Health

Skin on Stress : Stress Acne

By Samriti Dhatwalia

February 12, 2025

Stress acne is one of the ways your body and mind indicate their deep connection. You rise to find a small, underdeveloped pimple, attributing it to hormones behaving in their typical manner. What you may overlook is the late night you dedicated to staring at your screen, racing against an approaching deadline, while dealing with the stress of whether you would actually complete it on time. That constant mental storm could be the reason your skin chose to protest by giving you a pimple as an unwanted alert.

Blame it on Cortisol 

Cortisol is a hormone that our bodies release in response to stress. When stress occurs, cortisol levels increase significantly. Cortisol causes increased oil production, blocked pores, and the buildup of bacteria that contribute to acne. A couple of sleepless nights and *wow*—Pimples! When cortisol production rises due to stress, it amplifies the formation of sebum as a component of the skin’s innate immune reaction. P. Acnes, the bacterium responsible for acne, consumes this sebum and consequently triggers an immune system reaction. White blood cells that rapidly respond may harm the follicle wall, causing it to release its contents and leading to an inflammatory pimple. Acne results from various factors, including hormonal changes, friction from sports gear/clothing, face masks (mask-ne), excessive or harsh skin care products, or specific foods with a high glycemic index. 

So how can you tell apart stress acne from all of that? – Listen To Your Body

By focusing more on the signals your body is sending you. If a person typically does not experience breakouts, but suddenly starts to see acne following a stressful event, sleep deprivation, a demanding work or school environment, or relationship issues, it is often referred to as stress acne. Pimples during your period or other frequent breakouts are typically not linked to stress. Stress-related pimples typically appear in the oiliest regions of the face, such as the forehead, nose, and chin. Your T-zone may appear oilier and more clogged as well. Physicians indicate that experiencing clusters of pimples simultaneously may be linked to stress—hormonal acne typically appears individually. Don’t be concerned, but if it lingers, seek advice from a dermatologist.

So, Are you Going to Stress About Being Stressed ?

Thus, you now have a reason to worry about being stressed. Alternatively, you might strive to reduce that feeling to a certain extent. Begin with basic methods such as getting sufficient sleep and discovering your zen space—through meditation, physical activity, yoga, or any form of mental and physical workout—can be beneficial. Recognize the source of stress, then strive to address it. If you are unable to cope, ask for assistance. However, to reduce the stressors that have already emerged for you, seek topical treatments.

Topical treatments like benzoyl peroxide, retinoids, and oral drugs like antibiotics may be beneficial. Certain physicians also recommend opting for in-clinic procedures such as blue light therapy, chemical peels (glycolic, salicylic acid), cortisone shots, and prescribed medications. Certainly, the enduring unchangeable guideline to steer clear of stress acne?

Find Balance 

Achieving this balance could involve – diets with a low glycemic index, practicing yoga, engaging in meditation, exercising, pursuing enjoyment, pinpointing the source of stress, ensuring adequate sleep, and obtaining mental health support if needed. Acne can be annoying at any stage of life. Create a skin care regimen that suits your needs and financial plan, and implement daily adjustments like increasing your exercise frequency, steering clear of direct sunlight, and refraining from touching your skin to minimize breakouts. If you’re having difficulty managing your acne, consult a dermatologist to discover the best treatment for you.