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How Your Skin Can Affect Your Mental Health

Unlike other organs, skin is visible to the outside world—and that can have a significant impact on self-esteem and mental health. The relationship between the mind and skin is complex. Stress can worsen our skin. Anxiety and itching can go hand in hand. Conditions such as eczema , rosacea , acne and even a Sensitive skin can take its toll on mental and emotional well-being. Some mental health conditions such as Dermatillomania (compulsive picking of the skin) can affect skin health. 

Taking care of your mental health is just as important as taking care of your skin. We've compiled a list of steps you can take to support your mental well-being, as well as resources you can turn to for support.

Step 1: Understand the connection between skin and stress

Stress and anxiety are two common skin triggers. When you're stressed or anxious, your body goes into fight-or-flight mode. This response increases the stress hormones cortisol and adrenaline in the body. Too much cortisol disrupts the immune system and triggers an inflammatory response, which can cause your skin to flare up. Stress can slow skin healing and lead to premature aging. Some people may develop hives when stressed; others may notice increased sebum production. Stress can worsen common skin conditions like eczema, rosacea, acne, and psoriasis.

Between work, school, finances, and family life, stress is hard to avoid. Finding the right tools to support your body and mind, such as meditation, exercise, spending time in nature, journaling, and getting enough sleep, can help you cope with stressful situations.

Step 2: Feeling if you're struggling

Take stock of your mental well-being by paying close attention to your moods, thoughts, energy levels, and behavior. It can be helpful to talk to your healthcare provider if you experience any of the following signs and/or symptoms:
  • Persistent fear
  • Persistent feelings of hopelessness
  • Long-term sadness
  • Extreme irritability or mood swings
  • Difficulty with daily activities
  • No interest in activities you used to enjoy
  • Insomnia or fatigue
  • Difficulty concentrating
  • Restlessness
  • Persistent worrying or anxiety
  • Changes in weight or appetite
  • Unexplained aches and pains
  • Withdrawing from friends and/or social environments
  • Decreased libido
  • Drug or alcohol abuse
  • Thoughts of self-harm or suicide

If you are having thoughts about harming or killing yourself, call 112 in an emergency.

Step 3: Talk to a therapist

Working with a qualified therapist can help you express your feelings, address certain thought and behavior patterns, and develop helpful coping mechanisms, mindfulness practices, and stress reduction techniques. A therapist may use certain therapies, such as cognitive behavioral therapy, which can help worrying about itching or To address skin-picking disorder . If needed, they can prescribe medication or connect you with a healthcare provider who can prescribe medications, such as antidepressants, anti-anxiety medications, or mood stabilizers. Therapy can be provided in person or online, and online therapy services have made it easier to access a therapist from the comfort of your own home, regardless of where you live.

Step 4: Seek support from the community

If your skin is affecting your mental health, know that you are not alone. Finding a supportive community can help. For some, that might mean opening up to friends, family, and loved ones.
If you're dealing with a chronic skin condition, connecting with an online patient advocacy group or a local support group in your area can be a helpful way to access resources and community support. Patient organizations for people with skin conditions include:

Dutch Association for Dermatology and Venereology
Association for People with Constitutional Eczema (VMCE)

Good life in your skin

When it comes to skin and mental health, check in with yourself emotionally. If you've been feeling anxious or depressed for more than two weeks, it might be time to talk to your healthcare provider. Know that you're not alone and that it gets easier, especially with the support of a therapist and an understanding community. Remember: you deserve to feel good about yourself and feel good.

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