In class, my teacher informed me that it wasn't exactly creepy like I wanted it to be and the girl was by far too "pretty". He suggested some alterations so the next week I came in with an updated piece.
After making the changes and looking at it I agree with what he said. I changed the lighting to be greener and with more contrast, it's a little stereotypical for this kind of image but I do like it.
This piece was first drawn in pencil then scanned and painted completely in Photoshop CS3. A texture was added as well.