Hi, I'm new to this site, so please bare with me. Have had psoriasis for the best part of 20 years. Was diagnosed with PsA in November 2015. I was on 15mg of mtx for 3 years, but came off it in Dec 15 due to severe nausea and tiredness. Now however, my psoriasis is in major flare up. My hands are the worst! Unfortunately, my job as a care worker is getting more and more difficult as I'm so embarrassed by my hands. The dermatologist wants to try me with a drug (can't remember what it's called). But she said I've to never get pregnant while on it (not planning too). Anyway, I'm at an all time low right now, my joints in my hands are so sore and the psoriasis is spreading. Can't really seem to find anything to be happy about right now.