Weighing your Treatment Decisions

Now that you’ve assessed your treatment options, how do you decide what is right for you?

Positive Effects

Go back to your goals. Thinking about your goals, decide on two or three possible positive treatment effects that are most important to you for each treatment you are considering.

Then, for each treatment, decide how they rank for your two or three most important positive effects.

Treatment option #1 Treatment option #2
Best positive effect Best positive effect
Next best positive effect Next best positive effect
Least important positive effect Least important positive effect
Treatment option #3 Treatment option #4
Best positive effect Best positive effect
Next positive effect Next positive effect
Least important positive effect Least important positive effect

 
Now consider these questions:

  • What treatment options can I exclude? Why?
  • What treatment option(s) are most likely to meet my main goals?
  • What treatment option(s) do I feel most confident about?
Negative Effects

Thinking about your goals, decide on two or three possible negative treatment effects that are most important to you for each treatment you’re considering. For each treatment, decide how they rank for your two or three most important negative effects.

Treatment option #1 Treatment option #2
Worst negative effect Worst negative effect
Next worse negative effect Next worse negative effect
Least important negative effect Least important negative effect
Treatment option #3 Treatment option #4
Worst negative effect Worst negative effect
Next worse negative effect Next worse negative effect
Least important negative effect Least important negative effect

Now,  consider  these  questions:

  • What treatment options can I exclude? Why?
  • What treatment option(s) are most likely to meet my main goals?
  • What treatment option(s) do I feel most confident about?
Impact Of Your Choices

Finally, consider the uncertainties and the impacts of your choices:

  • How do I feel about any uncertainties in what experts say about the treatment(s) I’m considering? How does this affect my comfort level with each treatment?
  • How do I feel about the other kinds of impacts on me or my loved ones if I take this treatment (e.g., need to travel, impact on finances)? What are the important impacts to me? Can I list them in order, from most to least important? How do they apply to my preferred treatment options?
  • Can I identify which treatment options I feel most confident about and why?
Ask Yourself Some Questions

Take some time to think about your life circumstances, goals, as well as the people most important to you. Use these questions as a guide:

  • Does my age make a difference to my treatment options?
  • Does being male, female, intersex, or trans make a difference to my treatment options?
  • Do I have any other physical or mental health problems that could affect the type of treatment that may be best for me?
  • Do I have medical coverage to pay for the treatment or can I afford it?
  • Could my daily routines — related to family, work, where I live — affect whether I am able to take the treatment as recommended?
  • Are there important people in my life that could or should influence my decision? If so, who are they and what is their role?
  • Which treatment(s) may help me achieve my goals?
  • Which treatment(s) do I have most confidence in? Why?
  • Which treatment(s) best suit my own circumstances? Why?
  • Which treatment(s) do I have least confidence in? Why?
  • Which treatment(s) least suit my goals and my circumstances?
Recheck Your Thinking

Lastly, recheck your thinking. What else – rightly or wrongly – might have affected your thinking and decisions? For example:

  • My emotions: fear, hope, feeling frustrated or desperate.
  • The way people I care about are feeling.
  • My assumptions – or other people’s assumptions – about the treatments or about other things related to my psoriatic condition. Are those assumptions reasonable? Are they still valid based on what I know now?
By this point in your process, you have thoroughly assessed and weighed your options. You have narrowed them down. You are ready to choose treatment options that you think have a good chance of helping you achieve your goal(s).

Last updated July 24, 2020.

Disclaimer

This Site was designed for educational purposes only and not for the purpose of rendering medical advice. Individual variances in psoriasis cases require the consultation of a physician to make sound medical decisions. The information presented on this website is not intended to replace the counsel of your physician. It is important to see your doctor before altering anything in your treatment plan. The Canadian Psoriasis Network does not endorse any medications, products, equipment or treatments for psoriasis and psoriatic arthritis. Any of the information contained within the Canadian Psoriasis Network’s Site is not presented as a substitute for informed medical advice. Visitors to this site should not engage in self-diagnosis nor act on information contained in the Site without seeking specific advice on the particular matters which are of concern to them from qualified health professionals and advisors. Some of the information contained in the Site has been provided from external sources. While efforts have been made to ensure the accuracy, currency, and reliability of the content, the Canadian Psoriasis Network accepts no responsibility in that regard. Please refer to our Terms of Use for further details.

This resource was made possible through support from:

Abbvie
Pfizer
Janssen
Bausch
 
LEO Pharma
Novartis
Amgen

 
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