Due to the obvious visual nature of the disease, especially when it occurs on the face, many sufferers lack the self esteem and confidence. They find it difficult to form new personal and work relationships due to there appearance.

Acne is most prevalent during adolescence, which is a pivotal time when young people are beginning to develop a sense of identity and self worth; this makes them vulnerable to the psychological effects associated with acne. Studies have shown teenagers with problem acne report higher rates of depressive symptoms, anxiety, suicidal ideations and suicide attempts then those without.

At a time when body image is crucial the negative impact of acne, even minor, can cause many teenagers to feel self conscious and impede their concentration and ability to perform while at school. In severe cases some teenagers may refuse to even attend school.

Body image is paramount for teenagers and having acne can lead to immense embarrassment causing girls to wear heavy make-up, further aggravating the condition, and boys to not participate in activities such as sports and other social events.

Acne, especially moderate to severe, can cause teenagers to be bullied because of the physical nature of the disease. The psychological effects of poor self-esteem and depression also places teenagers at risk of being bullied.