Skin Health Eczema & Dermatitis Stress and Eczema: What Is the Relationship? By Melissa Porrey LPC, NCC Melissa Porrey LPC, NCC LinkedIn Melissa Porrey is a licensed professional counselor in Washington, DC, and a nationally board-certified counselor. Learn about our editorial process Published on November 18, 2022 Medically reviewed by Casey Gallagher, MD Medically reviewed by Casey Gallagher, MD Casey Gallagher, MD, is board-certified in dermatology. He is a clinical professor at the University of Colorado in Denver, and co-founder and practicing dermatologist at the Boulder Valley Center for Dermatology in Colorado. Learn about our Medical Expert Board Print Table of Contents View All Table of Contents Stress and Eczema Risks Management Prevention Frequently Asked Questions Eczema, a condition that causes uncomfortably dry, itchy skin, is one of the most common chronic diseases worldwide. There is a cyclical connection between eczema and stress; stress can trigger or worsen eczema symptoms, and severe eczema can lower quality of life, contributing to mental illness and increased stress. There is no cure for eczema, but there are ways to improve symptoms, including decreasing stress. This article looks at the connection between stress and eczema, the risks, management options, and tips for preventing worsening symptoms. Kiwis / Getty Images Connection Between Stress and Eczema There is a direct correlation between stress and eczema symptoms. Severe eczema can impact a person's sleep, self-esteem, and mental well-being, often creating stress. Increased stress causes inflammation and decreases the effectiveness of the immune system. This worsens skin conditions and itching, creating a cycle in which each condition triggers the other. Risks Not only is severe eczema a risk factor for developing stress and mental illnesses like depression or anxiety, but stress or mental illness are also risk factors for worsening eczema. Additional stressors that may worsen eczema symptoms include: Living in an urban environment with increased pollutantsPrenatal stressLimited social interactionHereditary factorsWeakened immune system Management of Stress-Related Eczema Managing eczema symptoms and stress can improve your quality of life and prevent other issues that stem from eczema, like hay fever or allergies. Managing Eczema Symptoms to Reduce Stress A healthcare provider can help identify environmental factors contributing to or worsening your eczema symptoms. By avoiding these triggers, you can reduce eczema flare-ups and eczema-related stress. Eczema triggers might include: Common allergens, including pollen, mold, or foodsExtreme climate (heat or cold)Skin irritants, like laundry detergents, perfumes, and soapsBacterial infection Managing Stress Symptoms to Reduce Eczema A good social support system, a healthy environment, and access to coping resources can decrease stress and improve eczema. Relaxation techniques can also reduce eczema symptoms. Cognitive behavioral therapy (CBT), which specifically focuses on stress management, can improve symptoms in people with eczema. Prevention Stress management can help prevent eczema flare-ups. Stress management techniques could include: Talking to a mental healthcare providerExercising regularly, eating a healthy diet, and getting enough sleepSpending time outdoors, both to reduce stress and limit your time exposed to indoor allergensLimiting time spent in high heat, which can cause stress to the body and worsen eczema Specific tools, such as eczema apps, also exist to help track triggers and symptoms. About 75% of people with eczema say their symptoms are caused by stress or other psychosocial factors. Summary There is a strong evidence-based connection between stress and eczema. The relationship is cyclical, meaning that stress can trigger or worsen eczema, and eczema can create stress or mental health issues. Other risk factors for eczema include living in areas with high pollutants, having limited social interaction, hereditary factors, and a weakened immune system. Though there is no cure for eczema, reducing stress and limiting exposure to specific products and elements that worsen eczema symptoms may help. Stress-management techniques, such as speaking with a mental healthcare provider, eating nutritiously, and exercising, can also help prevent eczema flare-ups. A Word From Verywell Eczema can bring feelings of self-consciousness, anxiety, isolation, stress, and depression. If your eczema is starting to affect your mental health, contact a mental healthcare provider to learn strategies to manage your stress effectively. Doing so could improve your well-being and clear up eczema symptoms. Frequently Asked Questions Can stress cause eczema? Stress can trigger or worsen eczema symptoms. Similarly, eczema can create stress, causing a cyclical relationship. How can I get rid of anxiety-induced eczema? Though there is no cure for eczema, anxiety, stress, and other mental health problems can worsen symptoms. Reducing anxiety by learning coping mechanisms, working with a mental healthcare provider, or talking to your primary healthcare provider about anxiety medications can help you reduce your eczema flare-ups. How long does stress eczema last? Stress-induced eczema can be acute (short term), lasting a few days or weeks, or chronic (long term), lasting months. The best way to lessen stress-induced eczema symptoms is to adopt coping techniques that reduce stress. 3 Sources Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Zeiser K, Hammel G, Kirchberger I, et al. Social and psychosocial effects on atopic eczema symptom severity — a scoping review of observational studies published from 1989 to 2019. J Eur Acad Dermatol Venereol. 2021;35(4):835-843. doi:10.1111/jdv.16950 Schut C, Weik U, Tews N, et al. Psychophysiological effects of stress management in patients with atopic dermatitis: a randomized controlled trial. Acta Dermato-Venereologica. 2012;92. doi:10.2340/00015555-1415 Luschkova D, Zeiser K, Ludwig A, et al. Atopic eczema is an environmental disease. Allergol Select. 2021;5:244-250. doi:10.5414/ALX02258E See Our Editorial Process Meet Our Medical Expert Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? Other Helpful Report an Error Submit