Have you ever felt distressed? This guy feels your pain.
This one took me a while overall. I learned quite a bit and had a lot of fun with him. Here is a pre-photoshop render: http://web.pdx.edu/~wlf/distressed_prephoto.jpg
Thanks for looking.
The fingers look rather odd, like they are carved from wood!
The eyebrows look a bit matted/flat
I see that you’ve got a few blood vessels in the eyes. Maybe a few more would be more convincing.
More hair?
Bump map on lips looks bad.
No eyelids. Or if there were, they were not significant. Also, I think the eyelashes are on the short side.
Well done on completing it though 
Aligorith
Very nice bumpmapping. That’s the firts that springs in my mind.
Other thing is, that his hair strands look a bit too thick, like wire.
I assume the image is meant to be a guy clawing at his own face is distress; but without any shoulders or neck visible it just looks a bit like his distress is due to being a disembodied head clutched in somebody else’s hand, Yorik style.
I like the texture work, though, especially on and around the eyes.