What to do about really bad acne! help appreciated!!?

Get seen: Nothing you can do -- topical treatments, hygiene, diet or lifestyle -- will help much with bad acne. Your personal physician has a host of prescription-strength Rx's. If those around you are superstition and are interfering, pick up the phone yourself. If you are offered isotretinoin, remember it's not for the faint-hearted by the risk-benefit ratio is strongly in your favor. Best wishes.