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Understanding the Impact of Stress on Skin and Effective Treatment Options
Skin Care

Understanding the Impact of Stress on Skin and Effective Treatment Options

20 May 2025


Effects of Stress on Skin

Stress, Skin, and Treatment of Stress-Related Rashes

Stress has a negative impact on the skin. Just as stress can affect your mood, appetite, and sleep patterns, it can also affect skin function.

To understand what the skin needs in stressful situations, you first need to understand how it reacts.

Stress, whether it is emotional, physical, or environmental, manifests itself in our skin in a number of ways. On a physiological level, it triggers the release of the hormone cortisol.

Elevated levels of cortisol lead to increased sebum production, making the skin more susceptible to acne and other related conditions.

Additionally, stress impairs the skin’s barrier function, weakening its ability to retain moisture and protect itself from external irritants and pathogens.

This can lead to dry, sensitive skin and an increased risk of inflammatory skin conditions such as eczema and psoriasis.

Furthermore, chronic stress can worsen existing skin conditions and accelerate the aging process. This can lead to premature wrinkles, fine lines, and loss of skin elasticity.

In addition to its direct effects, it can also indirectly affect skin health by disrupting sleep, leading to an unhealthy diet, and reducing motivation for regular skin care.

Therefore, stress management is not only essential for mental health, but also for a healthy, radiant complexion.

Effects of Stress on Skin

Studies have shown that psychological stress is associated with a weakened skin barrier function. This means that when stressed, the skin loses its ability to protect itself.

Signs of skin stress include:

Acne

Bacterial or fungal infections

Dehydrated skin

Dry/flaky skin

Pale skin

Eczema

Facial redness

Skin irritation

Itching

Psoriasis

Redness

Rosacea

What is the skin barrier?

Skin barrier function

The skin barrier protects your skin from infection and dehydration and must remain healthy to perform its function.

The weaker the skin barrier function, the more vulnerable your skin is to allergens and irritants.

Transepidermal water loss (TEWL)

TEWL indicates the amount of water that evaporates after penetrating the outermost layer of the skin (the epidermis). Simply put, it shows how much water your skin has lost.

If your skin loses more water than normal, it becomes dry and dehydrated.

If left untreated, this skin condition can develop complications that require more differentiated treatments, such as:

Redness

Irritation and/or itching

Scalyness

More noticeable wrinkles and fine lines

You may experience additional stress from your existing skin condition.

Skin problems can increase our feelings of stress.

Many tools, such as the Acne Disability Index and the Dermatology Quality of Life Index, have shown a strong link between the way our skin looks and feels and our mental health.

A study from 1966 to 2000 found that many people do not realize how much a skin problem like acne or psoriasis can affect their mood and daily life.

People with these skin problems often feel very sad or anxious, which can drastically change their lives. In fact, psychological issues play a role in about 30% of skin conditions.

Some people even consider self-harm due to the stress caused by these skin problems. It is important to understand how skin problems can affect your overall health.

Environmental stressors

Environmental stressors for the skin

Environmental stressors, such as air pollution, can severely damage the skin. Polluted air contains harmful particles and toxic chemicals that settle on the surface of the skin.

Over time, these particles can penetrate deeper into the skin’s layers, causing dehydration, inflammation, and a weakened skin barrier.

Long-term exposure can accelerate the aging process, leading to premature wrinkles, fine lines, and uneven skin tone.

Additionally, environmental pollution can increase the production of free radicals, further damaging skin cells and diminishing the skin’s natural glow and elasticity.

Protecting our skin from the harmful effects of environmental pollution is essential to maintaining a healthy and youthful appearance.

How to Prevent Stress Outbursts

Prevention Measures

The best way to prevent stress outbursts is to minimize stress factors. If you’re frequently stressed, consider how you can boost your mental health.

Sometimes life gets in the way, and mental health issues are inevitable. Therefore, you should consider the following options to proactively protect your skin barrier.

Hydrate

Adequate hydration is essential for skin health. When we drink water, it is distributed and supplied to different parts of the body.

If the body doesn’t get enough water, it will eventually stop functioning properly (and this happens even faster if we spend time in the sun on a hot summer day!).

Skin works the same way, and when it lacks hydration, it suffers. Lack of hydration weakens the skin barrier and its ability to regenerate.

To avoid dehydration, drink at least two liters of water per day.

Apply Sunscreen Daily

Daily sunscreen protects your skin from harmful UV rays, which can further weaken the skin barrier function.

UV damage can also cause skin discoloration, dark spot formation, and worsening skin appearance.

Daily use of sunscreen not only protects your skin barrier from these visible effects, but also promotes the skin’s self-repair process.

Avoid Physical Stressors

Psychological stress is sometimes unavoidable, but there are also physical factors that can affect how your skin responds to stress. Switch to a gentle, fragrance-free or cream-based cleanser.

If possible, use a humidifier in dry climates to moisturize your skin. Small adjustments like this can improve your overall skin health during times of mental stress.

Treatments for Stress-Related Rashes

Treatments for Stress-Related Rashes

Stress-related rashes are inevitable. While we can do our best to prevent them, when they suddenly occur, we need a treatment action plan.

Even after the outbreak, you should continue to take preventive measures, but most importantly, drink enough water.

Rehydration

Psychological stress is associated with water loss from the skin, especially from the face. If you have a stress-related rash on your face, drink plenty of water.

In addition to water strengthening the skin barrier, studies have shown that dehydration can lead to mood and attention disorders and decreased mental performance.

This suggests that adequate hydration can actually inhibit thought patterns that lead to mental health issues.

Hydration Care

Hydration is just as important as drinking water to keep your skin moisturized. Be sure to choose a moisturizer with barrier ingredients.

Antioxidants

When we are stressed, our bodies release chemicals that can damage our skin. One of these chemicals is called free radicals, which can accelerate skin aging and make it look tired or dull. Antioxidants are like superheroes for our skin. They fight these free radicals and ensure that our skin looks fresh and youthful.

By using skin care products with antioxidants or eating foods rich in antioxidants, we can protect our skin from the negative effects of stress.

This means fewer wrinkles, a brighter complexion, and overall healthier skin.

Conclusion

Moisturize and nourish your skin (your skin and your mind!).

If you are bothered by frequent acne, consider changing your daily habits to reduce stress, or consult a doctor to discuss possible adjustments.

To control and treat inevitable acne, drink plenty of water and use skin care products that are best suited for your Bowman skin type.

DQH Knowledge drop: In your 20s, your skin cell turnover decreases. (Cell turnover is a key component in keeping your skin youthful.) You know what else slows down? Your collagen production. Starting in your 20s, collagen decreases by about 1 percent per year. Should you want to prevent fine lines and wrinkles, start by eliminating behaviors that contribute to premature aging. “If it’s bad for you, it’s bad for your skin,” says dermatologist Michel Somenek. “Cigarette smoking reduces blood flow to the skin and causes premature wrinkling and a dull skin texture. Making the repeated pursed motion to inhale can also cause smoker’s lines. Alcohol and recreational drugs are toxins for the skin that damage its cellular structure and DNA,” Somenek tells us. “The faster you eliminate vices while you are young, the better chance your skin and body have to recuperate.” Also, adopting an anti-aging routine in your 20s is key. After all, the best offense is a good defense. We spoke to Somenek and experts Joshua Ross and Audrey Kunin to find out more. Keep reading for the best anti-aging products for your 20s, according to skincare professionals. Sunscreen “We all know that the sun is the number one cause of skin aging and starting the prevention in your 20s is very important,” Ross says. “The majority of your sun damage won’t start to appear until you’re in your 30s, so don’t wait until you see it surface or you’ll be behind the curve. Stay ahead of it with a good-quality zinc-based sunscreen worn daily.” Farmacy Green Defense Daily Mineral Sunscreen An invisible sunscreen with SPF 30, plus botanical extracts meant to protect skin with tons of antioxidants. Bonus: It’s clean and fine to use under makeup. Bareminerals Complexion Rescue™ Tinted Moisturizer Broad Spectrum SPF 30 Although we recommend you use your SPF and moisturizer separately, we also understand moments when you don’t have time or energy for that extra step. For those times, this bareMinerals moisturizer is a great thing to have on hand. Vitamin C Serum “A great introduction to anti-aging is to start with a vitamin C serum in your morning skincare routine,” Ross says. “It’s a powerful antioxidant that will neutralize free radicals and brighten the skin.” He adds that it’s a great way to counteract the effects of the sun’s harmful rays, which, as previously mentioned, are among the biggest causes of premature aging. Drunk Elephant C-Firma™ Vitamin C Day Serum The Drunk Elephant C-Firma is a lightweight serum that promises to give skin a glow by combining the brightening powers of vitamin C with ferulic acid, l-ascorbic acid, and vitamin E. The included sodium hyaluronate is meant to replace hydration loss, so you shouldn’t have to deal with any irritation. Sunday Riley C.E.O. Rapid Flash Brightening Serum This potent serum is jam-packed with vitamin C (15 percent, to be exact), which means it’s a potential superstar at both brightening skin and dousing it in antioxidants. Peptides Using peptides on your skin has many benefits, says Somenek. “The skin barrier is what defends the body against pollution, UV rays, bacteria, and toxins. It can be damaged by several everyday factors. Using topical peptides aids in building a stronger barrier,” he says. “Peptides comprise elastic fibers, which are a type of protein. These fibers help to make skin appear taut and firm. Peptides can also help repair damaged skin, relieve inflammation, and even out skin tone. Some peptides can kill acne-causing bacteria that is common in 20-somethings.” Kunin agrees, saying, “Peptides are an excellent entry point for supporting collagen.” She recommends looking for face and eye treatments that contain these collagen-boosting powerhouses. Charlotte Tilbury Magic Eye Rescue Cream This Charlotte Tilbury super-emollient eye cream has a base of coconut oil and shea butter (read: it’s incredibly hydrating). Botanicals plus peptides are meant to help reduce dark circles and boost collagen, respectively. This creamy moisturizer serves up potent collagen-boosting peptides and pycnogenol, and antioxidant-rich vitamin C. “Instead of sitting on top of the skin, peptides penetrate the outer layer so they go deep. The ‘signals’ they send tell the cells to produce elastin and collagen, which are needed for youthful-looking skin,” explains Somenek. At-Home Peel Pads Remember that skin cell turnover fiasco we talked about earlier? One way to help support it is by exfoliating. “Exfoliation is important to help keep skin fresh and luminous,” Kunin says. She recommends using at-home peel pads as an easy and effective way to exfoliate. “The goal in your 20s is to fight the slowing pace of cell turnover. It is wise to use products that gently exfoliate, yet still remove oil and other impurities. Products that have Alpha Hydroxy Acids (AHA) or Beta Hydroxy Acids (BHA) are a good choice.” According to Somenek, you should only exfoliate two to three times a week. “People of all ages are guilty of over-exfoliating and that can be too much of a good thing,” he says. Dermadoctor Kakadu C Intensive Vitamin C Peel Pad A few swipes of this Derma Doctor powerful peel pad promise to leave your skin glowing and smooth, thanks to the seven (yes, seven) types of chemical exfoliants, including AHA and BHA. It also contains vitamin C via Kakadu plum extract for added brightening and antioxidant protection. KEY INGREDIENTS Kakadu plum extract is sourced from the Kakadu plum, a fruit grown in northern Australia. It contains vitamin C, which restores the skin’s natural barrier, increases collagen production, and soothes irritation. Dr. Dennis Gross Skincare Alpha Beta® Universal Daily Peel Pads These are the gold standard of peel pads, with a cult following and over 900 five-star reviews on Sephora. They’re easy to use and contain a blend of anti-aging exfoliating acids. Emollient Night Cream “In your 20s, you need to start upping the hydration in your skincare routine. You may have been cautious of over-moisturizing because of acne in your teens, but as you enter your 20s, your skin transitions and becomes drier,” Ross says. “I recommend an emollient night cream added into your evening skincare regimen.” “Twenty-somethings need to make sure that they are not using creams that will clog their pores and cause excess oil production,” says Somenek. Opt for non-comedogenic products. Cerave Skin Renewing Night Cream One great choice is the CeraVe Skin Renewing Night Cream, which is a non-comedogenic night cream that leaves skin soft and glowy. It combines the moisturizing powers of ceramides and hyaluronic acid. RoC Retinol Correxion Max Hydration Creme “The best night cream ingredients contain retinol, benzoyl peroxide, and/or salicylic acid or hyaluronic acid. The goal is to moisturize, yet remove excess oil,” says Somenek. This Roc Retinol Correxion cream fits the bill as it contains both hyaluronic acid and retinol so it promises to moisturize while also being non-comedogenic.
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