I'm a 19 year old male who has suffered with blackheads, whiteheads, and regular pimples (with the occasional cyst) since i was about 13. I suffer with really oily skin hence the blackheads. I get blackheads all over my face, all around my neck, and all over my back (my back has so many black heads when i rub my hand over my back it feels like my hand is rubbing over loads of grains of sand). Once every couple of months i may even find a blackhead on my arms or legs. My chest tends to just get rather a lot of your basic pimples which i tend to make worse my unconsciously scratching them (a habit im trying to get out of). I'll get a couple basic pimples on my shoulders, back, and on the back of my neck as well but not nearly as bad as my chest. My face and the front of my neck are permanently riddled with black heads (please note that although i get a tonne of blackheads they are not really big ones) which in turn causes me to get whiteheads as well.
I'm pretty sure I have all this mildly but it still ruins my life. As I am typing this I am ignoring my friend asking me whether i want to go to the gym because i dont want to go out and be seen in public and this happens about once every 1 and a half weeks. I haven't socialised properly with a group of people in about a year. I just shut myself in my room most of the time. So yeah i think it's safe to say regardless of whether it's mild/moderate/severe it is definitely affecting my life and self confidence badly.
I've tried multiple types of exfoliating scrubs (they did more harm than good), ive tried cleansing masks (my face felt nice after washing them off, then my face would be really oily again after a couple of hours), ive tried apple cider vinegar (all that did was get rid of cysts quicker), ive tried multiple homemade remedies (zero success), I've tried aspirin masks (helped a lot with reducing the size of pimples and cysts), I've tried swimming and sauna (helps massively with everything if i go every single day for at least an hour which i do not have the time to do now and definitely wont in the next couple of months), tried regular squeezing (all it does is make my face red).
Also please note that I'm not a dirty person, i have a shower every morning without fail and i wash my face 1-2 a day. I also get all my vitamins and minerals everyday as I'm a fitness and health nut.
Now to finally get to the point. I don't want to keep going through the same thing day after day anymore i want it to stop now so i can become a human being with a life. So I've been researching accutane and seen a huge majority of people have success with it, however I'm nervous about going to a derm because of a story my mum once told me. She said she had terrible skin when she was younger (apparently way worse than mine) and she went to see a skin specialist and apparently she got "laughed out of the room" by the guy. I'm scared of going to see a derm and getting laughed out of the room of getting denied to get on accutane. Because of that story I'll admit ive been tempted to get accutane without i prescription which ive very aware is a foolish thing to do.
My question is, is that what derms are really like? will i get laughed out of the room if i dont have severe case of acne? Does my skin sound bad enough to start taking accutane?
If youve read all this and replied, thank you.