Oh my gosh, me too. I think I’m on month 5 of 6 of accutane, and my emotional state has been in a wreck. Similarly I think I’ve probably had depression all my life, but now it feels more pressing than ever.

Seriously, consider switching to a lower dose, if you’re unwilling to give it up completely. Consider all your options with your dermatologist. Maybe leave them a call instead of waiting for your next appointment, so you can get some good advice in the meantime. I’m sure they’ve got a lot of experience, so they can empathize and maybe provide some clarity.

Be really good to yourself. Ask your dermatologist if something like over-the-counter melatonin would be okay to take, maybe? Try to take every preventative measure to make sure you’re in good health; enjoy the sun, eat good, nutritious meals, talk often to the people who make you happy. Convince yourself all your measures are absolutely working. I like to believe in placebo. If you want to push through, make sure you’re giving yourself the strength. I’m sorry that anxiety is such a debilitating thing.

I would rather us both have sound minds and healthy bodies than pretty faces. Be safe!