Should i take accutane? i've heard some really bad stories about it.

You decide: It's the definitive treatment, and often the only effective one, for severe acne. I'll assume other rx's failed. The disease is a grave personal and professional liability. If you go for a job interview with obvious acne, you're likely to be rejected as folks see it as evidence of poor self-care. Your dermatologist can get you though the worst of the experience -- but it's only for the brave.