Harriet

Harriet had acne from around the age of 12 to 18. She tried a number of topical creams prescribed by her GP before being referred to a dermatologist. Roaccutane (isotretinoin) cleared her acne though she finds that her skin is now more sensitive.

Harriet had acne between the ages of 12 to 18, mostly affecting her face and occasionally her chest and back. She visited her GP after a painful lump developed in her neck which the GP thought might be linked to acne. She tried a number of different topical creams prescribed by her GP and was unaware at this time that seeing a dermatologist would be an option. When she was referred to a dermatologist at age 16/17, Harriet took a three month course of Roaccutane (isotretinoin) which cleared her skin significantly. However, once she had finished the course, her acne began to return and she took an additional course of Roaccutane (isotretinoin). Another factor which helped fully clear Harriet’s acne was a school expedition to a warm, dry climate.

In addition to trying medical creams, Harriet researched online for information to help control her acne. She tried different face washes and moisturisers, using the Internet to identify components in these products which might make a difference. She also tried a number of home remedies for acne and made lifestyle adjustments. This included frequently changed pillowcases and tying her hair up to keep it from touching the skin on her face. Harriet also took advice from family members such as her brothers, although information from different sources sometimes made it confusing. For example, she had read online that diet is not linked to acne but found in her own case that reducing her dairy intake helps. She described the process of identifying various factors which contributed to her acne and those which improved her skin as a kind of detective work.

Harriet described herself as having been quite shy and reserved at school, with her acne making her feel additionally self-conscious. Swimming was especially uncomfortable because the chlorine stung on her face but she did not feel able to ask the teacher to excuse her from P. E. classes. Harriet resumed playing sport at university but wishes she had continued at school as she thinks this would have boosted her confidence.

Harriet finds that her skin is more sensitive since finishing Roaccutane (istotretinoin) and she continues a skincare routine with soap-free face washes and fragrance-free moisturisers. She had been concerned about scarring but found that people she had meet at university did not notice it and they were often surprised to hear that she had previously had acne.

Harriet says she would have found it useful to have had quite specific advice about managing her skin from her GP.

Age at interview 21

Gender Female

Age at diagnosis 12

Harriet read comments people had made on Boots reviews sections and Yahoo answers. She felt some forums only gave a small fragment of a bigger picture.

Age at interview 21

Gender Female

Age at diagnosis 12

Harriet used the internet a lot and became a self-confessed skin expert.

Age at interview 21

Gender Female

Age at diagnosis 12

Although Harriet’s mother paid for her isotretinoin treatment, she thinks it was quite expensive and if she had had to pay herself it would have been something she would have had to think about.

Age at interview 21

Gender Female

Age at diagnosis 12

Harriet recalls teachers commenting that she didn’t contribute much in lessons and thinks that acne partly contributed towards her shyness at school.

Age at interview 21

Gender Female

Age at diagnosis 12

When she was 14 Harriet felt no one would want her because of her acne. But now she is at university she is building up her confidence and realises physical appearance isn’t the only thing people notice about you.

Age at interview 21

Gender Female

Age at diagnosis 12

Having basic human contact with friends made Harriet feel like a regular person.

Age at interview 21

Gender Female

Age at diagnosis 12

Harriet was quite conscious of her acne, particularly when she was out of the house, and felt much more comfortable being at home with her family.

Age at interview 21

Gender Female

Age at diagnosis 12

When she was using a cream with a bleaching agent Harriet had to be careful about staining her clothes and using other people’s towels.

Age at interview 21

Gender Female

Age at diagnosis 12

Although Harriet has tried lots of different brands she now goes for the plain brands (not scented or coloured).

Age at interview 21

Gender Female

Age at diagnosis 12

Although Harriet used to go swimming, the chlorine reacted with some of her face creams and made it painful. However, she enjoys sports generally, and has got back into them since she started university.

Age at interview 21

Gender Female

Age at diagnosis 12

Harriet was aware of people taking photographs at events and was conscious about how her skin looked under different light (fluorescent light, daylight).

Age at interview 21

Gender Female

Age at diagnosis 12

Harriet finds that eating dairy products tends to give her more spots.

Age at interview 21

Gender Female

Age at diagnosis 12

Harriet read online about home remedies for acne and tried some out.

Age at interview 21

Gender Female

Age at diagnosis 12

Harriet had expected side effects with isotretinoin, like disrupted menstrual periods.

Age at interview 21

Gender Female

Age at diagnosis 12

Harriet was told not to wax her legs whilst taking isotretinoin because the skin would be thinner and drier.

Age at interview 21

Gender Female

Age at diagnosis 12

Harriet talks about her experiences with topical treatments.

Age at interview 21

Gender Female

Age at diagnosis 12

At first, Harriet didn’t realise seeing a dermatologist about acne was an option.

Age at interview 21

Gender Female

Age at diagnosis 12

Harriet’s acne wasn’t always painful, but it could be when she used topical creams.

Age at interview 21

Gender Female

Age at diagnosis 12

Harriet felt more self-conscious about spots on her chest than on her face.

Age at interview 21

Gender Female

Age at diagnosis 12