Like the Rambler, I apologize for invading the site. But the word "Accutane" caught my attention.
My daughter had acne that developed in her teens and kept progressing. She is now 23. We tried everything we could think of... proactive solution, anitbiotics, homeopathic remedies, etc etc. Nothing was effective.
As her self esteem continued to tank we reluctantly went to Accutane as a last resort. It took some time (several months before anything noticable), but the results are amazing. Her skin has completely cleared up.
We did not see any of the infamous psycho/emotional side effcts you hear about (depression, self destructive behavior, etc), but we kept a very close eye on things, especially since there is depression in the family.
Bottom line: it seems like a miracle drug for us, but it was definitely a last-resort solution. Obviously, your experience may be different. If you try it, be careful, and keep a close watch on things. Good luck!