I know exactly how you feel. I have had this problem for 7 years, and it has only gotten worse(cystic) over the years. Yesterday, I saw an old friend but from the way I acted, she probably thinks I am mad at her. And I don't even want to talk about guys. I am also giving up hope for dermatologists. All they seem to want to do is make a little more money on some "treatment."
As far as what to do next, I don't know what to say. That is why this board even exists. We are all here to support one another and look for answers. I personally, do not want to take accutane. After several courses of different antibiotics my dermatologist said that was what I was left with. I don't like the severity of that drug and I refuse to believe it is my only choice.
There is some reason that we develop this skin condition. I do my best to follow up every lead there is and what else is there to do than the best you can?
I have gotten really depressed over the way this horrible thing is recking the way I want to live, but I manage to pull through and look up again. As long as we do that, there is hope.
Good luck and keep us posted.