Last July marked my worse psoriatic arthritis flare to date. My little toe swelled to the point that it would not fit into my shoes. My right knee seemed to suddenly stop working. However, the pain in my toe and knee did not compare to the pain of the fear that I was feeling. As a result of my fear, I increased my medication, exercised more, and reduced the time between my rheumatology appointments. If handled appropriately, fear can be one of our greatest sources of personal improvement.