I'm glad you care. You may think that you're overreacting but a lot of the times teens can take acne much harder than they let on. Being involved in his fight will help him feel less alone. Watch for signs of depression as he gets older, because when he turns 15 or 16 he could start caring even more. Make sure you monitor the time he spends in front of the mirror as well, and be gentle about it. Boys can develop depression and Body Dismorphic Disorder too, they're just must less obvious about it. Make sure to help him have clothes he feels good in and encourage him to be interested in other things besides school, so he can draw his self-worth from other places besides his skin.
Oh and also, don't be afraid of visiting the dermatologist. They have other weapons besides Accutane.
Thank you... I did take him to a dermatologist one time last May, and all she did was tell me that his acne was severe, prescribed him Doxy and Epiduo, and then we moved out of state. He tried the Doxy for 6 weeks, and we didn't see improvement. Since I hate antis anyway, I had him stop. The Epiduo burned his skin raw. Then we moved, and didn't go back to another derm. He is now under the care of an Internist who is an M.D. but very holistically minded... she has done some tests on him... it's kind of a long story but we found out he's pretty toxic w/heavy metals, and has some deficiencies. She has him on a bunch of supplements now, and last week she prescribed him Cephalexin, which he is taking now. He is also seeing an esthetician who says she can clear him up. But it's hard to be patient and it's so depressing. I do try to get him to not "inspect" so much in the mirror, because then he just starts picking. But I feel like I'm nagging him also. I can't be in the bathroom w/him all the time, LOL 
I just feel bad for him since he's so young to have it so bad...
But sometimes I do feel like there must be something mentally wrong w/me that I'm thinking about it so much and so concerned about it. I try not to let on too much around him, but he knows it bothers me. I can't really hide it. It's very frustrating when I know there must be something "wrong" with him (internally), to be causing this. Maybe his hormones are just super strong, I don't know.
Have you tried the regimen that is laid out on this site? And the products they sell here?
The regimen is the only thing that has helped me long-term. Diet is important too, but not enough to clear me without topical medications, unfortunately.
No he has not tried the Regimen yet. I know this sounds terrible, but it seems to take several months before you see any improvement, and I don't know if he would have the patience. I know just about everything takes at least a few months, though. I also got a little scared because I read some people who tried the Regimen burned their skin from the BP, or their skin got "addicted" to the BP, then they were trying to wean off of it and they broke out again, or something like that? I could be wrong...
Why are you worried so much about someone else's skin?
This is a really jerky comment. A little sensitivity wouldn't hurt.
I second trying the regimen if you haven't and possibly trying dietary changes such as no dairy or grains (eseentialy paleo). If these don't work after a few months, then see a derm, especislly if scarring is beginning to occur
yeah I thought it was a jerky comment too... then I figured that person must not be a parent.
We are a dairy-free family, and he's been *mostly* gluten free for about 6 months now.. although he does eat other grains. I would love for him to be completely flour-and grain-free, but at his age (almost 14) that is nearly impossible.
yes scarring has already occured, unfortunately. His skin seems "older" than he is.. by that I mean because of the scarring, not wrinkles 
Honestly put him on accutane (if he's ok with it). Yes i'm sure you have heard all the horror stories and bad things that can happen but they most likely wont and instead of playing around with creams and antibiotics just get it over and done with. I waited all my teen years and screwed around with every cream under the sun and some antis which never really did anything drastic other than waste time and money. I remember when i was probably 15 my doc suggested accutane and due to the horror stories and my parents being worried about all the side effects i immediately refused and continued to desperately try topicals that did nothing...until my skin got so bad when i was like 19 that i went to the doc and she basically threw accutane at me and i welcomed it with open arms. It helped me so much and nothing bad happened to me, my only regret is not doing it earlier because it would have saved me many years of suffering and hopelessly trying everything else, also my acne would have never gotten as bad as it did and it would have saved me scarring ect.
oh, he's more than OK w/Accutane.. he has asked to take it. I try to explain to him how toxic and dangerous it is... The growth stunting really bothers me, since he's still so young and growing like crazy. He says that since he's my son, and since I didn't really have bad effects from it, he will probably "inherit" that quality from me, and be just fine
I'm not ruling out Accutane... but the IB also freaks me out. I think his skin is bad now... I can only imagine how bad it would be during the IB. I wish I could remember if I had a bad IB, but it was so long ago, I can't recall. I remember thinking the same as you... if only I had gone on it sooner, I may not have so much scarring.
The derm basically threw Accutane at you...? LOLOLOL!!! How bad was your IB?
Thank you everyone for your kind words... 