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And then, there's the lifestyle results that stress can can cause. 'We tend to sleep badly and eat less well when we are under pressure, often turning to alcohol and sugary foods, which can have an impact on the skin too,' says Dr Munn. It's indirect, but certainly significant.
Keep scrolling for our full conversation about stress and your skin with Munn.
WH: A lot of people think that their acne gets worse in times of stress. Is there any truth to this?
DM: Yes, this is true. Cortisol and androgens – the stress hormones – can lead to blocked pores, which is a contributing factor to acne-prone skin. Bacteria living in human skin feeds off the oily substance sebum, which is created by these hormones, and is a key factor in acne flaring up.
WH: Say someone doesn't have acne – can stress still trigger spots?
Yes – stress can produce hormones which make the skin oily and make it more prone to breakouts.
WH: And what about when stress causes someone’s rosacea to flare up – what’s going on there?
DM: Stress causes emotion and this is proven to trigger rosacea flare-ups through dilatation of the blood vessels in the skin – triggering flare-ups just as easily as common physical factors like alcohol.
Chronic stress causes the body to overreact, which can lead to chemical and physical changes within the body.
For those with rosacea, physical symptoms of stress may occur because rosacea is linked to abnormal chemical reactions in the skin.
WH: And what about the relationship between stress and eczema and psoriasis?
It’s been well researched that eczema and psoriasis flare up during times of stress. If you’ve noticed a flare-up before a big meeting or presentation at work, or right before something else you may find stressful, it’s no coincidence.
If you’re tense, your body tries to protect your skin by boosting inflammation. If you already have inflammation because of eczema or psoriasis, this will make symptoms worse.
WH: More generally, how can a hum of low level stress – say, a demanding job – impact your skin?
Because that stress can weaken your immune system. Your immune system protects your body from infection and viruses, and your skin plays a vital role in this. The skin acts as a defence mechanism and a physical barrier between your bloodstream and antigens.
When your immune system is weakened, it can make your skin more vulnerable to infection with bacteria which can cause pustules and boils. These include viruses like cold sores and yeast infections such as candida or thrush.
Our bodies live in harmony with several organisms, [think about all of those bacteria doing their thing in your gut] but when we become chronically stressed this can become unbalanced, leading to over growth of yeasts and bacteria – some of which cause skin disease including dandruff.
WH: How would you recommend that someone tries to mitigate stress-induced acne, rosacea, eczema and psoriasis?
The key is to try to manage your stress and understand better what may be causing you to feel stressed or anxious:
Good ways of easing flare-ups linked to stress are practising relaxation techniques such as meditation, yoga and deep breathing.
Regular exercise is also good for your skin and the rest of your body as it releases endorphins or the so called ‘happy hormones’.
Getting outside for a long walk is also good for you as sunshine has a positive effect on mood.
Drinking plenty of water, cutting back on alcohol and getting a good night’s sleep are all important for the skin as well.
Vitamin D supplements in the winter months (10mcg daily) can help fatigue, mood and boosts the immune system. Getting outside in the sunshine also helps us make our own vitamin D and helps overall wellbeing.
WH: Aside from relaxing, are there any products that can help to mitigate the impact of stress on your skin?
Use oil-free products, remove any make up before going to bed and use an over-the-counter acne product. If it doesn’t settle down, ask your GP for advice.
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