Plasticat, if you think that accutane or prescription drugs are going to damage your liver and phsycological state then I would avoid them. That is not the attitude that you should be taking. This is an alternative health site so in general we don't discuss drugs much, but in my opinion as someone who has taken accutane and read a lot about it and talked to dermatologists who have prescribed it thousands of times, problems with it are the exception rather then the rule. If you start very slow and monitor yourself I think in your case it is worth the risk. I would be doing the same. No one is perfect. Smoking or drinking alcohol is a lot worse for you then accutane, and believe it or not a number of people on curezone still do that stuff. You probably take more of a risk driving on the highway. As i said in my post on the other forum, I think it is critical that you track down some photos of your condition on the internet and post them here so people know what the deal is when they are giving you advice. It may give someone some ideas and can only help. Anyway, goodluck.