It is found that acne problems affect young adults in most cases. The appearance of acne normally starts at puberty between the ages of twelve and fourteen years when the stimulation of sebaceous glands increases sebum production due to increased levels of sex hormones androgen. The most common issues that trigger acne include: new relationships, exams, stress, the time before periods, pregnancy, usage of some cosmetics and medication.

Acne problems are more than just facial problems as it affects a person both physically and mentally. The following are some of the problems associated with acne:

Anxiety:- this affects mostly young youths who are looking for beauty in today’s world. Anxiety is characterized in the form of fear of being seen by others, worrying too much about how to get rid of acne and develops an ominous dark feeling that has no real basis. People with this kind of disorders can have sleepless nights, experience digestive problems, nightmares and tension in the muscles.

Depression:- one feels sad, unworthy or even helpless because of acne. These kinds of people normally do not have energy to do anything and even lack motivation, but instead will feel tired all the time. They will tend to exclude themselves from most activities and even their friends. In extreme cases it can lead to suicidal thoughts.

Eating disorders:- such as orthopraxis nervosa that involves unhealthy eating due to anxiety, which then interferes with your normal life. In severe cases it can lead to malnourishment and sometimes death. These kinds of people who eat unhealthily use their weight as an excuse to limit themselves from eating too much food in order to cope with emotions triggered by acne.

Obsessive compulsive disorder:- this occurs when one has an obsessive to face washing and topical application for those with acne, skin picking, preening and unreasonable fears that revolves around some food. It is characterized by one developing repetitive and routine rituals in order to deal with anxiety and fears.

Body dysymorphic disorder:- is characterized by a preoccupation that is serious with a real physical flaw such as spending unreasonable time focusing on the acne, picking, squeezing it, constant checking on the appearance of the lesion in the mirror, hiding from reality and even comparing themselves to others. In addition to that, one constantly seeks reassurance from their other friends. Often when the sufferer looks at herself or himself in the mirror the acne looks a hundred times worse than before.

It is also known that acne problems in teenagers are considered to be cosmetic problems.  Apart from the psychological problems mentioned above, acne also has an impact on a patient’s self esteem and quality of life.

Acne problems have also been found to be associated with negative effects on the lives of patients and how they feel about themselves. With an increase in the frequency of suicidal thoughts and suicidal attempts, these psychological disorders should be considered in the treatment of acne.

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