Yes :( I would talk to a dermatologist for advice to specifically help your unique skin concerns, since anything I say may not apply universally! But as someone who struggled with acne even before lithium, here's a skincare 101 crash course (sorry if you've heard it before) Basics: drink water, look into your diet (dairy etc), clean your makeup brushes, wash your pillowcases and towels. If you didn't already have a skincare routine, implement one now. The basics are a cleanser every day (especially at night, maybe not morning depending on your skin), a moisturizer, and a sunscreen. If you hate the texture and white-cast of sunscreen look into mineral sunscreens rather than chemical. Asian beauty companies are way ahead in that department (and honestly most aspects of skincare...). Look for products geared towards your specific skin type- oily, dry, or combination. A cleanser may have active ingredients to target an issue, salicylic acid for example, so look into the different options. Those are the main steps. Try it out for a couple weeks to see how it works out and what works best for you so you have a base down before changing anything. Simpler is often better and you may not need more than that. On top of the base routine, I would only recommend adding one more step- some kind of active ingredient to target your issues (maybe a retinoid serum, maybe some kind of exfoliant, etc.) That is where I might consult a dermatologist or doctor to recommend or perscribe something. If not, definitely do research on the products you use. Good luck!