This is the part you can see

When people don’t understand that psoriatic arthritis (PsA) is much of the time, a disability. However, people cannot see your stiffness, pain, or psychological well-being. They think you may be able to suck it up and push through it all. They don’t realize I am so fatigued I really don’t have any more energy to maybe even push myself out of the bed. Along with PsA, I have Palmoplantar pustulosis (PPP).

People can see PPP, but do not see the rest of the story. So, I just figure that my friends and loved ones are the ones who count the most. The rest, I always hope they’ll understand, and realize if they don’t, I just have to move on to protect my mental well-being.