Psychological problems in rheumatic diseases are common and influence the maintenance of symptoms and management. The psychological and psychosocial aspect of rheumatoid arthritis and systemic lupus erythematosus are briefly described. An approach to psychological management and the role of the psychiatrist in rheumatology are considered. In addition to appropriate and adequate treatment of concomitant psychological disorders with drugs, psychosocial interventions and the use of other forms of therapy such as self-help groups are also invaluable.