair. But if you use the same cookbook and shared recipes, you’ll have solid footing for success. We designed these activities to make your organization’s needs concrete and clear, long before the hazards pile up.
While there are associated costs toward investing in this kind of technology and product design, your ability to size up and confront your unique situation and your digital capabilities is time well spent. Don’t squander it. The proof, as they say, is in the pudding.
Ever since I was a boy, I’ve been fascinated with movies. I loved the characters and the excitement—but most of all the stories. I wanted to be an actor. And I believed that I’d get to do the things that Indiana Jones did and go on exciting adventures. I even dreamed up ideas for movies that my friends and I could make and star in. But they never went any further. I did, however, end up working in user experience (UX). Now, I realize that there’s an element of theater to UX—I hadn’t really considered it before, but user research is storytelling. And to get the most out of user research, you need to tell a good story where you bring stakeholders—the product team and decision makers—along and get them interested in learning more.
Think of your favorite movie. More than likely it follows a three-act structure that’s commonly seen in storytelling: the setup, the conflict, and the resolution. The first act shows what exists today, and it helps you get to know the characters and the challenges and problems that they face. Act two introduces the conflict, where the action is. Here, problems grow or get worse. And the third and final act is the resolution. This is where the issues are resolved and the characters learn and change. I believe that this structure is also a great way to think about user research, and I think that it can be especially helpful in explaining user research to others.
It’s sad to say, but many have come to see research as being expendable. If budgets or timelines are tight, research tends to be one of the first things to go. Instead of investing in research, some product managers rely on designers or—worse—their own opinion to make the “right” choices for users based on their experience or accepted best practices. That may get teams some of the way, but that approach can so easily miss out on solving users’ real problems. To remain user-centered, this is something we should avoid. User research elevates design. It keeps it on track, pointing to problems and opportunities. Being aware of the issues with your product and reacting to them can help you stay ahead of your competitors.
In the three-act structure, each act corresponds to a part of the process, and each part is critical to telling the whole story. Let’s look at the different acts and how they align with user research.
The setup is all about understanding the background, and that’s where foundational research comes in. Foundational research (also called generative, discovery, or initial research) helps you understand users and identify their problems. You’re learning about what exists today, the challenges users have, and how the challenges affect them—just like in the movies. To do foundational research, you can conduct contextual inquiries or diary studies (or both!), which can help you start to identify problems as well as opportunities. It doesn’t need to be a huge investment in time or money.
Erika Hall writes about minimum viable ethnography, which can be as simple as spending 15 minutes with a user and asking them one thing: “‘Walk me through your day yesterday.’ That’s it. Present that one request. Shut up and listen to them for 15 minutes. Do your damndest to keep yourself and your interests out of it. Bam, you’re doing ethnography.” According to Hall, “[This] will probably prove quite illuminating. In the highly unlikely case that you didn’t learn anything new or useful, carry on with enhanced confidence in your direction.”
This makes total sense to me. And I love that this makes user research so accessible. You don’t need to prepare a lot of documentation; you can just recruit participants and do it! This can yield a wealth of information about your users, and it’ll help you better understand them and what’s going on in their lives. That’s really what act one is all about: understanding where users are coming from.
Jared Spool talks about the importance of foundational research and how it should form the bulk of your research. If you can draw from any additional user data that you can get your hands on, such as surveys or analytics, that can supplement what you’ve heard in the foundational studies or even point to areas that need further investigation. Together, all this data paints a clearer picture of the state of things and all its shortcomings. And that’s the beginning of a compelling story. It’s the point in the plot where you realize that the main characters—or the users in this case—are facing challenges that they need to overcome. Like in the movies, this is where you start to build empathy for the characters and root for them to succeed. And hopefully stakeholders are now doing the same. Their sympathy may be with their business, which could be losing money because users can’t complete certain tasks. Or maybe they do empathize with users’ struggles. Either way, act one is your initial hook to get the stakeholders interested and invested.
Once stakeholders begin to understand the value of foundational research, that can open doors to more opportunities that involve users in the decision-making process. And that can guide product teams toward being more user-centered. This benefits everyone—users, the product, and stakeholders. It’s like winning an Oscar in movie terms—it often leads to your product being well received and successful. And this can be an incentive for stakeholders to repeat this process with other products. Storytelling is the key to this process, and knowing how to tell a good story is the only way to get stakeholders to really care about doing more research.
This brings us to act two, where you iteratively evaluate a design or concept to see whether it addresses the issues.
Act two is all about digging deeper into the problems that you identified in act one. This usually involves directional research, such as usability tests, where you assess a potential solution (such as a design) to see whether it addresses the issues that you found. The issues could include unmet needs or problems with a flow or process that’s tripping users up. Like act two in a movie, more issues will crop up along the way. It’s here that you learn more about the characters as they grow and develop through this act.
Usability tests should typically include around five participants according to Jakob Nielsen, who found that that number of users can usually identify most of the problems: “As you add more and more users, you learn less and less because you will keep seeing the same things again and again… After the fifth user, you are wasting your time by observing the same findings repeatedly but not learning much new.”
There are parallels with storytelling here too; if you try to tell a story with too many characters, the plot may get lost. Having fewer participants means that each user’s struggles will be more memorable and easier to relay to other stakeholders when talking about the research. This can help convey the issues that need to be addressed while also highlighting the value of doing the research in the first place.
Researchers have run usability tests in person for decades, but you can also conduct usability tests remotely using tools like Microsoft Teams, Zoom, or other teleconferencing software. This approach has become increasingly popular since the beginning of the pandemic, and it works well. You can think of in-person usability tests like going to a play and remote sessions as more like watching a movie. There are advantages and disadvantages to each. In-person usability research is a much richer experience. Stakeholders can experience the sessions with other stakeholders. You also get real-time reactions—including surprise, agreement, disagreement, and discussions about what they’re seeing. Much like going to a play, where audiences get to take in the stage, the costumes, the lighting, and the actors’ interactions, in-person research lets you see users up close, including their body language, how they interact with the moderator, and how the scene is set up.
If in-person usability testing is like watching a play—staged and controlled—then conducting usability testing in the field is like immersive theater where any two sessions might be very different from one another. You can take usability testing into the field by creating a replica of the space where users interact with the product and then conduct your research there. Or you can go out to meet users at their location to do your research. With either option, you get to see how things work in context, things come up that wouldn’t have in a lab environment—and conversion can shift in entirely different directions. As researchers, you have less control over how these sessions go, but this can sometimes help you understand users even better. Meeting users where they are can provide clues to the external forces that could be affecting how they use your product. In-person usability tests provide another level of detail that’s often missing from remote usability tests.
That’s not to say that the “movies”—remote sessions—aren’t a good option. Remote sessions can reach a wider audience. They allow a lot more stakeholders to be involved in the research and to see what’s going on. And they open the doors to a much wider geographical pool of users. But with any remote session there is the potential of time wasted if participants can’t log in or get their microphone working.
The benefit of usability testing, whether remote or in person, is that you get to see real users interact with the designs in real time, and you can ask them questions to understand their thought processes and grasp of the solution. This can help you not only identify problems but also glean why they’re problems in the first place. Furthermore, you can test hypotheses and gauge whether your thinking is correct. By the end of the sessions, you’ll have a much clearer picture of how usable the designs are and whether they work for their intended purposes. Act two is the heart of the story—where the excitement is—but there can be surprises too. This is equally true of usability tests. Often, participants will say unexpected things, which change the way that you look at things—and these twists in the story can move things in new directions.
Unfortunately, user research is sometimes seen as expendable. And too often usability testing is the only research process that some stakeholders think that they ever need. In fact, if the designs that you’re evaluating in the usability test aren’t grounded in a solid understanding of your users (foundational research), there’s not much to be gained by doing usability testing in the first place. That’s because you’re narrowing the focus of what you’re getting feedback on, without understanding the users’ needs. As a result, there’s no way of knowing whether the designs might solve a problem that users have. It’s only feedback on a particular design in the context of a usability test.
On the other hand, if you only do foundational research, while you might have set out to solve the right problem, you won’t know whether the thing that you’re building will actually solve that. This illustrates the importance of doing both foundational and directional research.
In act two, stakeholders will—hopefully—get to watch the story unfold in the user sessions, which creates the conflict and tension in the current design by surfacing their highs and lows. And in turn, this can help motivate stakeholders to address the issues that come up.
While the first two acts are about understanding the background and the tensions that can propel stakeholders into action, the third part is about resolving the problems from the first two acts. While it’s important to have an audience for the first two acts, it’s crucial that they stick around for the final act. That means the whole product team, including developers, UX practitioners, business analysts, delivery managers, product managers, and any other stakeholders that have a say in the next steps. It allows the whole team to hear users’ feedback together, ask questions, and discuss what’s possible within the project’s constraints. And it lets the UX research and design teams clarify, suggest alternatives, or give more context behind their decisions. So you can get everyone on the same page and get agreement on the way forward.
This act is mostly told in voiceover with some audience participation. The researcher is the narrator, who paints a picture of the issues and what the future of the product could look like given the things that the team has learned. They give the stakeholders their recommendations and their guidance on creating this vision.
Nancy Duarte in the Harvard Business Review offers an approach to structuring presentations that follow a persuasive story. “The most effective presenters use the same techniques as great storytellers: By reminding people of the status quo and then revealing the path to a better way, they set up a conflict that needs to be resolved,” writes Duarte. “That tension helps them persuade the audience to adopt a new mindset or behave differently.”
This type of structure aligns well with research results, and particularly results from usability tests. It provides evidence for “what is”—the problems that you’ve identified. And “what could be”—your recommendations on how to address them. And so on and so forth.
You can reinforce your recommendations with examples of things that competitors are doing that could address these issues or with examples where competitors are gaining an edge. Or they can be visual, like quick mockups of how a new design could look that solves a problem. These can help generate conversation and momentum. And this continues until the end of the session when you’ve wrapped everything up in the conclusion by summarizing the main issues and suggesting a way forward. This is the part where you reiterate the main themes or problems and what they mean for the product—the denouement of the story. This stage gives stakeholders the next steps and hopefully the momentum to take those steps!
While we are nearly at the end of this story, let’s reflect on the idea that user research is storytelling. All the elements of a good story are there in the three-act structure of user research:
The researcher has multiple roles: they’re the storyteller, the director, and the producer. The participants have a small role, but they are significant characters (in the research). And the stakeholders are the audience. But the most important thing is to get the story right and to use storytelling to tell users’ stories through research. By the end, the stakeholders should walk away with a purpose and an eagerness to resolve the product’s ills.
So the next time that you’re planning research with clients or you’re speaking to stakeholders about research that you’ve done, think about how you can weave in some storytelling. Ultimately, user research is a win-win for everyone, and you just need to get stakeholders interested in how the story ends.
They double as work bags, too.
If you have psoriasis, it sometimes feels like you’d do anything to relieve that never-ending itch. The chronic skin condition happens when your skin cells multiply too quickly—leaving you with thick, scaly patches called plaques. While you may find yourself scratching at all hours of the day, itchiness can be particularly noticeable when you first wake up in the morning. This is why a morning routine for psoriasis can be essential.
Besides itching, psoriasis can come with other uncomfortable symptoms like skin and joint pain, nail issues, or inflammation—depending on the type, per the Mayo Clinic. While there’s no cure for the condition, there are topical treatments, oral meds, and other therapies you can try to reduce flares. These along with home remedies can really help, too.
“The morning is a great time to form healthy habits for psoriasis,” says Y. Claire Chang, MD, board-certified dermatologist at Union Square Laser Dermatology in New York City. “Establishing a morning routine helps create consistency,” Dr. Chang says. “It is easier to remember when you first wake up rather than when you are busy and interrupted during the day.”
Treating psoriasis, like many other health conditions, requires consistency and self-care to help you feel your best. Read on to learn how to manage your psoriasis with healthy morning habits.
“Showering in the morning can be particularly beneficial to individuals with psoriasis to hydrate the skin and soften the psoriatic plaques,” Dr. Chang says. The warm water can “help gently remove scales without causing trauma to the skin,” she adds.
What’s more, “showering helps prepare the skin for application of topical treatments and moisturizers,” Dr. Chang says. Damp skin can more easily absorb things like moisturizers and other topical treatments.
Here are a few of Dr. Chang’s tips to get the biggest skin benefits during shower time:
“Moisturizers are crucial in delivering hydration to the skin and helping to protect the skin barrier,” Dr. Chang says. While moisturizing on the regular is a good general rule for everyone, it’s especially essential for folks with psoriasis.
“Those with psoriasis typically have higher transepidermal water loss (TEWL) and lower skin hydration,” Dr. Chang says. In people with psoriasis, using emollients (the ingredients in moisturizers that soothe dryness or irritation and protect the skin’s outer layer) can improve skin barrier function, according to a small July 2021 study in Life (Basel).
Moisturizing in the morning has big benefits. Here are just a few, per Dr. Chang:
“While prescription steroid and vitamin D analog creams are considered first-line treatments for psoriasis, effective over-the-counter (OTC) moisturizers and topicals are also available to be used in combination with prescriptions,” Dr. Chang says. But with so many skin care products on the market, it can be confusing to know which ones are best. The key to improving skin health when you have psoriasis is using the right topicals. In other words, what’s in the products makes all the difference.
The next time you take a trip to the drugstore, look for products with these ingredients:
Apply skin care products to moist, damp skin. This “enhances absorption of the topicals” and makes them more effective, Dr. Chang says.
Dr. Chang’s OTC skin care product recommendations include the following:

This cream is “formulated with 2 percent salicylic acid and lactic acid to reduce the scales and flaking of psoriasis, niacinamide to soothe the skin, and essential ceramides to repair and protect the skin barrier,” Dr. Chang says.

This shampoo “contains 3 percent salicylic acid to help clear crusty scalp scales to improve symptoms of scalp psoriasis,” Dr. Chang says. “By removing the thicker scales, other topicals like steroid solutions may absorb more effectively into the skin.” The fragrance-free formulation is also gentle enough for sensitive skin and all hair types.

This product is an “intensely nourishing body cream with an oat-based formula and infused with shea butter to help hydrate and replenish the skin,” Dr. Chang says. You can slather this on after the shower, right before bed, or any time of the day when skin is feeling dry or flaky.
<!– –>

This cream “contains a powerful hydrating combination of ceramides, shea butter, glycerin, and niacinamide to repair the skin barrier and moisturize the skin,” Dr. Chang says. It comes with a travel and full-size bottle and the formulation is light enough that it won’t feel thick or greasy on the skin.
Whether you have psoriasis or not, applying SPF every morning is a must. That’s because “repeated sun exposure without protection can lead to photo damage, including increased risk of skin cancer and premature aging,” Dr. Chang says.
Unfortunately, people with psoriasis are at greater risk of sun damage because of their compromised skin barriers, which may make skin more susceptible to UV damage, says Dr. Chang. Additionally, certain treatments for psoriasis—like topical retinoids and salicylic acid—may increase skin sensitivity to sunlight, she adds. On top of this, “psoriasis can lead to post-inflammatory hyperpigmentation (darker patches) on the skin, especially in darker skinned patients,” Dr. Chang adds. “Sunscreen is critical in minimizing the risk of PIH.”
All this to say, applying SPF to your face and body as part of your morning routine for psoriasis is key. Dr. Chang recommends broad-spectrum sunscreens, “ideally with mineral UV blockers.”
We know that too much sun exposure can be harmful for your skin (hence the SPF recommendation above), but a little dose of daily sunlight might be just what the doctor ordered for your psoriasis patches. This can be in the form of controlled amounts of sunlight or UV, says Dr. Chang. It’s beneficial because “UVB has anti-inflammatory properties that can reduce inflammation associated with psoriasis, as well as slow down the rapid proliferation of skin cells characteristic of psoriasis,” she adds.
And research backs this up. Phototherapy (i.e., the use of narrowband UVB rays) is an effective, safe treatment for people with psoriasis that has no systemic side effects, according to an October 2017 clinical review in Lasers in Medical Science.
Okay, that’s for artificial light, but what’s the sweet spot for actual sunlight? According to Dr. Chang, it’s about five to 10 minutes of sun exposure daily. “To get an appropriate amount of sun while minimizing risk of sunburn long-term skin damage, it’s important to start with short sessions,” she adds. “If tolerated well, you can gradually increase duration to 15 to 20 minutes total per day.”
Just remember to still always wear broadband SPF on all areas of your skin, and to go out during less intense sunlight hours—like early morning, per Dr. Chang.
“Psoriasis is a multifactorial disease,” Dr. Chang says. Meaning, it has a variety of causes and triggers. While genetics plays a role, lifestyle and diet can also have an effect on psoriasis, she says. In fact, some research suggests that what you eat can help manage this skin condition.
Dr. Chang points to a July 2022 paper in Dermatologic Therapy which found that “low-calorie, Mediterranean, and protein-restricted or vegetarian diets may be beneficial in reducing psoriasis severity.” The researchers also concluded that diets rich in omega-3 polyunsaturated fatty acids as well as fruits and vegetables can keep psoriasis flares at bay. Some foods with omega-3s include walnuts, salmon, and flaxseed oil.
For breakfast, this may look like a yogurt bowl topped with fruit, walnuts, and flaxseeds, or a bagel with lox and avocado.
“Choosing the right fabrics and clothing can help manage your psoriasis,” Dr. Chang says. This is because psoriasis-affected areas of the skin are sensitive and highly prone to irritation, she adds. “Tight or rough clothing can cause friction and worsen skin irritation and itching.” Instead, try to wear breathable, light fabrics to minimize irritation and reduce sweat buildup, which can inflame the skin even more, Dr. Chang says. So as you’re dressing for the day, opt for materials like cotton, linen, or any other breathable fabric.
Stress is a big risk factor for psoriasis (and overall skin inflammation), Dr. Chang says. Scientists hypothesize that stress triggers the release of chemicals in your body that cause an inflammatory response, according to Harvard Health Publishing. And this pro-inflammatory reaction can contribute to psoriasis flares.
Thus, learning to keep your stress in check is essential. Adding a relaxing practice to the beginning of your day can help. Here are a few tips from the American Academy of Dermatology Association (AAD) to reduce your risk of psoriasis flare-ups from stress:
Working out is also a wonderful way to bust stress (and maintain overall health). Plus, it has some bonuses for psoriasis, too, Dr. Chang says. The same Dermatologic Therapy paper noted that regular exercise and physical activity may help improve psoriasis.
We know this is not necessarily tied to a morning routine, but studies suggest that smoking may worsen psoriasis severity, Dr. Chang says. This is why it’s important to prioritize quitting, not just for your overall health, but your skin health, too. While the connection between smoking and psoriasis isn’t totally clear, doctors have some theories—one being that smoking increases certain molecules that regulate the immune system, per the National Psoriasis Foundation. These molecules include:
Here are a few tips to reduce the risk of flare-ups from smoking, per the AAD:
Establishing a morning routine for psoriasis relief can set you up for less itching throughout the day. This is especially true if you’re pairing home remedies with more conventional treatments from your doctor. If you have psoriasis, it’s best to check in with your doctor at least every six months, per Harvard Health Publishing. In the meantime, keep a close eye on your skin. If you notice any changes or have a rash that’s not going away (or getting worse) see your dermatologists ASAP.
Dr. Chang agrees that regular follow-ups with your dermatologist are important, in case any changes need to be made to your treatment plan. She also says visiting your primary care doctor on a regular basis is important, too, as psoriasis can come with risk of other health conditions like arthritis. Your doctor can help you feel your best by treating your symptoms.
Love.Life is your doctor’s office, spa, gym, and local cafe all in one.
If you have psoriasis, it sometimes feels like you’d do anything to relieve that never-ending itch. The chronic skin condition happens when your skin cells multiply too quickly—leaving you with thick, scaly patches called plaques. While you may find yourself scratching at all hours of the day, itchiness can be particularly noticeable when you first wake up in the morning. This is why a morning routine for psoriasis can be essential.
Besides itching, psoriasis can come with other uncomfortable symptoms like skin and joint pain, nail issues, or inflammation—depending on the type, per the Mayo Clinic. While there’s no cure for the condition, there are topical treatments, oral meds, and other therapies you can try to reduce flares. These along with home remedies can really help, too.
“The morning is a great time to form healthy habits for psoriasis,” says Y. Claire Chang, MD, board-certified dermatologist at Union Square Laser Dermatology in New York City. “Establishing a morning routine helps create consistency,” Dr. Chang says. “It is easier to remember when you first wake up rather than when you are busy and interrupted during the day.”
Treating psoriasis, like many other health conditions, requires consistency and self-care to help you feel your best. Read on to learn how to manage your psoriasis with healthy morning habits.
“Showering in the morning can be particularly beneficial to individuals with psoriasis to hydrate the skin and soften the psoriatic plaques,” Dr. Chang says. The warm water can “help gently remove scales without causing trauma to the skin,” she adds.
What’s more, “showering helps prepare the skin for application of topical treatments and moisturizers,” Dr. Chang says. Damp skin can more easily absorb things like moisturizers and other topical treatments.
Here are a few of Dr. Chang’s tips to get the biggest skin benefits during shower time:
“Moisturizers are crucial in delivering hydration to the skin and helping to protect the skin barrier,” Dr. Chang says. While moisturizing on the regular is a good general rule for everyone, it’s especially essential for folks with psoriasis.
“Those with psoriasis typically have higher transepidermal water loss (TEWL) and lower skin hydration,” Dr. Chang says. In people with psoriasis, using emollients (the ingredients in moisturizers that soothe dryness or irritation and protect the skin’s outer layer) can improve skin barrier function, according to a small July 2021 study in Life (Basel).
Moisturizing in the morning has big benefits. Here are just a few, per Dr. Chang:
“While prescription steroid and vitamin D analog creams are considered first-line treatments for psoriasis, effective over-the-counter (OTC) moisturizers and topicals are also available to be used in combination with prescriptions,” Dr. Chang says. But with so many skin care products on the market, it can be confusing to know which ones are best. The key to improving skin health when you have psoriasis is using the right topicals. In other words, what’s in the products makes all the difference.
The next time you take a trip to the drugstore, look for products with these ingredients:
Apply skin care products to moist, damp skin. This “enhances absorption of the topicals” and makes them more effective, Dr. Chang says.
Dr. Chang’s OTC skin care product recommendations include the following:

This cream is “formulated with 2 percent salicylic acid and lactic acid to reduce the scales and flaking of psoriasis, niacinamide to soothe the skin, and essential ceramides to repair and protect the skin barrier,” Dr. Chang says.

This shampoo “contains 3 percent salicylic acid to help clear crusty scalp scales to improve symptoms of scalp psoriasis,” Dr. Chang says. “By removing the thicker scales, other topicals like steroid solutions may absorb more effectively into the skin.” The fragrance-free formulation is also gentle enough for sensitive skin and all hair types.

This product is an “intensely nourishing body cream with an oat-based formula and infused with shea butter to help hydrate and replenish the skin,” Dr. Chang says. You can slather this on after the shower, right before bed, or any time of the day when skin is feeling dry or flaky.
<!– –>

This cream “contains a powerful hydrating combination of ceramides, shea butter, glycerin, and niacinamide to repair the skin barrier and moisturize the skin,” Dr. Chang says. It comes with a travel and full-size bottle and the formulation is light enough that it won’t feel thick or greasy on the skin.
Whether you have psoriasis or not, applying SPF every morning is a must. That’s because “repeated sun exposure without protection can lead to photo damage, including increased risk of skin cancer and premature aging,” Dr. Chang says.
Unfortunately, people with psoriasis are at greater risk of sun damage because of their compromised skin barriers, which may make skin more susceptible to UV damage, says Dr. Chang. Additionally, certain treatments for psoriasis—like topical retinoids and salicylic acid—may increase skin sensitivity to sunlight, she adds. On top of this, “psoriasis can lead to post-inflammatory hyperpigmentation (darker patches) on the skin, especially in darker skinned patients,” Dr. Chang adds. “Sunscreen is critical in minimizing the risk of PIH.”
All this to say, applying SPF to your face and body as part of your morning routine for psoriasis is key. Dr. Chang recommends broad-spectrum sunscreens, “ideally with mineral UV blockers.”
We know that too much sun exposure can be harmful for your skin (hence the SPF recommendation above), but a little dose of daily sunlight might be just what the doctor ordered for your psoriasis patches. This can be in the form of controlled amounts of sunlight or UV, says Dr. Chang. It’s beneficial because “UVB has anti-inflammatory properties that can reduce inflammation associated with psoriasis, as well as slow down the rapid proliferation of skin cells characteristic of psoriasis,” she adds.
And research backs this up. Phototherapy (i.e., the use of narrowband UVB rays) is an effective, safe treatment for people with psoriasis that has no systemic side effects, according to an October 2017 clinical review in Lasers in Medical Science.
Okay, that’s for artificial light, but what’s the sweet spot for actual sunlight? According to Dr. Chang, it’s about five to 10 minutes of sun exposure daily. “To get an appropriate amount of sun while minimizing risk of sunburn long-term skin damage, it’s important to start with short sessions,” she adds. “If tolerated well, you can gradually increase duration to 15 to 20 minutes total per day.”
Just remember to still always wear broadband SPF on all areas of your skin, and to go out during less intense sunlight hours—like early morning, per Dr. Chang.
“Psoriasis is a multifactorial disease,” Dr. Chang says. Meaning, it has a variety of causes and triggers. While genetics plays a role, lifestyle and diet can also have an effect on psoriasis, she says. In fact, some research suggests that what you eat can help manage this skin condition.
Dr. Chang points to a July 2022 paper in Dermatologic Therapy which found that “low-calorie, Mediterranean, and protein-restricted or vegetarian diets may be beneficial in reducing psoriasis severity.” The researchers also concluded that diets rich in omega-3 polyunsaturated fatty acids as well as fruits and vegetables can keep psoriasis flares at bay. Some foods with omega-3s include walnuts, salmon, and flaxseed oil.
For breakfast, this may look like a yogurt bowl topped with fruit, walnuts, and flaxseeds, or a bagel with lox and avocado.
“Choosing the right fabrics and clothing can help manage your psoriasis,” Dr. Chang says. This is because psoriasis-affected areas of the skin are sensitive and highly prone to irritation, she adds. “Tight or rough clothing can cause friction and worsen skin irritation and itching.” Instead, try to wear breathable, light fabrics to minimize irritation and reduce sweat buildup, which can inflame the skin even more, Dr. Chang says. So as you’re dressing for the day, opt for materials like cotton, linen, or any other breathable fabric.
Stress is a big risk factor for psoriasis (and overall skin inflammation), Dr. Chang says. Scientists hypothesize that stress triggers the release of chemicals in your body that cause an inflammatory response, according to Harvard Health Publishing. And this pro-inflammatory reaction can contribute to psoriasis flares.
Thus, learning to keep your stress in check is essential. Adding a relaxing practice to the beginning of your day can help. Here are a few tips from the American Academy of Dermatology Association (AAD) to reduce your risk of psoriasis flare-ups from stress:
Working out is also a wonderful way to bust stress (and maintain overall health). Plus, it has some bonuses for psoriasis, too, Dr. Chang says. The same Dermatologic Therapy paper noted that regular exercise and physical activity may help improve psoriasis.
We know this is not necessarily tied to a morning routine, but studies suggest that smoking may worsen psoriasis severity, Dr. Chang says. This is why it’s important to prioritize quitting, not just for your overall health, but your skin health, too. While the connection between smoking and psoriasis isn’t totally clear, doctors have some theories—one being that smoking increases certain molecules that regulate the immune system, per the National Psoriasis Foundation. These molecules include:
Here are a few tips to reduce the risk of flare-ups from smoking, per the AAD:
Establishing a morning routine for psoriasis relief can set you up for less itching throughout the day. This is especially true if you’re pairing home remedies with more conventional treatments from your doctor. If you have psoriasis, it’s best to check in with your doctor at least every six months, per Harvard Health Publishing. In the meantime, keep a close eye on your skin. If you notice any changes or have a rash that’s not going away (or getting worse) see your dermatologists ASAP.
Dr. Chang agrees that regular follow-ups with your dermatologist are important, in case any changes need to be made to your treatment plan. She also says visiting your primary care doctor on a regular basis is important, too, as psoriasis can come with risk of other health conditions like arthritis. Your doctor can help you feel your best by treating your symptoms.
Are they more satisfying than the real thing? We’ll let you be the judge.
If you have psoriasis, it sometimes feels like you’d do anything to relieve that never-ending itch. The chronic skin condition happens when your skin cells multiply too quickly—leaving you with thick, scaly patches called plaques. While you may find yourself scratching at all hours of the day, itchiness can be particularly noticeable when you first wake up in the morning. This is why a morning routine for psoriasis can be essential.
Besides itching, psoriasis can come with other uncomfortable symptoms like skin and joint pain, nail issues, or inflammation—depending on the type, per the Mayo Clinic. While there’s no cure for the condition, there are topical treatments, oral meds, and other therapies you can try to reduce flares. These along with home remedies can really help, too.
“The morning is a great time to form healthy habits for psoriasis,” says Y. Claire Chang, MD, board-certified dermatologist at Union Square Laser Dermatology in New York City. “Establishing a morning routine helps create consistency,” Dr. Chang says. “It is easier to remember when you first wake up rather than when you are busy and interrupted during the day.”
Treating psoriasis, like many other health conditions, requires consistency and self-care to help you feel your best. Read on to learn how to manage your psoriasis with healthy morning habits.
“Showering in the morning can be particularly beneficial to individuals with psoriasis to hydrate the skin and soften the psoriatic plaques,” Dr. Chang says. The warm water can “help gently remove scales without causing trauma to the skin,” she adds.
What’s more, “showering helps prepare the skin for application of topical treatments and moisturizers,” Dr. Chang says. Damp skin can more easily absorb things like moisturizers and other topical treatments.
Here are a few of Dr. Chang’s tips to get the biggest skin benefits during shower time:
“Moisturizers are crucial in delivering hydration to the skin and helping to protect the skin barrier,” Dr. Chang says. While moisturizing on the regular is a good general rule for everyone, it’s especially essential for folks with psoriasis.
“Those with psoriasis typically have higher transepidermal water loss (TEWL) and lower skin hydration,” Dr. Chang says. In people with psoriasis, using emollients (the ingredients in moisturizers that soothe dryness or irritation and protect the skin’s outer layer) can improve skin barrier function, according to a small July 2021 study in Life (Basel).
Moisturizing in the morning has big benefits. Here are just a few, per Dr. Chang:
“While prescription steroid and vitamin D analog creams are considered first-line treatments for psoriasis, effective over-the-counter (OTC) moisturizers and topicals are also available to be used in combination with prescriptions,” Dr. Chang says. But with so many skin care products on the market, it can be confusing to know which ones are best. The key to improving skin health when you have psoriasis is using the right topicals. In other words, what’s in the products makes all the difference.
The next time you take a trip to the drugstore, look for products with these ingredients:
Apply skin care products to moist, damp skin. This “enhances absorption of the topicals” and makes them more effective, Dr. Chang says.
Dr. Chang’s OTC skin care product recommendations include the following:

This cream is “formulated with 2 percent salicylic acid and lactic acid to reduce the scales and flaking of psoriasis, niacinamide to soothe the skin, and essential ceramides to repair and protect the skin barrier,” Dr. Chang says.

This shampoo “contains 3 percent salicylic acid to help clear crusty scalp scales to improve symptoms of scalp psoriasis,” Dr. Chang says. “By removing the thicker scales, other topicals like steroid solutions may absorb more effectively into the skin.” The fragrance-free formulation is also gentle enough for sensitive skin and all hair types.

This product is an “intensely nourishing body cream with an oat-based formula and infused with shea butter to help hydrate and replenish the skin,” Dr. Chang says. You can slather this on after the shower, right before bed, or any time of the day when skin is feeling dry or flaky.
<!– –>

This cream “contains a powerful hydrating combination of ceramides, shea butter, glycerin, and niacinamide to repair the skin barrier and moisturize the skin,” Dr. Chang says. It comes with a travel and full-size bottle and the formulation is light enough that it won’t feel thick or greasy on the skin.
Whether you have psoriasis or not, applying SPF every morning is a must. That’s because “repeated sun exposure without protection can lead to photo damage, including increased risk of skin cancer and premature aging,” Dr. Chang says.
Unfortunately, people with psoriasis are at greater risk of sun damage because of their compromised skin barriers, which may make skin more susceptible to UV damage, says Dr. Chang. Additionally, certain treatments for psoriasis—like topical retinoids and salicylic acid—may increase skin sensitivity to sunlight, she adds. On top of this, “psoriasis can lead to post-inflammatory hyperpigmentation (darker patches) on the skin, especially in darker skinned patients,” Dr. Chang adds. “Sunscreen is critical in minimizing the risk of PIH.”
All this to say, applying SPF to your face and body as part of your morning routine for psoriasis is key. Dr. Chang recommends broad-spectrum sunscreens, “ideally with mineral UV blockers.”
We know that too much sun exposure can be harmful for your skin (hence the SPF recommendation above), but a little dose of daily sunlight might be just what the doctor ordered for your psoriasis patches. This can be in the form of controlled amounts of sunlight or UV, says Dr. Chang. It’s beneficial because “UVB has anti-inflammatory properties that can reduce inflammation associated with psoriasis, as well as slow down the rapid proliferation of skin cells characteristic of psoriasis,” she adds.
And research backs this up. Phototherapy (i.e., the use of narrowband UVB rays) is an effective, safe treatment for people with psoriasis that has no systemic side effects, according to an October 2017 clinical review in Lasers in Medical Science.
Okay, that’s for artificial light, but what’s the sweet spot for actual sunlight? According to Dr. Chang, it’s about five to 10 minutes of sun exposure daily. “To get an appropriate amount of sun while minimizing risk of sunburn long-term skin damage, it’s important to start with short sessions,” she adds. “If tolerated well, you can gradually increase duration to 15 to 20 minutes total per day.”
Just remember to still always wear broadband SPF on all areas of your skin, and to go out during less intense sunlight hours—like early morning, per Dr. Chang.
“Psoriasis is a multifactorial disease,” Dr. Chang says. Meaning, it has a variety of causes and triggers. While genetics plays a role, lifestyle and diet can also have an effect on psoriasis, she says. In fact, some research suggests that what you eat can help manage this skin condition.
Dr. Chang points to a July 2022 paper in Dermatologic Therapy which found that “low-calorie, Mediterranean, and protein-restricted or vegetarian diets may be beneficial in reducing psoriasis severity.” The researchers also concluded that diets rich in omega-3 polyunsaturated fatty acids as well as fruits and vegetables can keep psoriasis flares at bay. Some foods with omega-3s include walnuts, salmon, and flaxseed oil.
For breakfast, this may look like a yogurt bowl topped with fruit, walnuts, and flaxseeds, or a bagel with lox and avocado.
“Choosing the right fabrics and clothing can help manage your psoriasis,” Dr. Chang says. This is because psoriasis-affected areas of the skin are sensitive and highly prone to irritation, she adds. “Tight or rough clothing can cause friction and worsen skin irritation and itching.” Instead, try to wear breathable, light fabrics to minimize irritation and reduce sweat buildup, which can inflame the skin even more, Dr. Chang says. So as you’re dressing for the day, opt for materials like cotton, linen, or any other breathable fabric.
Stress is a big risk factor for psoriasis (and overall skin inflammation), Dr. Chang says. Scientists hypothesize that stress triggers the release of chemicals in your body that cause an inflammatory response, according to Harvard Health Publishing. And this pro-inflammatory reaction can contribute to psoriasis flares.
Thus, learning to keep your stress in check is essential. Adding a relaxing practice to the beginning of your day can help. Here are a few tips from the American Academy of Dermatology Association (AAD) to reduce your risk of psoriasis flare-ups from stress:
Working out is also a wonderful way to bust stress (and maintain overall health). Plus, it has some bonuses for psoriasis, too, Dr. Chang says. The same Dermatologic Therapy paper noted that regular exercise and physical activity may help improve psoriasis.
We know this is not necessarily tied to a morning routine, but studies suggest that smoking may worsen psoriasis severity, Dr. Chang says. This is why it’s important to prioritize quitting, not just for your overall health, but your skin health, too. While the connection between smoking and psoriasis isn’t totally clear, doctors have some theories—one being that smoking increases certain molecules that regulate the immune system, per the National Psoriasis Foundation. These molecules include:
Here are a few tips to reduce the risk of flare-ups from smoking, per the AAD:
Establishing a morning routine for psoriasis relief can set you up for less itching throughout the day. This is especially true if you’re pairing home remedies with more conventional treatments from your doctor. If you have psoriasis, it’s best to check in with your doctor at least every six months, per Harvard Health Publishing. In the meantime, keep a close eye on your skin. If you notice any changes or have a rash that’s not going away (or getting worse) see your dermatologists ASAP.
Dr. Chang agrees that regular follow-ups with your dermatologist are important, in case any changes need to be made to your treatment plan. She also says visiting your primary care doctor on a regular basis is important, too, as psoriasis can come with risk of other health conditions like arthritis. Your doctor can help you feel your best by treating your symptoms.
Fearmongering is not the answer.
If you have psoriasis, it sometimes feels like you’d do anything to relieve that never-ending itch. The chronic skin condition happens when your skin cells multiply too quickly—leaving you with thick, scaly patches called plaques. While you may find yourself scratching at all hours of the day, itchiness can be particularly noticeable when you first wake up in the morning. This is why a morning routine for psoriasis can be essential.
Besides itching, psoriasis can come with other uncomfortable symptoms like skin and joint pain, nail issues, or inflammation—depending on the type, per the Mayo Clinic. While there’s no cure for the condition, there are topical treatments, oral meds, and other therapies you can try to reduce flares. These along with home remedies can really help, too.
“The morning is a great time to form healthy habits for psoriasis,” says Y. Claire Chang, MD, board-certified dermatologist at Union Square Laser Dermatology in New York City. “Establishing a morning routine helps create consistency,” Dr. Chang says. “It is easier to remember when you first wake up rather than when you are busy and interrupted during the day.”
Treating psoriasis, like many other health conditions, requires consistency and self-care to help you feel your best. Read on to learn how to manage your psoriasis with healthy morning habits.
“Showering in the morning can be particularly beneficial to individuals with psoriasis to hydrate the skin and soften the psoriatic plaques,” Dr. Chang says. The warm water can “help gently remove scales without causing trauma to the skin,” she adds.
What’s more, “showering helps prepare the skin for application of topical treatments and moisturizers,” Dr. Chang says. Damp skin can more easily absorb things like moisturizers and other topical treatments.
Here are a few of Dr. Chang’s tips to get the biggest skin benefits during shower time:
“Moisturizers are crucial in delivering hydration to the skin and helping to protect the skin barrier,” Dr. Chang says. While moisturizing on the regular is a good general rule for everyone, it’s especially essential for folks with psoriasis.
“Those with psoriasis typically have higher transepidermal water loss (TEWL) and lower skin hydration,” Dr. Chang says. In people with psoriasis, using emollients (the ingredients in moisturizers that soothe dryness or irritation and protect the skin’s outer layer) can improve skin barrier function, according to a small July 2021 study in Life (Basel).
Moisturizing in the morning has big benefits. Here are just a few, per Dr. Chang:
“While prescription steroid and vitamin D analog creams are considered first-line treatments for psoriasis, effective over-the-counter (OTC) moisturizers and topicals are also available to be used in combination with prescriptions,” Dr. Chang says. But with so many skin care products on the market, it can be confusing to know which ones are best. The key to improving skin health when you have psoriasis is using the right topicals. In other words, what’s in the products makes all the difference.
The next time you take a trip to the drugstore, look for products with these ingredients:
Apply skin care products to moist, damp skin. This “enhances absorption of the topicals” and makes them more effective, Dr. Chang says.
Dr. Chang’s OTC skin care product recommendations include the following:

This cream is “formulated with 2 percent salicylic acid and lactic acid to reduce the scales and flaking of psoriasis, niacinamide to soothe the skin, and essential ceramides to repair and protect the skin barrier,” Dr. Chang says.

This shampoo “contains 3 percent salicylic acid to help clear crusty scalp scales to improve symptoms of scalp psoriasis,” Dr. Chang says. “By removing the thicker scales, other topicals like steroid solutions may absorb more effectively into the skin.” The fragrance-free formulation is also gentle enough for sensitive skin and all hair types.

This product is an “intensely nourishing body cream with an oat-based formula and infused with shea butter to help hydrate and replenish the skin,” Dr. Chang says. You can slather this on after the shower, right before bed, or any time of the day when skin is feeling dry or flaky.
<!– –>

This cream “contains a powerful hydrating combination of ceramides, shea butter, glycerin, and niacinamide to repair the skin barrier and moisturize the skin,” Dr. Chang says. It comes with a travel and full-size bottle and the formulation is light enough that it won’t feel thick or greasy on the skin.
Whether you have psoriasis or not, applying SPF every morning is a must. That’s because “repeated sun exposure without protection can lead to photo damage, including increased risk of skin cancer and premature aging,” Dr. Chang says.
Unfortunately, people with psoriasis are at greater risk of sun damage because of their compromised skin barriers, which may make skin more susceptible to UV damage, says Dr. Chang. Additionally, certain treatments for psoriasis—like topical retinoids and salicylic acid—may increase skin sensitivity to sunlight, she adds. On top of this, “psoriasis can lead to post-inflammatory hyperpigmentation (darker patches) on the skin, especially in darker skinned patients,” Dr. Chang adds. “Sunscreen is critical in minimizing the risk of PIH.”
All this to say, applying SPF to your face and body as part of your morning routine for psoriasis is key. Dr. Chang recommends broad-spectrum sunscreens, “ideally with mineral UV blockers.”
We know that too much sun exposure can be harmful for your skin (hence the SPF recommendation above), but a little dose of daily sunlight might be just what the doctor ordered for your psoriasis patches. This can be in the form of controlled amounts of sunlight or UV, says Dr. Chang. It’s beneficial because “UVB has anti-inflammatory properties that can reduce inflammation associated with psoriasis, as well as slow down the rapid proliferation of skin cells characteristic of psoriasis,” she adds.
And research backs this up. Phototherapy (i.e., the use of narrowband UVB rays) is an effective, safe treatment for people with psoriasis that has no systemic side effects, according to an October 2017 clinical review in Lasers in Medical Science.
Okay, that’s for artificial light, but what’s the sweet spot for actual sunlight? According to Dr. Chang, it’s about five to 10 minutes of sun exposure daily. “To get an appropriate amount of sun while minimizing risk of sunburn long-term skin damage, it’s important to start with short sessions,” she adds. “If tolerated well, you can gradually increase duration to 15 to 20 minutes total per day.”
Just remember to still always wear broadband SPF on all areas of your skin, and to go out during less intense sunlight hours—like early morning, per Dr. Chang.
“Psoriasis is a multifactorial disease,” Dr. Chang says. Meaning, it has a variety of causes and triggers. While genetics plays a role, lifestyle and diet can also have an effect on psoriasis, she says. In fact, some research suggests that what you eat can help manage this skin condition.
Dr. Chang points to a July 2022 paper in Dermatologic Therapy which found that “low-calorie, Mediterranean, and protein-restricted or vegetarian diets may be beneficial in reducing psoriasis severity.” The researchers also concluded that diets rich in omega-3 polyunsaturated fatty acids as well as fruits and vegetables can keep psoriasis flares at bay. Some foods with omega-3s include walnuts, salmon, and flaxseed oil.
For breakfast, this may look like a yogurt bowl topped with fruit, walnuts, and flaxseeds, or a bagel with lox and avocado.
“Choosing the right fabrics and clothing can help manage your psoriasis,” Dr. Chang says. This is because psoriasis-affected areas of the skin are sensitive and highly prone to irritation, she adds. “Tight or rough clothing can cause friction and worsen skin irritation and itching.” Instead, try to wear breathable, light fabrics to minimize irritation and reduce sweat buildup, which can inflame the skin even more, Dr. Chang says. So as you’re dressing for the day, opt for materials like cotton, linen, or any other breathable fabric.
Stress is a big risk factor for psoriasis (and overall skin inflammation), Dr. Chang says. Scientists hypothesize that stress triggers the release of chemicals in your body that cause an inflammatory response, according to Harvard Health Publishing. And this pro-inflammatory reaction can contribute to psoriasis flares.
Thus, learning to keep your stress in check is essential. Adding a relaxing practice to the beginning of your day can help. Here are a few tips from the American Academy of Dermatology Association (AAD) to reduce your risk of psoriasis flare-ups from stress:
Working out is also a wonderful way to bust stress (and maintain overall health). Plus, it has some bonuses for psoriasis, too, Dr. Chang says. The same Dermatologic Therapy paper noted that regular exercise and physical activity may help improve psoriasis.
We know this is not necessarily tied to a morning routine, but studies suggest that smoking may worsen psoriasis severity, Dr. Chang says. This is why it’s important to prioritize quitting, not just for your overall health, but your skin health, too. While the connection between smoking and psoriasis isn’t totally clear, doctors have some theories—one being that smoking increases certain molecules that regulate the immune system, per the National Psoriasis Foundation. These molecules include:
Here are a few tips to reduce the risk of flare-ups from smoking, per the AAD:
Establishing a morning routine for psoriasis relief can set you up for less itching throughout the day. This is especially true if you’re pairing home remedies with more conventional treatments from your doctor. If you have psoriasis, it’s best to check in with your doctor at least every six months, per Harvard Health Publishing. In the meantime, keep a close eye on your skin. If you notice any changes or have a rash that’s not going away (or getting worse) see your dermatologists ASAP.
Dr. Chang agrees that regular follow-ups with your dermatologist are important, in case any changes need to be made to your treatment plan. She also says visiting your primary care doctor on a regular basis is important, too, as psoriasis can come with risk of other health conditions like arthritis. Your doctor can help you feel your best by treating your symptoms.
For me, following an “anti-acne diet” was more harmful than good.
If you have psoriasis, it sometimes feels like you’d do anything to relieve that never-ending itch. The chronic skin condition happens when your skin cells multiply too quickly—leaving you with thick, scaly patches called plaques. While you may find yourself scratching at all hours of the day, itchiness can be particularly noticeable when you first wake up in the morning. This is why a morning routine for psoriasis can be essential.
Besides itching, psoriasis can come with other uncomfortable symptoms like skin and joint pain, nail issues, or inflammation—depending on the type, per the Mayo Clinic. While there’s no cure for the condition, there are topical treatments, oral meds, and other therapies you can try to reduce flares. These along with home remedies can really help, too.
“The morning is a great time to form healthy habits for psoriasis,” says Y. Claire Chang, MD, board-certified dermatologist at Union Square Laser Dermatology in New York City. “Establishing a morning routine helps create consistency,” Dr. Chang says. “It is easier to remember when you first wake up rather than when you are busy and interrupted during the day.”
Treating psoriasis, like many other health conditions, requires consistency and self-care to help you feel your best. Read on to learn how to manage your psoriasis with healthy morning habits.
“Showering in the morning can be particularly beneficial to individuals with psoriasis to hydrate the skin and soften the psoriatic plaques,” Dr. Chang says. The warm water can “help gently remove scales without causing trauma to the skin,” she adds.
What’s more, “showering helps prepare the skin for application of topical treatments and moisturizers,” Dr. Chang says. Damp skin can more easily absorb things like moisturizers and other topical treatments.
Here are a few of Dr. Chang’s tips to get the biggest skin benefits during shower time:
“Moisturizers are crucial in delivering hydration to the skin and helping to protect the skin barrier,” Dr. Chang says. While moisturizing on the regular is a good general rule for everyone, it’s especially essential for folks with psoriasis.
“Those with psoriasis typically have higher transepidermal water loss (TEWL) and lower skin hydration,” Dr. Chang says. In people with psoriasis, using emollients (the ingredients in moisturizers that soothe dryness or irritation and protect the skin’s outer layer) can improve skin barrier function, according to a small July 2021 study in Life (Basel).
Moisturizing in the morning has big benefits. Here are just a few, per Dr. Chang:
“While prescription steroid and vitamin D analog creams are considered first-line treatments for psoriasis, effective over-the-counter (OTC) moisturizers and topicals are also available to be used in combination with prescriptions,” Dr. Chang says. But with so many skin care products on the market, it can be confusing to know which ones are best. The key to improving skin health when you have psoriasis is using the right topicals. In other words, what’s in the products makes all the difference.
The next time you take a trip to the drugstore, look for products with these ingredients:
Apply skin care products to moist, damp skin. This “enhances absorption of the topicals” and makes them more effective, Dr. Chang says.
Dr. Chang’s OTC skin care product recommendations include the following:

This cream is “formulated with 2 percent salicylic acid and lactic acid to reduce the scales and flaking of psoriasis, niacinamide to soothe the skin, and essential ceramides to repair and protect the skin barrier,” Dr. Chang says.

This shampoo “contains 3 percent salicylic acid to help clear crusty scalp scales to improve symptoms of scalp psoriasis,” Dr. Chang says. “By removing the thicker scales, other topicals like steroid solutions may absorb more effectively into the skin.” The fragrance-free formulation is also gentle enough for sensitive skin and all hair types.

This product is an “intensely nourishing body cream with an oat-based formula and infused with shea butter to help hydrate and replenish the skin,” Dr. Chang says. You can slather this on after the shower, right before bed, or any time of the day when skin is feeling dry or flaky.
<!– –>

This cream “contains a powerful hydrating combination of ceramides, shea butter, glycerin, and niacinamide to repair the skin barrier and moisturize the skin,” Dr. Chang says. It comes with a travel and full-size bottle and the formulation is light enough that it won’t feel thick or greasy on the skin.
Whether you have psoriasis or not, applying SPF every morning is a must. That’s because “repeated sun exposure without protection can lead to photo damage, including increased risk of skin cancer and premature aging,” Dr. Chang says.
Unfortunately, people with psoriasis are at greater risk of sun damage because of their compromised skin barriers, which may make skin more susceptible to UV damage, says Dr. Chang. Additionally, certain treatments for psoriasis—like topical retinoids and salicylic acid—may increase skin sensitivity to sunlight, she adds. On top of this, “psoriasis can lead to post-inflammatory hyperpigmentation (darker patches) on the skin, especially in darker skinned patients,” Dr. Chang adds. “Sunscreen is critical in minimizing the risk of PIH.”
All this to say, applying SPF to your face and body as part of your morning routine for psoriasis is key. Dr. Chang recommends broad-spectrum sunscreens, “ideally with mineral UV blockers.”
We know that too much sun exposure can be harmful for your skin (hence the SPF recommendation above), but a little dose of daily sunlight might be just what the doctor ordered for your psoriasis patches. This can be in the form of controlled amounts of sunlight or UV, says Dr. Chang. It’s beneficial because “UVB has anti-inflammatory properties that can reduce inflammation associated with psoriasis, as well as slow down the rapid proliferation of skin cells characteristic of psoriasis,” she adds.
And research backs this up. Phototherapy (i.e., the use of narrowband UVB rays) is an effective, safe treatment for people with psoriasis that has no systemic side effects, according to an October 2017 clinical review in Lasers in Medical Science.
Okay, that’s for artificial light, but what’s the sweet spot for actual sunlight? According to Dr. Chang, it’s about five to 10 minutes of sun exposure daily. “To get an appropriate amount of sun while minimizing risk of sunburn long-term skin damage, it’s important to start with short sessions,” she adds. “If tolerated well, you can gradually increase duration to 15 to 20 minutes total per day.”
Just remember to still always wear broadband SPF on all areas of your skin, and to go out during less intense sunlight hours—like early morning, per Dr. Chang.
“Psoriasis is a multifactorial disease,” Dr. Chang says. Meaning, it has a variety of causes and triggers. While genetics plays a role, lifestyle and diet can also have an effect on psoriasis, she says. In fact, some research suggests that what you eat can help manage this skin condition.
Dr. Chang points to a July 2022 paper in Dermatologic Therapy which found that “low-calorie, Mediterranean, and protein-restricted or vegetarian diets may be beneficial in reducing psoriasis severity.” The researchers also concluded that diets rich in omega-3 polyunsaturated fatty acids as well as fruits and vegetables can keep psoriasis flares at bay. Some foods with omega-3s include walnuts, salmon, and flaxseed oil.
For breakfast, this may look like a yogurt bowl topped with fruit, walnuts, and flaxseeds, or a bagel with lox and avocado.
“Choosing the right fabrics and clothing can help manage your psoriasis,” Dr. Chang says. This is because psoriasis-affected areas of the skin are sensitive and highly prone to irritation, she adds. “Tight or rough clothing can cause friction and worsen skin irritation and itching.” Instead, try to wear breathable, light fabrics to minimize irritation and reduce sweat buildup, which can inflame the skin even more, Dr. Chang says. So as you’re dressing for the day, opt for materials like cotton, linen, or any other breathable fabric.
Stress is a big risk factor for psoriasis (and overall skin inflammation), Dr. Chang says. Scientists hypothesize that stress triggers the release of chemicals in your body that cause an inflammatory response, according to Harvard Health Publishing. And this pro-inflammatory reaction can contribute to psoriasis flares.
Thus, learning to keep your stress in check is essential. Adding a relaxing practice to the beginning of your day can help. Here are a few tips from the American Academy of Dermatology Association (AAD) to reduce your risk of psoriasis flare-ups from stress:
Working out is also a wonderful way to bust stress (and maintain overall health). Plus, it has some bonuses for psoriasis, too, Dr. Chang says. The same Dermatologic Therapy paper noted that regular exercise and physical activity may help improve psoriasis.
We know this is not necessarily tied to a morning routine, but studies suggest that smoking may worsen psoriasis severity, Dr. Chang says. This is why it’s important to prioritize quitting, not just for your overall health, but your skin health, too. While the connection between smoking and psoriasis isn’t totally clear, doctors have some theories—one being that smoking increases certain molecules that regulate the immune system, per the National Psoriasis Foundation. These molecules include:
Here are a few tips to reduce the risk of flare-ups from smoking, per the AAD:
Establishing a morning routine for psoriasis relief can set you up for less itching throughout the day. This is especially true if you’re pairing home remedies with more conventional treatments from your doctor. If you have psoriasis, it’s best to check in with your doctor at least every six months, per Harvard Health Publishing. In the meantime, keep a close eye on your skin. If you notice any changes or have a rash that’s not going away (or getting worse) see your dermatologists ASAP.
Dr. Chang agrees that regular follow-ups with your dermatologist are important, in case any changes need to be made to your treatment plan. She also says visiting your primary care doctor on a regular basis is important, too, as psoriasis can come with risk of other health conditions like arthritis. Your doctor can help you feel your best by treating your symptoms.
Because scratching doesn’t always cut it.
If you have psoriasis, it sometimes feels like you’d do anything to relieve that never-ending itch. The chronic skin condition happens when your skin cells multiply too quickly—leaving you with thick, scaly patches called plaques. While you may find yourself scratching at all hours of the day, itchiness can be particularly noticeable when you first wake up in the morning. This is why a morning routine for psoriasis can be essential.
Besides itching, psoriasis can come with other uncomfortable symptoms like skin and joint pain, nail issues, or inflammation—depending on the type, per the Mayo Clinic. While there’s no cure for the condition, there are topical treatments, oral meds, and other therapies you can try to reduce flares. These along with home remedies can really help, too.
“The morning is a great time to form healthy habits for psoriasis,” says Y. Claire Chang, MD, board-certified dermatologist at Union Square Laser Dermatology in New York City. “Establishing a morning routine helps create consistency,” Dr. Chang says. “It is easier to remember when you first wake up rather than when you are busy and interrupted during the day.”
Treating psoriasis, like many other health conditions, requires consistency and self-care to help you feel your best. Read on to learn how to manage your psoriasis with healthy morning habits.
“Showering in the morning can be particularly beneficial to individuals with psoriasis to hydrate the skin and soften the psoriatic plaques,” Dr. Chang says. The warm water can “help gently remove scales without causing trauma to the skin,” she adds.
What’s more, “showering helps prepare the skin for application of topical treatments and moisturizers,” Dr. Chang says. Damp skin can more easily absorb things like moisturizers and other topical treatments.
Here are a few of Dr. Chang’s tips to get the biggest skin benefits during shower time:
“Moisturizers are crucial in delivering hydration to the skin and helping to protect the skin barrier,” Dr. Chang says. While moisturizing on the regular is a good general rule for everyone, it’s especially essential for folks with psoriasis.
“Those with psoriasis typically have higher transepidermal water loss (TEWL) and lower skin hydration,” Dr. Chang says. In people with psoriasis, using emollients (the ingredients in moisturizers that soothe dryness or irritation and protect the skin’s outer layer) can improve skin barrier function, according to a small July 2021 study in Life (Basel).
Moisturizing in the morning has big benefits. Here are just a few, per Dr. Chang:
“While prescription steroid and vitamin D analog creams are considered first-line treatments for psoriasis, effective over-the-counter (OTC) moisturizers and topicals are also available to be used in combination with prescriptions,” Dr. Chang says. But with so many skin care products on the market, it can be confusing to know which ones are best. The key to improving skin health when you have psoriasis is using the right topicals. In other words, what’s in the products makes all the difference.
The next time you take a trip to the drugstore, look for products with these ingredients:
Apply skin care products to moist, damp skin. This “enhances absorption of the topicals” and makes them more effective, Dr. Chang says.
Dr. Chang’s OTC skin care product recommendations include the following:

This cream is “formulated with 2 percent salicylic acid and lactic acid to reduce the scales and flaking of psoriasis, niacinamide to soothe the skin, and essential ceramides to repair and protect the skin barrier,” Dr. Chang says.

This shampoo “contains 3 percent salicylic acid to help clear crusty scalp scales to improve symptoms of scalp psoriasis,” Dr. Chang says. “By removing the thicker scales, other topicals like steroid solutions may absorb more effectively into the skin.” The fragrance-free formulation is also gentle enough for sensitive skin and all hair types.

This product is an “intensely nourishing body cream with an oat-based formula and infused with shea butter to help hydrate and replenish the skin,” Dr. Chang says. You can slather this on after the shower, right before bed, or any time of the day when skin is feeling dry or flaky.
<!– –>

This cream “contains a powerful hydrating combination of ceramides, shea butter, glycerin, and niacinamide to repair the skin barrier and moisturize the skin,” Dr. Chang says. It comes with a travel and full-size bottle and the formulation is light enough that it won’t feel thick or greasy on the skin.
Whether you have psoriasis or not, applying SPF every morning is a must. That’s because “repeated sun exposure without protection can lead to photo damage, including increased risk of skin cancer and premature aging,” Dr. Chang says.
Unfortunately, people with psoriasis are at greater risk of sun damage because of their compromised skin barriers, which may make skin more susceptible to UV damage, says Dr. Chang. Additionally, certain treatments for psoriasis—like topical retinoids and salicylic acid—may increase skin sensitivity to sunlight, she adds. On top of this, “psoriasis can lead to post-inflammatory hyperpigmentation (darker patches) on the skin, especially in darker skinned patients,” Dr. Chang adds. “Sunscreen is critical in minimizing the risk of PIH.”
All this to say, applying SPF to your face and body as part of your morning routine for psoriasis is key. Dr. Chang recommends broad-spectrum sunscreens, “ideally with mineral UV blockers.”
We know that too much sun exposure can be harmful for your skin (hence the SPF recommendation above), but a little dose of daily sunlight might be just what the doctor ordered for your psoriasis patches. This can be in the form of controlled amounts of sunlight or UV, says Dr. Chang. It’s beneficial because “UVB has anti-inflammatory properties that can reduce inflammation associated with psoriasis, as well as slow down the rapid proliferation of skin cells characteristic of psoriasis,” she adds.
And research backs this up. Phototherapy (i.e., the use of narrowband UVB rays) is an effective, safe treatment for people with psoriasis that has no systemic side effects, according to an October 2017 clinical review in Lasers in Medical Science.
Okay, that’s for artificial light, but what’s the sweet spot for actual sunlight? According to Dr. Chang, it’s about five to 10 minutes of sun exposure daily. “To get an appropriate amount of sun while minimizing risk of sunburn long-term skin damage, it’s important to start with short sessions,” she adds. “If tolerated well, you can gradually increase duration to 15 to 20 minutes total per day.”
Just remember to still always wear broadband SPF on all areas of your skin, and to go out during less intense sunlight hours—like early morning, per Dr. Chang.
“Psoriasis is a multifactorial disease,” Dr. Chang says. Meaning, it has a variety of causes and triggers. While genetics plays a role, lifestyle and diet can also have an effect on psoriasis, she says. In fact, some research suggests that what you eat can help manage this skin condition.
Dr. Chang points to a July 2022 paper in Dermatologic Therapy which found that “low-calorie, Mediterranean, and protein-restricted or vegetarian diets may be beneficial in reducing psoriasis severity.” The researchers also concluded that diets rich in omega-3 polyunsaturated fatty acids as well as fruits and vegetables can keep psoriasis flares at bay. Some foods with omega-3s include walnuts, salmon, and flaxseed oil.
For breakfast, this may look like a yogurt bowl topped with fruit, walnuts, and flaxseeds, or a bagel with lox and avocado.
“Choosing the right fabrics and clothing can help manage your psoriasis,” Dr. Chang says. This is because psoriasis-affected areas of the skin are sensitive and highly prone to irritation, she adds. “Tight or rough clothing can cause friction and worsen skin irritation and itching.” Instead, try to wear breathable, light fabrics to minimize irritation and reduce sweat buildup, which can inflame the skin even more, Dr. Chang says. So as you’re dressing for the day, opt for materials like cotton, linen, or any other breathable fabric.
Stress is a big risk factor for psoriasis (and overall skin inflammation), Dr. Chang says. Scientists hypothesize that stress triggers the release of chemicals in your body that cause an inflammatory response, according to Harvard Health Publishing. And this pro-inflammatory reaction can contribute to psoriasis flares.
Thus, learning to keep your stress in check is essential. Adding a relaxing practice to the beginning of your day can help. Here are a few tips from the American Academy of Dermatology Association (AAD) to reduce your risk of psoriasis flare-ups from stress:
Working out is also a wonderful way to bust stress (and maintain overall health). Plus, it has some bonuses for psoriasis, too, Dr. Chang says. The same Dermatologic Therapy paper noted that regular exercise and physical activity may help improve psoriasis.
We know this is not necessarily tied to a morning routine, but studies suggest that smoking may worsen psoriasis severity, Dr. Chang says. This is why it’s important to prioritize quitting, not just for your overall health, but your skin health, too. While the connection between smoking and psoriasis isn’t totally clear, doctors have some theories—one being that smoking increases certain molecules that regulate the immune system, per the National Psoriasis Foundation. These molecules include:
Here are a few tips to reduce the risk of flare-ups from smoking, per the AAD:
Establishing a morning routine for psoriasis relief can set you up for less itching throughout the day. This is especially true if you’re pairing home remedies with more conventional treatments from your doctor. If you have psoriasis, it’s best to check in with your doctor at least every six months, per Harvard Health Publishing. In the meantime, keep a close eye on your skin. If you notice any changes or have a rash that’s not going away (or getting worse) see your dermatologists ASAP.
Dr. Chang agrees that regular follow-ups with your dermatologist are important, in case any changes need to be made to your treatment plan. She also says visiting your primary care doctor on a regular basis is important, too, as psoriasis can come with risk of other health conditions like arthritis. Your doctor can help you feel your best by treating your symptoms.