No, I would not say this is severe acne at all. However, if your acne is getting you down to the extent that you are depressed and cannot do the things you normally do with pleasure any longer, Accutane is hopefully an option. Did your dermatologist insist that you stay on the same regimen of Retin A and mino for so long, even though you weren't happy at all? I just finished my 6th week of Solodyn and Ziana and I am also utterly miserable with my current results. I will only wait until the end of 2 months and possibly take the drastic step into Accutane territory because my moderate acne has changed me as a person. I'm scared to work out as hard, I quit playing my favorite sport, and I no longer feel comfortable interacting with women or going out with my friends. At my age (22), that's pretty depressing. I would recommend getting an appointment with your dermatologist and being entirely honest about how much this is affecting you. That might give them a bit of a wake up call.
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