Can Pimples Be Caused By Stress?

This blog is for educational purposes only and does not replace professional medical advice or diagnosis. If you have health concerns, consult an AHPRA-registered telehealth doctor or request a medical certificate online if clinically appropriate. Please note: Hola Health does not currently offer Mental Health Care Plans.

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Overview

Pimples or acne is a common skin condition that affects many people, particularly in their teenage years. Pimples usually develop when the oil glands in the hair follicles are blocked due to excess oils or dead skin cells. According to Dr Jo-Ann See, acne affects 85% of Australians aged 15 to 24 years old. Most of us dread pimples as they tend to show up at the worst possible time. They often surface just before a big presentation, a party, or a wedding, giving us another reason to feel overwhelmed. However, can pimples be caused by stress? Here is everything you want to know about stress acne.

How Stress affects acne?

Stress does not cause acne directly but triggers pimples and other skin conditions. Stress causes your body to release a hormone called cortisol, which increases oil production on your skin. This excess oil clogs your pores and causes breakouts and pimples. Stress may also affect your immune system, making it difficult for your body to defend against acne-causing bacteria. Moreover, stress can trigger unhealthy habits like skin-picking which may aggravate acne. 

Therefore, when you are stressed, your skin tends to produce more oil and becomes more vulnerable to breakouts. 

Types of acne

Everybody’s experience with acne is different. While some people get tiny pimples, others may get severe acne that causes big and painful cysts under their skin. Here’s a simple guide to help you understand the various types of acne, from mild breakouts to distressing cystic acne.

1. Mild acne

If the majority of your pimple outbreaks are whiteheads and blackheads, you most likely have mild acne. When the pore’s opening closes and the hair follicle fills with oil and dead skin cells, a whitehead forms. On the other hand, a blackhead develops when a dark clog of oil and dead skin cells obstruct the pore’s entrance. A blackhead forms as the surface darkens due to a chemical reaction. 

If you have mild acne, you’ve got nothing to worry about as it can be reduced with early intervention. Pharmacies and supermarkets have a variety of high-quality medications that can be used to treat minor acne without a prescription.

It is advisable to use a gentle cleanser and avoid makeup products to get rid of whiteheads and blackheads quickly.

2. Moderate acne

You may have moderate acne if you notice papules and pustules. Pustules are raised reddish bumps with white centres while papules are reddish bumps found in the face or the torso. Unlike mild pimples, moderate acne persists for a longer period. It’s best to seek help for moderate acne as soon as possible, as it may leave a permanent scar on your skin if it is not treated properly.

3. Severe cystic acne

Severe acne is characterised by painful lumps or cysts under your skin. Compared to moderate acne, these breakouts affect a larger portion of your face or body and persist longer, often lasting months or even years. Severe acne may affect your confidence and self-worth, making it difficult for you to engage in activities you like because of your distorted self-perception. It is important to consult a doctor to receive proper care and treatment.

4. Acne in teenagers

Teenagers are prone to acne as they have high levels of androgens, the sex hormone which causes the size and production of oil glands to increase. Developing acne is something that almost all teenagers dread, but the good news is that it does not last forever. Plus, you may see improvements in your acne much sooner if you adopt some healthy practices like maintaining a balanced diet, exercising, and keeping your skin clean and moisturised.

5. Acne during pregnancy

Although hormonal acne does not always increase during pregnancy, it is more likely to flare up in the first trimester, if you have it. Fortunately, throughout the final trimester, pregnancy acne is expected to get better and possibly go away. Women who get frequent acne note that with each pregnancy, their acne gets progressively better or goes away. Moreover, breastfeeding is a great preventative measure against acne.

6. Acne during adulthood

There are several possible reasons for adult acne, ranging from stress, work life, family life and even genetics. Acne in adulthood is a global phenomenon that affects more women than men. It’s important to note that youthful skin is greasy and less sensitive, whereas mature skin is drier and more fragile thus, adult skin is different. Adults usually get acne on their necks, chins, and jawlines. The acne lasts longer and is uncomfortable.

What does stress acne look like?

Excessive stress may lead to more pimples or zits on your face. Stress acne may be uncomfortable, swollen, and red at times. Small lumps, whiteheads, or blackheads may also be noticeable. Large, deep lumps called cysts may develop in extreme circumstances. It’s possible for your skin to feel rough or bumpy, and pimples may take longer to heal. Stress increases the amount of oil produced by the skin, clogging pores and causing breakouts. Stress isn’t the only cause of acne, but it can make it worse. Acne can be controlled by taking good care of your skin and learning to manage stress.

Treating stress acne – 14 Home remedies for stress acne

Here are some of the best home remedies that may relieve stress-related acne.

1. Maintain Skin Hygiene: It is advisable to keep your skin clean. Wash your face at least twice a day with a mild cleanser to remove excess oil and dirt that may promote acne breakouts.
2. Drink Enough Water: Be sure to drink plenty of water throughout the day to keep your skin hydrated. Water helps in detoxification by flushing out the toxins from your body.
3. Honey: Honey is known for its antibacterial and antiseptic properties and may help relieve irritated skin. Apply a thin layer of honey on the affected area and leave it for about 10- 15 minutes before washing it with lukewarm water.
4. Aloe Vera: Aloe vera is a natural remedy that can help in reducing acne. Rich in anti-inflammatory compounds, it can help soothe inflamed skin. Its antimicrobial properties prevent further breakouts. Whether applied directly from the plant or through skincare products containing aloe vera as an ingredient, it serves as a mild yet efficient remedy for managing acne-prone skin.
5. Virgin Coconut Oil: Virgin coconut oil has natural antimicrobial and anti-inflammatory properties. It is used to treat skin infections and may boost the healing of open acne sores.
6. Tea Tree Oil: Tea tree oil is beneficial for acne-prone skin. It has bactericidal effects that help reduce inflammation associated with acne lesions. Dilute tea tree oil with water and apply it to the affected areas with the help of a cotton swab.
7. Jojoba Oil:  Natural and waxy in texture, Jojoba oil is derived from the seeds of the Jojoba shrub. Certain components found in Jojoba oil may decrease skin inflammation, which may minimise redness and swelling surrounding zits and whiteheads. Researchers used jojoba oil-infused clay face masks on 133 participants in a 2012 research. After applying the masks two or three times a week for six weeks, participants reported a 54% reduction in acne.
8. Rosemary: Rosemary can reduce swelling and eliminate bacteria that cause acne. Additionally, it aids in controlling oil production, preventing clogged pores and excessive oil production on your skin. Antioxidants found in rosemary can also aid in healing and prevent new breakouts. Therefore, utilising rosemary-containing products or putting rosemary essential oil on your skin can clear your skin and decrease acne.
9. Echinacea: Applying echinacea or purple coneflower can help reduce acne-related inflammation and redness. It has ingredients that can eradicate germs that cause acne, cleansing your skin. Echinacea can also strengthen your immune system, making it easier for your body to fight off acne. Applying echinacea or utilising echinacea-containing products is a natural way to prevent acne and maintain healthy skin.
10. Green tea: Green tea contains antibacterial qualities that aid in eliminating germs that cause acne and prevent fresh outbreaks from occurring. Green tea can lessen the severity of acne breakouts and assist in maintaining overall skin health when applied or consumed.
11. Zinc: As zinc is essential for managing inflammation and regulating the skin’s oil production, it helps to minimise acne. Furthermore, the anti-inflammatory qualities of zinc can help reduce acne-related redness and swelling.
12. Apple cider vinegar: In addition to balancing the pH levels of the skin, apple cider vinegar may promote cleaner skin. But, as apple cider vinegar may be harsh and irritate skin if applied undiluted, it is imperative to use it cautiously and dilute it with water before applying it to the skin. While some people with acne may find relief from using apple cider vinegar, the results might differ, so it’s important to consult a dermatologist for specific skincare recommendations.
13. Refrain from touching pimples: Touching the pimple can aggravate its state. Touching, rubbing, squeezing, or popping acne can cause germs and dirt to penetrate the skin deeper, making the area more likely to resurface.
14. Omega-3: Omega-3 fatty acids have anti-inflammatory qualities, that help to reduce acne. Furthermore, omega-3s can control the skin’s oil production, which helps to keep pores clear and decreases the chance of acne flare-ups. Consuming foods high in omega-3s, such as walnuts, flaxseeds, and fatty fish, may help to prevent acne and enhance the health of your skin.

How to reduce and manage stress?

It’s important to include a variety of stress-reduction and stress-management techniques in your everyday routine. Here are some quick tips to manage stress effectively:

• Relaxation techniques: It is necessary to activate the body’s natural relaxation response through techniques such as deep breathing, meditation and yoga. Relaxation techniques may help to restore homeostasis by producing a state of calmness. 
• Engaging in regular exercise: Daily physical activities are one of the best ways to reduce stress. Activities like running, swimming, and yoga release endorphins and decrease the amount of stress hormones in the body.
• Proper time management: Scheduling your day, prioritising your responsibilities and setting realistic goals prevent you from getting overwhelmed easily, thus reducing stress. 
• Balanced lifestyle: To promote overall well-being it is essential to make sleep a priority, eat a balanced diet, and cut down on alcohol and caffeine.
•  Taking Stress Leave: Sometimes stress at work can tend to have negative effects on our mental and physical health. Work culture is highly competitive, hence it is important to take stress leave from work whenever possible to rewind and relax. 
• Socialising: Meeting friends and family in your free time can alleviate stress and encourage you during difficult times. 
• Hobbies and Relaxing Activities: Set aside time for enjoyable activities such as reading, gardening or listening to music. Doing what you like in your free time can also help you to recharge.
• Reaching out to a professional: If you are still wondering how to deal with stress effectively, it is best to seek professional help to learn new coping strategies and gather support.

When to seek help?

If your pimples or acne persist despite trying non-prescription medications and home remedies, it may be time to seek help from a dermatologist. Also, if your acne is acute, causing pain or mental turmoil, it’s essential to reach out for professional assistance. A dermatologist can provide customised treatment plans tailored to your skin type and acne extremity. Seeking professional help early can hinder the worsening of acne and may contribute to getting clearer skin in future.

Can pimples be caused by stress? Stress may worsen acne by inducing hormonal shifts that boost inflammation and oil production. Acne is also influenced by poor nutrition, unhealthy skincare practices, and heredity. Although stress management is essential for healthy skin, treating acne frequently calls for a multifaceted strategy that includes skincare, modifying one’s lifestyle, and perhaps consulting a doctor.