The fact is that acne can have a serious impact on your self esteem. In some ways it seems unlikely to some. But it does actually work out in that fashion, and it’s definitely not something you want to mess with. In high school, you already have your drama, I will be the first to admit I was not the most mature high school student to say the least, and it presented serious problems. Even when it was just one zit, it took a toll, and mine never seemed like the small and somewhat inconsequential ones that were rather easy to cover up. They were always a big deal in some ways for me. This being said, adult acne can be even harder to deal with. I deal with it now, and quite frankly, sometimes it seems like I should be past this. I mean I’m an adult, I have a professional job, I am not some pimple faced teenager anymore. And yet my hormones or something are not under control enough to actually deal with it for some reason. And if you have more severe acne, it can really take a toll even producing permanent scarring. You do your best to avoid it, but sometimes it just doesn’t work out the way you want it to. Some go into counseling because it gets that serious. But some it’s a big more manageable and really they have the ability to see it in a greater perspective. But many do not, at least not at the time they are suffering from it.