Hello, I am a 47 yo male, average health weight ,height and health, I didn t have acne during child hood, only the occasional spot breakout through out my life up to the present year, most recently I have had a regular breakout of painful headed spots on both of my temples, I have none anywhere else on my body? I am a keen cyclist spending on average about 5 hrs a week on the bike, I wear a helmet and skull cap, but these do not cover the areas where the spots occur. I have just finished a year long course of Citalopram (ssri s) 10mg/day mediation, about a month ago, with no immediate withdraw side effects, could you offer some direction please? Yours Mr Brown.