Psoriatic arthritis can cause changes in your appearance, such as scaly skin patches and swollen joints. These changes can affect your self-esteem, but there are ways to manage them. Using cosmetic cover-ups can help hide skin plaques, and wearing long-sleeve shirts and pants can cover up affected areas. It's also important to maintain a healthy weight and exercise regularly to reduce stress on your joints. Low-impact exercises like swimming can be especially helpful. For nail psoriasis, you can use nail polish or artificial nails to cover discoloration. Practicing good posture can help camouflage any stooping caused by joint damage. Remember, many people are dealing with similar challenges, and support is available from organizations like the National Psoriasis Foundation and the Arthritis Foundation.