Let’s be real, the concept of ‘skin deep’ is an outright fallacy, because when we’re talking skin, we need to get real deep. Skin is an outward manifestation of everything that’s going on inside us and all that underlying tension soon radiates throughout our bodies. So, when you find yourself in an extended period of stress, never underestimate just how much of it shows up in your skin.

We’ve long understood that skin alters in times of psychological stress. In fact, almost forty years ago The New York Times first reported, "The skin can be a sensitive barometer of life's stresses. As one's mental state changes, so does the body, and particularly its most public aspect, the skin.” A persistent build-up of stress often causes dry, itchy anxiety stress rashes but also exacerbates pre-existing skin conditions such as adult blemishes, skin redness and eczema.

More recent research into the effects of negative emotions on skin disorders has ascertained precisely why our skin suffers when we experience heightened tension, Stress, anxiety and depression trigger the body’s stress hormone response - cortisol, and when levels remain persistently high, the resultant inflammation presents in skin. Not only can anxiety change your complexion, scientists have also proven that inflammation can also have a major impact on accelerating skin ageing too.

Psychodermatology explores the full extent to which negative feelings go hand-in-hand with skin issues. Not a million miles away from the embarrassed child who starts blushing wildly, the teen who wakes with acne-like anxiety bumps covering their face, or the middle-aged woman enduring a marriage breakdown who suddenly becomes consumed by an angry stressed skin rash, we’ve all witnessed our skin betraying our emotional state.

On the upside, our skin just as easily benefits from a positive mindset like returning from holiday looking well rested or the adage of radiating that ‘new relationship glow’ whereby the emotional high of finding yourself in love and boosted hormone levels of serotonin, dopamine and endorphins cause skin to start beaming.

Orgasms have long been proven to directly increase the rate of blood flow to your skin, circulating additional oxygen and nutrients, making the dermis more resilient and even firmer.

The interplay between our emotional selves and our skin is so fundamental that now the best facialists have become detectives, piecing together a narrative playing out on a cellular level.

“There’s no such thing as normal. What seems barely worth mentioning to you could be the missing part in solving your skin,” explains celebrity facialist, Joanne Evans, regarded among the top skin experts in the UK. Joanne opened the doors of her much-anticipated Skin Matters Wellness Clinic, in West London’s leafy Holland Park just last year, only you’ll have to wait at least three months for an appointment with her.

Treating the stressed out skin of London’s high fliers has demanded Joanne and her team become acutely perceptive of her client’s emotional states. “Clients will tell me they have no idea why they’re not responding to skincare and then mid-treatment they’ll pipe up there’s been a death in the family or they’re on their second round of IVF treatment, they’ve been working overtime for months, they’re still processing their divorce or their kids have just left home and suddenly their cryptic skin condition makes complete sense.”

With modern life, it’s vital to look at skin from the full 360 degrees. Fine tuning what you're eating to take in the best calming foods, optimising your sleep, switching to an anti-inflammatory workout, adopting daily calming techniques, and moderating your city pollution exposure - all these aspects contribute to better skin health.

Topical skin care can calm the surface-level symptoms of stress such as redness and sensitivity.