Dermatology Forum
This expert forum is not accepting new questions. Please post your question in one of our medical support communities.
Avatar universal

Acne hindering depression treatment

27 and have been battling Acne since I was 12. I have been on many prescripts and spent thousands,treated with Mino, tetra, doxy oral meds.Clindo,erythro,tazorac, retna-A and micro, gel benzole, pro active, and accutane. I was most pleased with treatment which lasted about three years of bliss.Tryed to go to my derm. Dr. and plead to try it again but to no avail. After a blood test found Effexor XR the right treatment. It has helped me so much with a new interest in life, not hiding in my home and dry heaving every time I stepped out of the house. I can talk to people now and not be afraid. I am so thankful.Right now I am using the tazorac with ivory soap and a mild toner for my face. I have 8 red-inflammed leasions on my face right now and darks scab looking reminders of the last flare(4).skin looks like I am 50,dry and wrinkly. My obbession with my face is ruining it, I try to strip the dry skin off and end up with skin tears that hurt and leave marks. I also drink lots of water, take omega 3, vit A fish liver oil, and steam my face once a week. I have whiteheads trapped as well. I just wish my derm dr. would see that I need a treatment that doesn't make it worse before it gets better and realise I might be a bit obsessive with my face, but to just help me so I can just feel better like I did those three years and stop this rollercoster ride. I feel good mentally and just want my looks and confidence to match. To be a whole person for once.
2 Responses
242489 tn?1210500813
Your dermatologit's reluctance to treat you with Accutane again is quite understandable.  By your own description, you're clearly obsessed with your face, with a habit or rubbing and traumatizing your skin.  As long as you keep doing that, all treatments will fail, making it hard to justify a complex therapy like Accutane.  As for treatments 'making it worse before it gets better,' I rarely find that to be true even of the treatments reputed to do that, like Retin-A.  Most often, I find it to be a self-fulfilling prophecy--people convinced they're going to get wore rub themsleves until they do.  I would suggest using safe, topical treatment for whatever benefit it gives you, and seeking the psychiatric and/or behavioral help you need to deal with your obsessions.

Good luck.

Dr. Rockoff
Avatar universal
I am in behavior cognitive therapy and it is working, I havent picked at my face, but am still having problems. I was wondering if this 1% Tazorac gel is too much and thats why my face never seems to look moisturized and the leasion tear so easily when I try to use a wash cloth or mild face scrub to slough off the dead, dry skin. It just seems I dont know how to balance this with lotion. I use a pure mineral oil to try to moisturize my face so I can use the Bare mineral makeup thats powder to cover my red blotches with out looking so dry and flaky. Then is this causing more breakouts? I am just frustrated because I have went to school for esthetician at Aveda, studied with Dr. Fulton for my para-medical license at Midwest plastic surgery institute and now am a RN student. All this so I can understand this haunting problem. Thru my studies all I have found is so many confusing medications, cure-alls, profit seekers and just want a straight pure and simple answer not related to any of those. I work at the Mayo clinic and unfortunately know that even there some medications I have been given to try where because they were on the latest list of potential benefit thru company and hospital. Which I really do understand, unfortunately such honestly even among professionals for true simple knowledge purposes is considered taboo.

thank you
Didn't find the answer you were looking for?
Ask a question
Popular Resources
Learn to identify and prevent bites from summer’s most common pests.
Doctors argue for legislation to curb this dangerous teen trend in the latest Missouri Medicine report.
10 ways to keep your skin healthy all winter long
How to get rid of lumpy fat on your arms, hips, thighs and bottom
Diet “do’s” and “don’ts” for healthy, radiant skin.
Images of rashes caused by common skin conditions