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0BChapter 1—Introduction 11 My Story My name is Mike Walden, and I suffered from severe acne for more than 13 years. Being a former acne sufferer and experiencing acne in such an intense way gives me the special privilege to tell you personally that I truly and deeply understand the situation you are in today, and I honestly feel your pain. Much like you, I have also gone through all the hopelessness, frustration, embarrassment, pain and even guilt that every acne sufferer experiences on a daily basis. The type of acne I have suffered from was a severe form of acne vulgaris. When it was at its worst my cheeks were covered with large painful nodules, which are hard bumps that lie under the skin surface. I had cysts on my neck, on the sides of my nose and several more spread unevenly on the top of my back. People who have not had these nasty huge bumps under their skin can ever understand how physically painful that can be, not to say how emotionally and mentally discouraging. I was consistently prone to unpredictable breakouts, which had a deep psychological effect on my life. For as long as I can remember, because of my acne condition, I never had what you could call a "normal" childhood. Through most of my youth I was consistently bullied for being different than other children. I spent most of my teenage and post-teenage life staying at home. I avoided social encounters, and I was always ready for the cynical remark or the rude stare I would receive as I stood in line to buy groceries at the supermarket. I had only a couple of good friends, who were supportive and understanding, wise and sensitive enough to see who I was beyond the layer of my skin. They were encouraging, but that encouragement didn’t help my already destroyed self-image and ever-growing insecurity. I have taken every prescription, drug, ointment or acne lotion known to Western medicine. I have been on tetracycline, doxycycline and minocycline, have taken extra vitamin B-5, been on Accutane, Zenmed, Proactive, applied benzoyl peroxide, used AHA cleansers and used more prescription medications and over-the-counters than I can remember. 2003 - 201 2 A c ne N o M or e- M ik e W a l d en - Page 11