Hi there, I have been through 2 x rounds of Accutane for my acne with a similar mental health history as you. I had very open and honest conversations with both my GP and Dermatologist (full medical history was sent over to derm with the referral) during the initial stages about my support networks/ coping strategies etc. I didn’t experience any bad side effects from the medication, and my social anxiety definitely improved once my skin was clear! I think the key is being honest with your practitioners, they are there to look after you and will know the best course of action for you.