The intricate relationship between mental health and skin conditions is more connected than many people realize. As the body’s largest organ, the skin is constantly exposed to both environmental stressors and internal emotional fluctuations, creating a dynamic communication system between the mind and skin. Clinical psychologist Jerlyn Ang, with over 10 years of experience in the mental health field, sheds light on this unique mind-skin connection and offers insights into how mental wellness and skin health influence one another.
It takes courage to confront both mental and physical struggles, but with time and support, it does get easier
The Brain-Skin Axis: A Two-Way Communication
Jerlyn explains that the brain-skin axis functions as a two-way communication system. Stressors affecting mental health trigger a cascade of stress hormones, like cortisol, that manifest in the skin. At the same time, environmental stressors affecting the skin can send signals back to the brain, creating a continuous loop of psychological and physical stress.
“The skin is constantly exposed to external stressors, which makes it more vulnerable than any other organ,” she notes. “This is why stressors from the outside world can trigger responses in the skin, leading to issues such as inflammation, redness, and breakouts.”
Psychological Impact of Skin Conditions
For those living with chronic skin conditions like acne, eczema, or psoriasis, the psychological toll can be immense. Jerlyn highlights that these individuals often experience low self-esteem, anxiety, and even depression. “Visible skin issues can lead to feelings of social isolation and insecurity. The fear of being judged or misunderstood by others often causes individuals to withdraw socially, which only perpetuates feelings of loneliness.”
Over time, the chronic nature of these conditions, combined with the frustration of slow or ineffective treatment, can lead to feelings of hopelessness. This can set off a vicious cycle where mental health deteriorates, further exacerbating skin problems.
The Role of Self-Esteem and Body Image
Skin conditions, particularly those that are visible, directly affect self-esteem and body image. Jerlyn explains that people with chronic skin issues may constantly compare themselves to others, leading to a negative self-perception. “In a society that often places a premium on appearance, individuals with skin conditions may feel less attractive or less worthy,” she states.
Moreover, the rise of social media and the pressure to conform to flawless beauty standards further compounds this problem. Negative comments or unsolicited advice, even when well-intentioned, can damage a person’s self-confidence.
Stress and Skin Conditions: A Perpetuating Cycle
as the skin is constantly exposed to the outside world, it is more susceptible to environmental stressors than any other organ and can produce stress hormones in response to them. These hormones then send those signals back to the brain. Consequently, psychological stressors can lead to skin problems, and environmental stressors can contribute to psychological stress through the skin, creating a continuous cycle of stress.
Stress caused by skin conditions not only impacts mental health but can also worsen the skin issues themselves. Jerlyn highlights how stress triggers the production of hormones like cortisol, which increases oil production in the skin, leading to breakouts and irritation. Stress also disrupts the skin’s natural barrier, making it more vulnerable to environmental damage.
Additionally, stress can lead to behaviours that further aggravate skin conditions, such as neglecting skincare routines, poor sleep, or unhealthy eating habits. As these skin issues worsen, individuals may feel more stressed, perpetuating a harmful cycle that is difficult to break.
Coping Mechanisms: Breaking the Cycle
Physical activity is another great way to release endorphins and lift your mood
Jerlyn recommends several healthy coping mechanisms for managing both the emotional and physical symptoms of skin conditions. These include regular meditation and relaxation exercises, which help regulate stress hormones and support the skin’s natural barrier.
“Physical activity is another great way to release endorphins and lift your mood,” she says. “A balanced diet and sufficient sleep are also crucial in reducing inflammation and helping the skin heal.”
Furthermore, surrounding oneself with supportive friends and family can help individuals feel less isolated in their journey with chronic skin conditions.
Mental Health and Skin Improvement
Interestingly, addressing mental health issues can lead to improvements in skin conditions. Jerlyn highlights that therapies such as Cognitive Behavioural Therapy (CBT) and mindfulness-based approaches have been shown to reduce stress and improve skin conditions like psoriasis, acne, and eczema.
“Studies show that psychotherapy helps reduce the severity of both mental health symptoms and skin diseases,” she explains. Mindfulness techniques, in particular, can help individuals manage the emotional triggers that exacerbate skin problems, promoting both better mental and skin health.
Addressing Both Mind and Skin
For individuals struggling with the dual challenges of mental health and skin issues, Jerlyn offers a key piece of advice: take the first step toward seeking help, whether through therapy, a healthier lifestyle, or addressing your skincare routine. “It takes courage to confront both mental and physical struggles, but with time and support, it does get easier,” she encourages.
For more information or to seek professional support, you can reach out to Jerlyn at Better Life Psychological Medicine Clinic, located at Novena Medical Center.
About Jerlyn Ang
Jerlyn Ang is a dedicated clinical psychologist practicing in Singapore with over a decade of experience in the mental health field. She specializes in working with clients facing a wide range of challenges, including depression, anxiety, obsessive-compulsive disorder (OCD), attention deficit hyperactivity disorder (ADHD), eating disorders, bipolar disorder, and autism spectrum disorder. Jerlyn believes in creating a safe and supportive space for each individual, recognizing that everyone’s journey is unique, and helping them navigate through their personal struggles with compassion and care.
