What are the best options to remove long-standing self-harm scars on my forearm? (photo)

Thank you for sharing details about your situation and experience with psychiatric treatment. Your issues pertain mainly to anxiety and depression. May I make the following comments: 1. So far you have been tried on an antidepressant under the family of SSRI (serotonin specific reuptake inhibitor). There are many antidepressant medications that come under this family. It is not uncommon for a person not to respond to a particular SSRI and yet will respond to another SSRI. If you look at the chemical structure of the SSRIs, you will realise that they are very different from one another.

Such scars are notoriously difficult to erase. Fractional carbon dioxide laser & micro needling may help improve the skin texture somewhat but the scars are likely to be still quite visible even after several treatment sessions. Patients often ask me if surgical skin grafting is possible but this option replaces the linear scars with a much more obvious skin graft and is thus not recommended at all in my opinion.