EFFECTS OF ACNE: more than skin deep

By LINDSAY MCCARTHY FNP-C, DCNP

Most of us have had some type of acne at some point in our lives. It typically shows up around middle school age when outward appearance becomes almost an obsession. Although acne is a common skin condition, it’s important for parents to be aware of how it may be affecting your tween or teen. Even just a few zits can have a significant impact on self-image, confidence, and happiness. These effects can linger into high school and adulthood and have a profound impact on mental health. How young adults navigate the hormonal changes of their skin can vary. You may notice grooming routines become increasingly time consuming, or your son or daughter no longer wants to participate in social activities they used to enjoy. Acne may not be avoidable, but understanding how it can impact the developmental process of adolescence is a first step in mitigating its potential negative effects on your teen.

Egocentrism refers to a stage of development typically between 11 and 16 years of age where kids are learning how to form their own thoughts and sense of identity. It is a normal and necessary process of growing up. Children in this stage tend to be very self-involved and extremely self-conscious. Physiological development also plays an important role at this age as well. Hormonal changes kick in. The skin starts to produce more oil and pores enlarge. Certain areas, like the face, become a prime site for black heads, pustules, and cysts to appear. Great timing, right? Imagine feeling like all eyes are on you and now your face has a scattering of bumps and red spots. Even though this is likely not the reality, young adults at this age struggle to separate their thoughts from the thoughts of others around them. Having acne during this time of development can have a significant impact on how a child navigates through this tumultuous time. Even mild acne has been shown to contribute to feelings of low self-esteem, poor self-image, and anxiety. Studies have shown that the longer acne lasts, the more likely it will have a negative impact on mental health. If left untreated, acne can get worse and, in some cases, lead to permanent scarring.

If acne seems to be taking its toll on your child’s well-being, getting started on treatment will not only improve their outward appearance, but can also help improve self-esteem and emotional wellbeing. There are numerous acne treatments available over the counter as well as by prescription. The available options and different approaches to treatment can be overwhelming. The journey can be frustrating for both parent and child. The following tips can assist you in helping your son or daughter feel better on outside as well as on the inside.

Acne can get worse if left untreated. Clogged pores and pimples can progress into deeper cystic lesions. Studies have shown that early treatment helps prevent worsening acne and potential for scarring. Over-the-counter acne treatments are a great place to start and are easily accessible. Getting your child started on an acne treatment is also a great way to practice consistency. The success of managing acne depends on the regular and consistent use of whatever treatment modality is being used. Just the act of getting your tween in the habit of washing with a gentle cleanser will help prepare them for any future skin care regimens that may be needed.

There are no acne treatments that work overnight. Acne treatments take time to kick in. Topical medications typically take at least six to eight weeks to start to improve acne. Stopping an acne wash or cream before that time frame may only postpone the desired result. Unless acne is worsening or the treatment is causing irritation, encourage your child to stick with it for at least four weeks before making a change in treatment.

It’s also important to recognize what your and your child’s goals are for treatment. Are you looking for absolutely clear skin? Are a few small zits tolerable? Identifying what the objective is in treatment will help clarify when you need to see a dermatology provider and how they can help you in your child’s treatment goals.

Most of us have or have had acne. Although acne is common, it is important not to normalize the negative impact it can have on emotional development and mental health. Numerous studies have demonstrated that people who suffer from acne are at risk for developing anxiety and depression. Adolescents are particularly vulnerable to the negative consequences that acne can have. The severity of acne does not correlate to the severity of impact it may be having on them emotionally. Take acne seriously. Acne may fade over time, but its impact on mental health can last a lifetime. ■

Summer break is a great time to get healthy and enjoy the warmer weather. A few simple rules can help beat the heat and be safe.

BE SUN SMART: It is never too early to take care of your skin. In fact, most sun damage happens before the age of 18. Sunscreen is a great tool, but it can only go so far. In addition to the SPF 50, don’t forget to cover up with a hat and seek shade when you can.

WATCH YOUR WATER: A child’s body is up to 70% percent water. It is easy to see why staying hydrated is key to their brains and bodies working as they should. In the summer heat when we run and sweat, we lose water quickly. When going out, always plan ahead and pack water. When your water is half gone, your outing should be half over. And remember, don’t drink unfiltered and untreated water, from a lake, river, or creek.

GET THE RIGHT GEAR: Just as you wouldn’t go sky diving without a parachute, you shouldn’t embark on any adventure without the right equipment. Do your research, and plan ahead so you don’t end up in a tight spot. As the Boy Scouts say, “Be Prepared!” This could include everything from sturdy shoes to life jackets. But don’t just pack the life jackets, be sure to wear them.

HEAT AND HYGIENE: With the heat, comes the sweat. With the sweat, comes the smell. Address hygiene for health AND social wellness. The American Academy of Dermatology tells us that teens should bathe daily. They also recommend teens wash their face twice a day to battle breakouts that can be aggravated by heat and sweat.

STAY ON A SLEEP SCHEDULE: Longer days, and shorter nights, can make it easy to stay up late. But don’t throw bedtimes and routines out the window. Routines are important to keep the whole family well rested and well regulated.

SKIP THE SCREEN TIME: Along with the longer days and nights comes warmer weather. That means more outdoor time. Find activities and encourage your kiddos to exercise and enjoy the benefits of warmer weather. TV is easy, but truly meaningful memories are made outdoors.

So soak up the shade, drink lots of water, and stay safe to enjoy all summer has to offer.

The percentage of Americans who know the sun is a star

40,000

The number of toilet related injuries in the U.S. per year

200

The number of muscles used to take a step

100

The number of years an alligator can live to

6

The milligrams of caffeine in one ounce of milk chocolate

17,000

The number of strawfuls of water it would take to fill a bathtub