Stress pimples will usually pop up in the oiliest areas of the face, like the forehead, nose and chin. Your T-zone might look greasier and more congested too. Doctors say that if you're getting clusters of pimples all at once, stress can be a factor—hormonal pimples happen one at a time.
Anxiety causes acne
In response to stress, our bodies produce more androgens, a type of hormone. These hormones stimulate the skin's oil glands and hair follicles, which can lead to acne. That's why when we're under constant stress, acne can be an ongoing issue.
Given the increase in oil production, she says your skin will usually look greasier and slightly more inflamed. Zeichner adds that stress acne can also look like a combination of blackheads, whiteheads, red bumps, and pus pimples.
Anxiety, depression, and other stressful health or life situations don't actually cause acne, but they can definitely worsen it. Acne itself is caused by clogged skin pores. It's not clear why, but in people with acne, the skin has a hard time getting rid of dead skin cells.
The relationship between stress and acne has been misunderstood by many. Stress can't directly cause acne. However, studies have shown that if you already have acne, stress does make it worse. Researchers have found that wounds, including acne, are much slower in healing when a person is under stress.
Lamb said it might be more challenging to get the acne under control because of the frequent flare-ups that happen over time. But if the breakout is from more of an acute stressor, like the death or illness of a family member, Dr. Lamb estimated that the acne could take about four to six weeks to clear up.
What does hormonal acne look like? Whiteheads, blackheads, papules, pustules, cysts and nodules are all common hormonal acne symptoms. Normally, whiteheads and blackheads do not cause pain, inflammation or swelling, but if they do, then they are most likely forming into cysts and pustules.
While stress alone isn't the cause of acne pimples — age, hormones, acne-producing bacteria and other factors are at play — it's evident that stress can trigger breakouts and make existing acne issues worse.
When your body is under stress, it produces hormones called androgens that affect various parts of the body, including the skin. In the skin, these hormones may stimulate hair follicles and oil glands, leading to more inflammation and development of acne.
Anxiety can lead to a red face, facial tingling, and other issues that affect the lips, eyes, and more. Despite these issues, most people cannot tell when a person is anxious by their face. Each facial symptom of anxiety requires its own treatment.
Acne is caused by your skin making too much sebum (oil), which, along with dead skin cells, clogs the pores — making them the perfect place for bacteria to grow. Hormones, family history and underlying health conditions can play a role in developing acne. It can also be a side effect of taking certain medications.
Although dermatological experts advise that stress does not cause acne, some research identifies a link, and medical professionals agree that stress can worsen symptoms. Stress can affect a person's hormonal balance and the skin's immune function. This may increase the chance of oily skin and clogged pores.
“Someone can feel unhappy, which causes social anxiety, and the subsequent increase in stress hormones can worsen their acne.” “Research has shown that patients with acne are at an increased risk of severe depression,” she adds.
You can tell if acne is hormonal or bacteria by its severity if flare-ups occur during hormonal imbalances, and whether topical treatments resolve the issues, or if systemic medications are needed.
While androgens are essential to the development of acne, routine screening of women with acne or hirsutism usually reveals normal levels of androgens. The serum level of DHEAS, testosterone, and DHT in women with acne ranges from high to normal.
Cortisol, the primary stress hormone, increases sugars (glucose) in the bloodstream, enhances your brain's use of glucose and increases the availability of substances that repair tissues. Cortisol also curbs functions that would be nonessential or harmful in a fight-or-flight situation.
Due to stress's affect on the body, most people experience stress acne breakouts rather than a single blemish. The excess oil production related to stress breakouts can increase the likelihood of developing cystic acne, though the majority of patients experience blemishes nearer to the surface of the skin.
67 percent would find someone unattractive if they had acne. 41 percent did not want to be seen in public with someone with acne. 44 percent felt uncomfortable touching someone with acne.
Stress can increase the production of substances that activate oil glands within the skin of acne patients. Consumption of dairy and high-glycemic foods is also linked to acne. Certain hair or skin products can clog pores and cause comedonal acne (blackheads and whiteheads).
The best topical treatments to treat stress acne
Salicylic acid can unclog pores, benzoyl peroxide is anti-inflammatory and antibacterial, and retinol increases skin cell turnover rate.