ear Shirley, I want to take Accutane because I feel humiliated by my cystic acne. I can tell it’s affecting how people view me. The problem is that my parents are afraid of medical side effects from Accutane that might stay with me for a lifetime. What should I do? ~ SkinEnvy

Dear SkinEnvy,

I remember having the same difficult decision to make about Accutane when the dermatologist prescribed it for my daughter back in the 1990s. It has helped so many teens with both the physical aspect of acne and scarring and the psychological, but it has to be considered carefully because of its side effects.

While it's natural to want to address concerns about your skin, it's also crucial to weigh the potential risks and benefits of Accutane carefully. Openly discuss your feelings and desires with your parents, emphasizing your understanding of their concerns. Consider researching alternative treatments together and always consult with a dermatologist to explore options.

Here are a few responses to your parents that might help:

a. "I understand your concerns about Accutane, but I feel it's the right choice for me. Can we explore this further together and consult with a dermatologist?"
b. "I value your opinion, but my skin condition is affecting my self-esteem. I can see the way kids at school look at me. Not everyone has acne like mine. Can we research it more together, maybe call a couple of friends who have used it, and then check with my doctor”?

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