There is limited information available about the diagnostic experience of patients with psoriatic arthritis (PsA). 203 participants were interviewed and surveyed about their diagnostic journey with PsA. Participants reported delays in diagnosis and misdiagnoses and reported joint pain and stiffness as symptoms that led them to seek medical care. Participants with joint pain, swollen joints, and sausage-like fingers or toes were more likely to have a shorter time to diagnosis whereas fatigue, foot problems, stiffness, and back pain symptoms reported by participants led to longer diagnosis times.