Hi Drew,
I think you are being pretty hard on yourself. It sounds like you
are doing the things to the best of your ability. If your health was
switched with your wife, wouldn't you understand?

As far as co workers and non family members, tell them as much info
as you are comfortable with, but I find that most folk never really
understand what life with PA can be like.

I haven't seen any other folks with both Seborea(sp?), &
psoriasis/psoriatic arthritis, so I would tend to believe that the
two conditions are not related.

You don't mention if your are taking any kind of drugs to fight PA.
If you aren't, you really need to see a rheumatologist. Besides a
variety of NSAIDS to help deal with the pain, you certainly should be
looking at DMARDS (like methotrexate) and biologics like Enbrel.

Some things work for some folks, others do not. It is hit & miss and
there precautions & possible side effects that your Rheumy should be
able to explain.

3.5 years ago, I had several sausage fingers & toes, I was in
constant pain, not sleeping well, and barely able to walk or run my
business and had bouts of depression. Today, I take 10mg of
Methotrexate per week and I have NO swelling, and fuction 98%
normally with only very seldom sporatic flares of some slight pain.
I also have ZERO side effects. Yes, some follks cannot tolerate this
drug, and for some it doesn't help. But, it changed my life.
Check with your Rheumy, see what options you may want to try.

The mental part can still be a trial, but I am mostly positive and
when I feel any depression, I reread my posts of 3 years ago, and
Boy! have I come along way since then.

FYI this site seems fairly quiet. I belong to another site which has
given me lots of info and seems more active.
it is on yahoo but instead of Psoriatic-Arthritis, it is
PsoriaticArthritis.

Stay Well,
David