When I go through a "bad skin spell", I get extremely withdrawn... I get irritated when I feel that someone is looking at me too long, although I try not to show my irritation.
Speaking of irritation, I get very abrasive and impatient when my skin acts out. The fact that it takes weeks or months to get into a dermatologist (even as a current patient) doesn't make this any easier.
OCD kicks in big time. I tend to go into "tunnel vision" mode, where I obsess over the possible cause and/or treatment.
Honestly, my emotional reaction it's not 100% due to the way I look. Just the "feel" of having broken out/ infected skin is akin to any kind of illness to me, like a sore throat. I feel drained and tired when I have the flu. I feel drained and tired when I have a really bad episode of acne. At least the cold or flu will only last a week. Acne is like having an ongoing untreatable infection, day after day, week after week, year after year. When my skin is fine, I am sill not completely comfortable, since I know that with acne there is always a relapse after remission.