Acne 😕

I’ve been struggling with acne for years now. I can’t remember the last time i had fully clear skin! I started breaking out at 9 or 10 I’m 18 now! I always feel ugly I can’t be myself my anxiety is bad I skip school and never want to leave the house. I’ve been to the doctors but nothing worked. I’ve had times when I’ve been successful with clearing my skin but It would only last for a month at max! Then DARK SPOTS! I don’t have severe acne btw I currently have one pimple and the rest dark spots my texture isn’t too good rn I just need suggestions any products to help! I’m on birth control thinking it would help clear up my skin but I’m still breaking out ! Plz help