Severe, for sure. Get to a derm ASAP before you get major scarring. You have a very bad case of acne if you've had cysts since 5th grade.

If I had to guess I would say this is grade 3 acne (there are 4 grades) but I would say more on the moderate side rather than severe. Are you currently going to a dermatologist to work out a treatment plan? There are plenty of good options for you to try! and you have a whole community that will point you in the right direction (:

Hope things work out! and if you have any questions at all feel free to message me!~

I am planning to go the derm next week and ask for acccutane. (I have literally tried everything else)

Thanks for your replies

so frustrating, I know just how you feel - good that you are seeing a derm, very good

have you tried any diet changes? not sure if you drink milk, but try to eliminate that for a month and see what happens, it is a big trigger for many

good luck to you!

I am actually lactose and sugar intolerant, so I try to avoid it as much as I can. I try to avoid red meat as well