Psychological effects
Acne is a very visible problem and it can have psychological effects, especially for teenagers.
Acne on the face can reduce self-confidence and self-esteem, and interfere with forming relationships. Parents and friends do not always understand these problems.
Unfortunately, people do still judge a book by its cover, so if you have acne you need understanding, support and above all else, appropriate treatment. It’s important to realise that acne can be helped substantially by the good treatments available. It may take a little time for those treatments to work, and there may be some side effects, but progress can certainly be made.

It’s a big help if your family and friends understand the psychological effects, which can accompany acne. Talk to them about it and give them this sheet to read.

If you’re feeling depressed about your acne, psychiatric and psychological support is available. Talk to your GP if you feel you need that support.

Treatment

Acne comes in different forms, ranging from very mild to very severe. If you have acne, you need to be carefully assessed by a doctor and the nature and causes of your condition identified. In cases of severe acne your GP may refer you to a dermatologist (a specialist in skin diseases) for assessment and treatment.

Mild acne
The milder forms of acne can be treated by simple measures, such as creams and lotions containing benzoyl peroxide that are available over the counter at your pharmacist. These products are usually used once or twice a day and may cause skin dryness and peeling when you first start using them. This will improve with time.

Moderate acne
For moderate acne, prescribed medication such as antibiotic solutions, tretinoin cream, other Vitamin A derivatives or azelaic acid cream, can be applied to the skin. These acne products can be a little irritating but generally this shouldn’t worry you. If these products are not helping your acne, your doctor may suggest taking antibiotic tablets for several months. The contraceptive pill may help women with acne.

Severe acne
For severe acne you will need to take antibiotic tablets for several months, but if this is not successful, there is another treatment available called isotretinoin. This is a Vitamin A tablet which you take for four to six months. It can have some unpleasant side effects and can only be prescribed by hospital specialists, but it can cure people with severe acne, particularly if it is causing scarring.

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Acne