You are not alone at all!
Here is a citation from a website:

"Acne may cause poor self-esteem, depression, anger, and other social issues.

This is summarized by Sulzberger and Zaidems in their article: Psychogenic factors in dermatological disorders. Med Clin North Am 1948;32:669.:

There is no single disease which causes more psychic trauma, more maladjustment between parent and children, more general insecurity and feelings of inferiority and greater sums of psychic suffering than does acne vulgaris.

This statement from 1948 still holds true today.

Just as a reminder - acne is so, so much more than just skin deep! Food, mood and genes play a big role. Skin regimen is only 1/3 of the successful treatment, another 1/3 is good nutrition (eat foods that come out of farms not factories, avoid any processed foods, avoid sugary foods and drinks, have some fish oil etc. ) and the final 1/3 of the successful treatment is reduction of stress (e.g. enough of sleep - about 8 hr/day and 20 min mid-day naps are stress killers, as well as light exercise). Sometimes if really needed isotretinoin (aka Accutane) can be repeated. Bottom line you have to see a dermatologist.
So, now chin up & fight your acne! Best!

Hey Fedup123, the folks here definitely share in your experience and sympathise.  I hope you find the strength to fight off those moments of low confidence and go out with one of those nice guys...I'm confident that one of them will honestly love you just as you are.  Stay strong

I know exactly how you feel girl! I completely lost my confidence and just felt horrible about myself, I'm in my first year of University and I was constantly skipping classes, even getting ready for school and breaking down right before leaving because I was so embarrassed about my skin. People really do not realize how much emotional harm something most people think is a "simple" problem like acne can do to someone. I had tried EVERYTHING so I thought, and was willing to pay anything just for clear skin. Contrarily, I have been using the Regimen for just over two months and can honestly say (which I never thought I would be able to) I have COMPLETELY clear skin. I have not been this confident and generally happy in years. Acne really does affect your entire life and I couldn't understand the effects more. I fell into a depression because of my skin for months, I know what it's like. Use the Regimen, however be patient as the results could take months to occur. However, I can tell you that I've never made a better decision and couldn't be happier!!!! Everything will be OK!!!!

Hi Fedup, just wanted to say that I'm going through the same heartache as you are right now. I'm a 34 year old female who's been dealing with acne for 22 years now. When will it end? I only have mild acne but this acne makes me feel so alone and depressed. When my skin is clear I don't have a care in the world. It seems like no one around me is dealing with skin issues either so that makes it so much harder. This acne has made it hard for me to live my life. I'm depressed, anxious and I suffer from extreme panic attacks from my acne. It's getting to the point that I need to seek professional help. I'm headed down an awful spiral and I can barely get up in the morning and find energy to get to work. When I eat it makes me nauseous because of my nerves. Even sleeping is hard. I'm restless and I dream about acne. My whole world is consumed by acne. I don't know what to do.

Sorry for rambling! I hope your skin clears soon. I just wanted to tell you that you're not alone.

Thanks all for your support - nice not to feel so alone. Had a good chat with some friends about how I've been feeling at the weekend (was quite drunk, would never have the guts to talk about it normally) and it did really help. Much as it's difficult, I do feel better for getting out and about with friends. My self confidence does make me spend too much time alone - just have to just remind myself I have good friends who couldn't care less what I look like and feel blessed for that. I'm gonna look to get some counselling or hypnotherapy alongside the dermatologist to see if that helps too. Really has helped guys thank you xxx

I know exactly how you feel. I avoid going out and and literally cannot leave the house/let anyone see me without make up. I don't like talking to a lot of people because of how insensitive people can be about it. Damaged my confidence completely, I feel hideous and hate people looking at me. sometimes I can see people looking at it or looking at a particular area where it is most severe, and it makes me so upset. no one around me understands as none of my friends have it the way I do. feel so alienated and insecure about everything.