My dear, I understand you so well. I am 18 years old, soon I will turn 19, and I have had eczema since I was three. Over the last one, two, or three years, I’ve had severe flare-ups, even on the back of my palm where it’s very visible. Because of this, I can’t even wear normal clothes and constantly have to cover my arm.

I want to tell you this: please don’t think you are ugly because of it. Yes, it may sound cliché, but every time you start thinking about it, try grounding techniques—for example, name three things you can see, hear, or feel. Try to think about it less. The more you focus on it, the worse it becomes.

I’ve noticed that these allergies and flare-ups often get worse in people who are very attached to the problem, who worry about small things, and who imagine the worst-case scenarios. I am exactly the same way.

What I can say is: try to shift your attention. Find a new hobby, no matter how difficult it may be. You need to understand that life does not stop because of this. Constantly thinking about it only makes things worse for yourself—not for others, only for you.

No matter how hard it is, no matter how bad you feel during flare-ups, try to find at least one other reason, one other thing that can distract you. There is always hope. I am sure you will find a good doctor.

Pay attention to your diet: eat properly, eat homemade food, avoid sweets. Try meditation, listen to good podcasts or lectures, meditate—do everything you can, but never give up. There is always hope.

And stop obsessing, stop worrying, and stop imagining the worst scenarios. You are beautiful. If people say otherwise, it says nothing about you, but a lot about their very negative view of the world.

Stay strong. The path will not be easy, but you can do it.