Skin Nightmare!!! How to sort it out for good!?

Go to the doctors. As you have highlighted, spots/ acne can have a psychological affect by decreasing confidence. Acne is usually caused by hormones and can be hereditary, so over the counter products that you have described may not work. I'm in my late teens and have had acne for years, despite being healthy and hydrated with a good cleaning regime. The Clinique 3 step cleansing is really good, however I still got break outs although not as bad as before I used Clinique. I went to the doctors where I was tried on every medication / lotion going, including the Dianette contraceptive pill. Recently I have been referred to a dermatologist and have been taking Roaccutane for a month now, and my skin is completely clear although very dry. The doc's is definitely a step in the right direction for sorting your problem skin! Remember to persevere with the treatments though x