It's Acne Awareness Month: How Acne Can Create Lasting Emotional Impacts

For those who don't struggle with acne, breakouts may seem like a superficial, cosmetic nuisance. But the truth is that living with acne is not that simple—acne is a complex skin condition, and it can actually be a much heavier burden than meets the eye.

In 2020, the Journal of the American Academy of Dermatology published a systematic review1 of 42 studies on acne and the associated risk of depression and anxiety. This likely won't come as a shock (especially to those who have experienced acne firsthand), but the study found a significant association between both acne and depression and acne and anxiety. 

The takeaway? Because of this associated mental health risk, clinicians are encouraged to vigorously pursue acne treatment and consider psychiatric screenings or referrals for those going through acne treatment, as this condition is clearly more than skin-deep. 

Board-certified dermatologist and YouTube creator Andrea Suarez, M.D., FAAD, sees patients struggling with acne every single day and attests: "There is definitely a large mental health burden that accompanies having acne," she says. 

One common emotional struggle Suarez hears from her patients is the constant feeling that they need to cover up their acne with makeup. She emphasizes that many of her acne patients, especially women, "would rather stay home all day than go through the headache of putting a full face of makeup on to go to the grocery store." 

Clinical psychologist and author of Nervous Energy: Harness the Power of Your Anxiety Chloe Carmichael, Ph.D., also helps us understand the psychology behind why acne can have such a negative effect on mental health. 

It's in those high-stress moments, Carmichael explains, that people often want to zero in on the other person. They want to listen to their date speak, but intrusive thoughts often take center stage. For example: Are they staring at my acne right now? I wonder if my makeup is holding up. I hope my acne doesn't gross them out. 

These obsessive patterns aren't easy to navigate away from, either. Carmichael often tells her clients to think of a few things they can redirect their thoughts to when these intrusive thoughts crop up, in order to help soothe their anxiety and be more present—but, of course, it's easier said than done.

Adult acne seems to be especially frustrating in the professional world, Carmichael reports. Her clients struggling with adult acne often say their main concern is not being taken seriously because they feel like they appear younger than they actually are. "If you're going to a job interview [with acne], you may feel that you are not projecting a seasoned and mature physical appearance," Carmichael echoes. 

What's more, living every day with the overarching urge to cover up in order to be socially accepted (like the scenario Suarez mentioned up top) can become traumatizing over time. "It can create a false sense of identity for some people," Carmichael says. 

Because of this intense correlation between acne and mental health struggles, it's imperative that we advocate for acne treatment to be more accessible and more comprehensive in order to support patients on a physical and emotional level.

Furthermore, changing the narrative on social media is key, particularly for younger generations that see photos of seemingly "flawless" skin every day. Suarez tells mbg she believes that those with significant media influence can help their followers by showing them unfiltered images or even just being open about using filters in general. At the end of the day, anything helps. 

And if you are dealing with trauma from acne, know that this is a real, research-backed phenomenon, even though it may seem quite subtle on the surface. As licensed psychotherapist and trauma specialist Britt Frank, MSW, LSCSW, once said on the mindbodygreen podcast: Anyone, no matter their lifestyle, can experience trauma, and the first step toward healing is honoring that you have it. "Start with, 'No matter how awesome my life is, I have the right to feel pain and heal my trauma.' I think that's a good starting place," she says. "You can't heal what you don't name." 

Studies have shown that acne has a significant correlation with depression and anxiety, and many different parts of life are affected by this condition, not just the skin. And we've come a long way in terms of connecting the dots between mental health concerns and acne, but much work is still needed.

Considering we know that acne can cause intense emotional turmoil, we should encourage folks to seek professional help, not just to treat their skin—but also come up with coping mechanisms to deal with the ways that acne can make people feel. In short: Don't be afraid to ask for help, not just to clear up breakouts but to address your feelings about the breakout.

Here at mindbodygreen, we've long preached that caring about your skin isn't vanity—it matters and is important. And if your acne is leaving you feeling less than, it's OK to voice that.