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I had the same problem, a history of depression and bad skin. After being on accutanetwiceTwice-a-day, my skin got a lot better but I was still breaking out a littleLittle noses decongestant Little tummys on my faceFace pain, especially before my period. (P.S. I had no issues while on Accutane just dry lips and sleeplessness, I would recommend it). I tried going on birth control both before and after the accutane. I'll be feeling fine and have no depression for over a year but then, without fail, every time I tried to go on birth control I would get depressed. I have tried Yaz and Ortho Tri Cyclen. Ortho Tri Cyclen made me depressed and I gained weight. I am now taking Yaz, Spironolactone, and Lexapro and I am completely clear and happy. Yaz did not work by itself. Spironolactone is a miracle worker try it! I am less oily, and have no pimples at all. Then, take an antidepressant just to be safe.