The crash always occurs four days to the hour after the start of the acne. At the time, the desire for suicide is like an intense craving. It seems like the only way to end the pain. These symptoms occur within 30 minutes to 3 hours of feeling normal. The symptoms always occur in the same order - sleepiness first, then fatigue, then mental anguish.
Intensity varies - sometimes with acne severity.
Light and sound are intensified and seem oppressive. Sensory input is overwhelming. Brain is incapable of multi-tasking. I tend to be extremely irritable toward things that normally don't upset me. Climates above room temperature worsen all the symptoms and really make me miserable.