Well, the only way to find out if some treatment or other helps with psoriasis is to try it...so on I go. I have a few insights, which are clearer now looking back at the last few years. Having no control group of myself, I don't know if I'm right, but here's what I suspect:

Sleeping in a hypobaric tent may have slowed down the progression of my psoriasis. During that time, my stress level increased (re: my job), and the spots on my lower legs seemed to intensify. But, it was as if something was held in check. (To complicate things, the slowed immune response meant I got sick more easily, which stimulated the immune response, and caused skin outbreaks.) The rapid worsening and creeping-all-over only began after I got out of the tent in 2007. So, tent = good for suppressing auto-immune disorders; but ultimately bad for overall energy and immune-system strength. Lovely paradox.

The psoriasis response in 2007-2008 seemed like a rebound effect; not only did the skin get worse, but it seemed to be moving very quickly, as if to make up for lost time.

When I tried hyperbaric oxygen therapy recently (after researching how it speeds up repair of body tissues), I felt healthier and more energetic, but my skin, which had begun improving in response to Humira (biologic immunosuppressant), suddenly stagnated and even made a turn for the worse again. Two days after my last hyperbaric session, the skin began to calm down again. In the meantime I'd also added PUVA (narrow-band UV light), thinking the Humira wasn't working for me. I know, seems chaotic and unscientific, but...the need for relief from psoriasis and its multitide of related frustrations is powerful.

And, with this stuff, you only have answers in hindsight! Currently, I believe Humira + UV light is helping the skin. How to boost or stabilize my energy levels remains mysterious, as effective solutions only seem to make my skin explode. Right now I'm hoping my attempt at tapering off topical steroids is successful. Maybe, in a year or two, my skin will rebuild the outer layer that has been dissolved by steroids, and tears in response to the tiniest of twigs!

Given how long it can take for the immune system to adjust to change, I still believe that in time, my skin will become calmer on its own - time being the key word.

I'm wondering if I should start carrying around little cheat-sheets with a bulleted summary of this problem, for the people who ask, "What happened to your skin? Psoriasis? Have you tried xx?"...