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Acne is another good example of how stress can contribute to a skin condition and how the skin condition can cause increased anxiety. Stress hormones trigger the sebaceous glands to produce more oil. The increased oil production causes a build-up of bacteria and inflammation. The resulting blocked skin and spots can cause extreme anxiety and severely impact the sufferer's mental health and confidence, which can profoundly affect every aspect of their lives.
Scars, including self-harm scars and acne scarring, can be a constant reminder of difficult times in one's life and are often embedded in the psyche of the affected. Pigmentation and birthmarks often cause embarrassment and lead to those afflicted becoming introverted or hiding behind a mask of makeup.