Living with atopic dermatitis (AD) can significantly impact your mental health, leading to anxiety, stress, and depression. The constant itching, sleepless nights, and visible rashes can be emotionally challenging. Moreover, anxiety and stress can trigger AD flare-ups, creating a vicious cycle. Here’s how to manage this cycle and find relief. When you experience stress, your body releases stress hormones like adrenaline and cortisol. While these hormones can be helpful in immediate danger, they can suppress your immune system and cause inflammation in your skin if produced in excess. People with AD are particularly susceptible to this inflammatory response. Reducing stress may not eliminate AD, but it can help alleviate some symptoms. According to the National Eczema Association, over 30% of people with AD also suffer from depression or anxiety, compared to about 7.6% of the general population. This could be due to both the emotional toll of living with AD and the inflammatory response affecting the brain. If you have AD, watch for symptoms of depression such as persistent sadness, loss of interest in activities, and changes in appetite or sleep. If these symptoms persist for most of the day, nearly every day for at least two weeks, consult your doctor. They may recommend talk therapy or medication. Be cautious if you are taking montelukast (Singulair) for allergies or asthma, as it has been linked to mood changes and suicidal thoughts. Inform your doctor if you notice any such symptoms. Lifestyle changes can also improve your mental health and make living with AD easier. Practice mindfulness to reduce anxiety and itching. Mindfulness and meditation can deactivate brain areas related to chronic stress and pain, lowering stress hormones and inflammation. A study found that people with AD who practiced meditation for eight weeks reported better quality of life and less itching. Ensure you get enough sleep, as poor sleep can worsen anxiety and depression. Join a support group to connect with others who understand your experience. Stay active, as regular exercise releases endorphins that improve mood. However, be mindful of dehydration and sweat, which can irritate your skin. By making these changes, you can better manage your mental health and break the cycle of stress and AD flare-ups.