No matter how committed you are to your treatment plan and how careful you are to avoid triggers, sometimes a psoriasis flare simply can’t be avoided. Scientists are still trying to figure out exactly what causes some psoriasis symptoms to worsen at certain times. But if you know what to do when your psoriasis flares, you’re more likely to minimize its impact.

Here’s your step-by-step guide to psoriasis flares-up relief, helping you reduce pain and itch—and hopefully stop the flare in its tracks.

Step 1: Contact Your Dermatologist

The first thing you should do when your psoriasis flares up is make an appointment with your dermatologist, says Susan Bard, M.D., a board-certified dermatologist at Vive Dermatology, in New York City. Even though you probably have a busy schedule, this step is important, and it may be easier than you think. Many dermatologists offer virtual visits, meaning you don’t even need to leave your home to get advice and support during your psoriasis flare-up.