This short report examines the effects of psoriasis that go beyond visual signs and symptoms. Psoriasis can impact on emotional and physical wellbeing and in some people it is associated with depression, anxiety and suicidal thoughts, particularly in those affected with more severe psoriasis. Yet, despite the documented impact on emotional wellbeing, these wider effects often go unrecognised and untreated. This report was produced as part of a campaign to raise awareness of the need for healthcare professionals to look at psoriasis holistically, to consider both the physical symptoms and psychological wellbeing, and ensure people with psoriasis receive the care and support they need. The report calls for the full impact of psoriasis to be recognised and treated by multi-disciplinary teams who will look deeper, both literally and metaphorically, to ensure that the treatment people receive addresses all their health needs.