hey, i know how you feel. im pretty happy with myself, but acne just lowers my self esteem so bad. i treated it with accutane, and it worked wonders for me, i felt great, and felt a lot more confident, but also effexor helped me with my mood as well. at the moment though, i started breaking out like hell, so my doc is going to put me on another round of accutane in 2 weeks. i think the whole fear of acne has somehting to do with body dysmorphic disorder or somehting. C.B.T. and effexor helps to treat that. like even if ur skin is clear, u think that it's terrible, and so on, kind of like paranoia. ya but last year, when my acne was ****ing awful, i hated going out with people, and felt really depressed, but once it got better, i felt better as well. people always tell me to just forget about it, but it's hard, and i think it's best to fix it as soon as possible, then to just ignore it. also, i've been trying to stay alone due to the sudden breakouts, ya it sounRAB pretty durab, but it affects how i behave so, im just patiently waiting for accutane. also if acne is the cause of your depression, i think accutane shouldn't be so shunned, but that is up to your doctor. i wish you all my best, and really people don't neccessairly judge you based on acne, i sure as hell don't.
goodluck