Discover
Does stress cause skin problems?
Did you know that stress can cause skin problems such as itching or rashes? In this article, I look at the links between stress and skin problems. I also look at ways you can manage when they happen at the same time.
What is stress?
Stress is mainly a physical response to situations or events. It’s caused by your body releasing ‘fight or flight’ hormones. These are chemicals produced by your body, such as adrenalin. They contribute to this fight or flight response.
Stress also affects how you feel when you find it difficult to cope with being under pressure. For example, moving house, changing job or having a baby.
Everyone reacts to stress differently. The way you respond can depend on your personality and how you respond to challenging situations.
Stress effects on skin
When you’re stressed, your body releases ‘stress hormones’, such as adrenaline and cortisol. They affect different functions, like the flow of blood to your skin. A common sign of stress is skin irritation or a rash. There are some other stress-related skin problems to look out for.
- You might have temporary hair loss and a sore scalp after a stressful event like bereavement or a major operation.
- Extreme or sudden stress may also lead to vitiligo if it runs in your family. This is a condition where pale white patches develop on the skin.
- There’s a type of hives called ‘adrenergic urticaria’ that are caused by stress. Hives are red, itchy, raised bumps that appear on the skin.
Ongoing stress can also weaken your immune system. This makes you more vulnerable to infection and skin diseases like vitiligo (loss of skin colour) and urticaria (another name for hives). These are autoimmune diseases. This means your body thinks it’s fighting an infection and produces chemicals that attack normal cells.
Stress may also lead to inflammatory conditions like rosacea. This is a common skin condition that can cause redness and visible blood vessels on your face.
If you’ve already got a skin condition like acne, stress can make it worse. Stress may also trigger flare-ups of problems caused by something else, such as an infection. One example is the herpes simplex virus, which causes cold sores. It lies dormant (not active) in your body but can cause symptoms when you’re stressed or run down.
Responding to stress
Stress can be hard to avoid. How you respond to it can affect your skin too.
Stress can keep you awake at night. It may also increase the urge to scratch itchy eczema and urticaria. This can make it even harder to get a good night’s sleep.
You might find you turn to sugary and fatty comfort foods, alcohol, caffeine or smoking to cope with stress. But they aren’t good for either your overall health or your skin. Alcohol and caffeine, for example, can cause skin redness, such as rosacea. They can also trigger the itchiness of urticaria and eczema. Smoking and drinking too much can make psoriasis worse too.
Stress can also trigger habits called ‘body-focused repetitive behaviours’. This includes things like pulling at your hair and lashes or picking at your skin. These addictive habits release a ‘feel-good’ hormone called dopamine. They can seem a form of short-term stress relief but are damaging in the long term.
Breaking the cycle
Skin conditions may also cause stress because of how they make you feel about yourself. They can also impact your everyday life including your social activities and relationships. You can end up in a ‘vicious cycle’. For instance, you might worry about stress causing a flare-up and this can make it more difficult to cope with whatever’s making you stressed.
It’s important to break this cycle. Talk to your doctor about tackling both problems together. Relaxation techniques can help to reduce stress and the ‘habit scratching’ that makes eczema worse.
Cognitive behavioural therapy (CBT) can help you react differently to potentially stressful situations. It can also teach you to cope with the psychological effects of a skin condition. You might find it helps to address any body-focused repetitive behaviours too.
Mindfulness is about being present in the moment. It makes you more aware of how you feel, both emotionally and physically. It can help you be kinder to yourself and others. It can also help reduce stress symptoms that affect your skin, such as anger. Anger, for example, causes flushing (redness) in rosacea.
One study even suggests that combining CBT and mindfulness can help to treat psoriasis.
Physical activity can also reduce your risk of stress, boost your mental and physical wellbeing. Exercise done at least four hours before you go to bed can also help you sleep better.
Your doctor can talk to you about ‘good sleep hygiene’ too, so you get the rest needed to deal with stress.
Getting help and support
Speak to your doctor, who can suggest local support groups and healthy lifestyle advice. These may help you feel better able to cope with both stress and your skin problem.
You may not be able to avoid stress altogether. But there are ways to reduce stress levels and its impact on your skin.
If you’re worried about your mental health, our direct access service aims to provide you with the advice, support and treatment you need as quickly as possible. If you’re covered by your health insurance, you’ll be able to get mental health advice and support usually without the need for a GP referral. Learn more today.
-
Sources
- How to identify stress. International Stress Management Association. www.isma.org.uk, accessed 26 August 2021
- Telogen effluvium. British Association of Dermatologists, www.bad.org.uk, published May 2020
- Alopecia areata: What causes it? NICE Clinical Knowledge Summaries. cks.nice.org.uk, last revised March 2018
- Long-term conditions and mental health: The cost of co-morbidities. King’s Fund. www.kingsfund.org.uk, published February 2012
- Vitiligo: What causes it? NICE Clinical Knowledge Summaries. cks.nice.org.uk, last revised April 2010
- Urticaria: What is it? NICE Clinical Knowledge Summaries. cks.nice.org.uk, last revised March 2020
- What causes vitiligo? The Vitiligo Society. www.vitiligosociety.org, accessed 28 August 2021
- Assessment of urticaria. BMJ Best Practice. www.bestpractice.bmj.com, last updated 16 June 2021
- Rosacea and rhinophyma. Patient. www.patient.info, last checked June 2015
- Acne vulgaris: What are the complications? NICE Clinical Knowledge Summaries. cks.nice.org.uk, last revised June 2021
- Herpes simplex. British Association of Dermatologists. www.bad.org.uk, published November 2019
- Eczema triggers and irritants. Patient. www.patient.info, last edited May 2018
- Urticaria: What are the causes/trigger factors? NICE Clinical Knowledge Summaries. cks.nice.org.uk, last revised March 2020
- Urticaria: Scenario: Managing urticaria. NICE Clinical Knowledge Summaries. cks.nice.org.uk, last revised March 2020
- Psoriasis: What factors may trigger an episode of psoriasis? NICE Clinical Knowledge Summaries. cks.nice.org.uk, last revised May 2021
- Trichotillomania (Hair Pulling Disorder). OCD UK. www.ocduk.org, accessed September 2021
- What are the complications? Psoriasis. NICE Clinical Knowledge Summaries. cks.nice.org.uk, last revised May 2021
- What are the complications? Vitiligo. NICE Clinical Knowledge Summaries. cks.nice.org.uk, last revised April 2020
- Living with skin disease. Patient. www.patient.info, last edited November 2014
- Eczema – triggers and irritants. Patient. www.patient.info, last edited May 2018
- GP guidelines. The Vitiligo Society. www.vitiligosociety.org, accessed September 2021
- How to look after your mental health using mindfulness. Mental Health Foundation. www.mentalhealth.org.uk, accessed September 2021
- History and examination: Rosacea. BMJ Best Practice. www.bestpractice.bmj.com, last updated October 2019
- Fordham B, Griffiths C, Bundy C. A pilot study examining mindfulness-based cognitive therapy in psoriasis. Psychology, Health & Medicine 2015; 20(1): 121–7. doi: 10.1080/13548506.2014.902483.
- UK Chief Medical Officers’ Physical Activity Guidelines. GOV UK. www.assets.publishing.service.gov.uk, published September 2019
- Managing short-term Insomnia: Good sleep hygiene. NICE Clinical Knowledge Summaries. cks.nice.org.uk, last revised March 2021
More discover articles...
Did you find our advice helpful?
We’d love to hear what you think. Our short survey takes just a few minutes to complete and helps us to keep improving our healthy lifestyle articles.
Our latest articles
Legal disclaimer
This information was published by Bupa's Health Content Team and is based on reputable sources of medical evidence. It has been reviewed by appropriate medical or clinical professionals and deemed accurate on the date of review. Photos are only for illustrative purposes and do not reflect every presentation of a condition.
Any information about a treatment or procedure is generic, and does not necessarily describe that treatment or procedure as delivered by Bupa or its associated providers.
The information contained on this page and in any third party websites referred to on this page is not intended nor implied to be a substitute for professional medical advice nor is it intended to be for medical diagnosis or treatment. Third party websites are not owned or controlled by Bupa and any individual may be able to access and post messages on them. Bupa is not responsible for the content or availability of these third party websites. We do not accept advertising on this page.
For more details on how we produce our content and its sources, visit the About our health information section.
^We may record or monitor our calls
