You gaze into the mirror, and there it is—an unexpected pimple on your face. Initial surprise gives way to a determined look. Grabbing concealer, you skillfully camouflage the “imperfection,” refusing to let a small blemish overshadow your radiance. However, it is important to understand that your skin can often reflect what’s going on below the surface.

Several studies have highlighted the intricate relationship between stress and skin conditions. This link highlights how psychological stress to the onset or aggravation of multiple skin diseases.

According to 2014 study published in Inflammation and Allergy Drug Target journal, the skin works as both an immediate stress perceiver and as a target of stress responses. Moreover, an emerging speciality, Psychodermatology, has highlighted how skin disorders can affect mental health, and how mental health can affect our skin.

“Psychodermatology is a combination of psychology and dermatology. It is a unique sub-domain of Dermatology that explores the connection between mental health and skin health. It recognizes the intricate relationship between psychological well-being and skin conditions. In simpler terms, it studies how our emotions, stress levels, and mental health impact the skin,” Malvika Jain- Founder and CEO, Sereko, an India-based psychodermatology skincare brand, told Financial Express.com.

The company, a psychodermatology skincare brand, claims that it’s product line is centred around the NeuroCalm formula, a patent-pending unique blend. According to Jain, one-third of the dermatology patients in India are reported to have an underlying mental health issue.

“There is a pressing need to address skin repercussions of psychiatric problems. Therefore, the scope of psychodermatology in India is promising and evolving. With a growing awareness of the mind-skin connection, more dermatologists are recognizing the need for an integrated approach to address skin issues. India’s diverse population experiences a range of dermatological conditions, often influenced by stress, anxiety, and lifestyle factors,” she said.

Psychodermatology offers a holistic perspective, aiming to treat not only the physical symptoms but also the underlying psychological factors contributing to skin problems.

As mental health gains importance in India, the demand for psychodermatology solutions is likely to rise. Incorporating psychological interventions alongside traditional dermatological treatments can enhance overall patient well-being, she maintained.

“As we navigate the complexities of modern life, truly holistic solutions that balance the mind, body and skin would emerge,” she added.

How mind and skin are connected?

There are hundreds of products available that you can apply to your face to get rid of those wretched pimples. However, if the cause of these pimples stems in the mind, no amount of salicylic acid or retinol can give you relief.

“The connecting between skin and mind is known as brain-skin axis. There is a bidirectional communication that happens between skin and brain. Stress and poor mental health lead to skin problems like acne. Likewise, skin problems also contribute to negative impact on mental well-being. Skin problems lead to negative self image which eventually results in poor mental health,” Dr. Rahul Chandhok, Head Consultant, Mental Health and Behavioural Science, Artemis Hospital Gurugram told Financial Express.com.

The relation between skin and mind is similar to the relation between mind and gut. Both the kinds of interactions involve complex networks of nerves, hormones, and immune factors, he explained.

“…Common examples include stress-related conditions like psoriasis, eczema, vitiligio and acne. Emotional stress can exacerbate these conditions or trigger flare-ups. Additionally, conditions like trichotillomania, where individuals compulsively pull out their hair due to emotional distress, fall under this category,” Jain told Financial Express.com.

The prevalence of psychodermatological disorders in India is not extensively documented, but they are acknowledged to impact a significant portion of the population. The impact of Mental Health on Skin Health is undeniable and is one which is very evident, she revealed.

“As a proactive initiative in this direction, The Psychodermatology Association of India has been set up after onboarding distinguished Dermatologists, Psychologists and Psychiatrists from across the Country. So, the Psychodermatology domain is emerging in India now and is set to become a mainstream practice in the time to come,” she added.

Dr. Rashmi Sharma, Senior Consultant, Dermatology at Fortis Hospital, Vasant Kunj told Financial Express.com that just like the mind-gut connection, the relationship between the mind and the skin involves complex interactions between various biological, neurological, and psychological factors.

Here are some key points regarding the mind-skin connection:

  • Psychological states such as stress, anxiety, depression, and other emotional factors can influence the health and appearance of the skin. Stress, in particular, can trigger or exacerbate skin conditions such as acne, eczema, psoriasis, and rosacea.
  • The skin has a complex network of nerves and receptors that communicate with the brain. This communication pathway can influence sensations such as itching, pain, and touch sensitivity. Additionally, neurotransmitters and neuropeptides released by the brain can affect the function of immune cells in the skin, influencing inflammatory responses and skin conditions.
  • Behaviors such as scratching, picking at the skin, poor skincare habits, and neglecting skincare routines can impact the health and appearance of the skin. These behaviors may be influenced by psychological factors and can contribute to the development or worsening of skin conditions.
  • Recognizing the mind-skin connection has led to the development of integrative approaches to skincare and dermatology. These approaches may include techniques such as mindfulness-based stress reduction, cognitive-behavioral therapy, relaxation techniques, and lifestyle modifications to help manage stress and improve skin health.

“While the mind-skin connection shares similarities with the mind-gut connection in terms of the bidirectional communication between the brain and peripheral organs, the specific mechanisms and interactions involved may differ due to the unique characteristics of the skin and gastrointestinal system. Nonetheless, both connections highlight the importance of considering the holistic nature of health and wellness, where mental, emotional, and physical factors all play significant roles,” Dr. Sharma said.

Pyschodermatology-A market opportunity?

As the ‘Brain-Skin Connection’ becomes more evident, skincare industry leaders are looking at psychodermatology segment as emerging opportunity. Sereko, launched in June last year, has a holistic approach to skincare.

Jain claims that it is India’s first Psychodermatology brand and the product line comprises two variants: NeuroCalm (I) for oral use and NeuroCalm (S) for topical application. NeuroCalm (I) features Hydrolysed Milk Protein, Saffron, Bacopa, and Piperine to balance gut health, promote healthy skin, boost collagen production, and enhance neural regeneration. This formula is infused in all of SEREKO’s Nutraceutical offerings.

On the other hand, NeuroCalm (S) incorporates Micro-Marine Algae, Wild Indigo, Basil Oil, and Centella Asiatica to positively influence mood, reduce signs of ageing, and alleviate stress through anxiolytic and antidepressant effects. This formula is infused in all of SEREKO’s Skincare offerings, she revealed.

“The unique selling proposition of the Brand lies in enhancement of mood and reduction of stress, two very big factors impacting the conduct of skin health. Given that consumers vary of using medicinal products for their stress and anxiety, SEREKO has developed formulations that can be used in very consumer-friendly formats. For the first time in India, a Skincare Brand is offering products like Serum, Cleanser, Moisturiser and Body Oil, among others that improves the user’s stress and enhances their mood along with targeting specific skin concerns. Psychodermatology, the brand’s focal point, explores the connection between psychological factors and skin health, aiming to improve emotional well-being and manage skin conditions like acne and psoriasis,” Jain explained.

Collaborating with leading American Psychodermatologist Dr. Jafferany, SEREKO emphasizes a holistic approach to skincare, drawing on over 40 years of his expertise as a psychodermatologist, she maintained.

“The NeuroCalm formula, clinically validated and tested by Dermatologists, facilitates a two-pronged strategy for lasting skin health—internally through oral consumption and externally through topical application. This comprehensive approach distinguishes SEREKO as a trailblazer in addressing both mental distress and its tangible effects on the skin, promoting healthier skin health that lasts longer,” she added.

The founder also claimed that SEREKO’s products go beyond the surface of the skin to improve the mood of the user, so as to reverse the signs of mental stress showing on the skin and this is unique among other dermatological brands in India.

“Unlike its competitors, SEREKO doesn’t offer a scattershot approach. It focuses on truly holistic regimens that go one step ahead to address the root cause of any skin concern- mental stress and anxiety. All of SEREKO products have a mood enhancing impact, apart from delivering stellar results for the skin,” she maintained.

It is noteworthy that Sereko has devised a multifaceted strategy to drive future business expansion which include global placement, offline placement and prioritising quick commerce activation.

“Firstly, the company is keen on global placement, aiming to extend its market reach beyond current borders. This involves identifying and entering new international markets where there’s a demand for its products. Secondly, Sereko is exploring offline placement opportunities, targeting self-serviced modern trades and large format retail stores. This approach allows the company to tap into physical retail spaces, leveraging the visibility and accessibility they offer to reach a broader customer base,” Jain told Financial Express.com.

In the competitive landscape of India’s burgeoning beauty and personal care market, establishing a distinct identity is paramount for Sereko, an Indian brand aiming to carve its niche, she emphasised.

“The market’s worth of $30 billion has attracted global giants like Estée Lauder, Puig, and L’Oréal, intensifying the competition. However, the shift towards niche products presents an opportunity for indigenous brands like Sereko to shine. Accessibility to consumers at every touchpoint has emerged as a critical factor in this scenario,” she added.

Is it possible to improve mental well-being by treating skin conditions?

Dr. Sharma maintains that improving mental well-being by treating a skin condition is indeed possible, and there is a well-established connection between skin health and mental health. Here’s why:

  1. Skin conditions like acne, eczema, psoriasis, and others can have significant psychological effects on individuals. They may experience feelings of embarrassment, low self-esteem, anxiety, and depression due to the visibility of the condition and societal stigma associated with it.
  2. Skin conditions like acne, eczema, psoriasis, and others can have significant psychological effects on individuals. They may experience feelings of embarrassment, low self-esteem, anxiety, and depression due to the visibility of the condition and societal stigma associated with it.
  3. Some skin conditions can cause physical discomfort and pain, which can further contribute to stress and negatively impact mental well-being.
  4. Skin conditions can affect various aspects of daily life, including social interactions, work, and relationships. Addressing the underlying skin condition can improve overall quality of life and reduce stress associated with managing the condition.
  5. Treating the skin condition itself can involve dermatological interventions such as topical treatments, oral medications, lifestyle changes, and skincare routines. As the skin condition improves, individuals may experience relief from the psychological burden associated with it.
  6. Recognizing the interconnectedness of physical and mental health, healthcare professionals often take a holistic approach to treatment. Addressing both the physical symptoms and the psychological impact of a skin condition can lead to better overall well-being.
  7. Engaging in self-care practices associated with managing a skin condition, such as adhering to a skincare routine or making lifestyle changes, can empower individuals and improve their sense of control and confidence.

According to Dr. Monica Bambroo, Head Dermatology, Artemis Hospital Gurugram, there are high chances of improvement in a person’s mental and emotional well-being by treating skin condition.

“Getting rid of the skin issues often leads to increased self-esteem, gives a sense of confidence, reduces social anxiety and improves overall mental well-being. As the visible skin problems start diminishing, the emotional stress triggered by then also starts declining, fostering a more positive self-image. Furthermore the relief from problems like discomfort, pain and irritation also contributes to the overall mental well-being,” Dr. Bambroo told Financial Express.com.

Dr. Bambroo also maintained that although skin treatment is not the only solution to enhance mental well-being, but it significantly helps in ensuring a better state of mind.