Struggling with Cystic Acne: Tips for Building Self-Worth

Any tips on how to maintain/build self worth/love/confidence when dealing with cystic acne? I’m in my (almost) mid 20’s and have been dealing with acne since middle school. I’ve tried different creams, serums, skin care routines, face washes and have even been on prescription acne medication twice (currently on it for the second time in 4 years). It’s exhausting. It feels like friends my age either don’t struggle with acne or just try one or two simple things and their skin starts to clear up. It’s hard not to compare myself to loved ones or to folks on social media (even when I know in my heart social media can be very fake and that there’s no such thing as “perfect” skin!). I also am simultaneously dealing with multiple other health issues (recovering from a knee surgery, recovering from an eating disorder, chronic shoulder pain, GI issues, anxiety/depression). I’m in pain and absolutely exhausted most of the time, and sometimes it’s really hard not to feel bad about myself/see myself in a negative way. I know I’m not alone in these feelings and would love any advice/tips/motivation.