When people talk about psoriasis, the focus tends to be on the condition’s physical manifestations. But given that psoriasis is often a highly visible condition, it shouldn’t come as any surprise that its effects are more than skin deep. Psoriasis impacts people psychologically and emotionally, too, especially when it comes to intimacy. Some people with psoriasis are nervous about holding hands with a new partner and others shy away from relationships completely. Many worry about how others will perceive them. All of this can wreak havoc when it comes to relationships.

To learn more about how psoriasis can impact someone’s love life and intimacy, we reached out to two women with psoriasis and a few dermatologists who treat the condition. The takeaway: If psoriasis is greatly affecting your self-image, relationships, and overall comfort with partners, other people can relate—and help is out there.