Cystic acne not budging

I guess I'd like to introduce myself and get some advice if I can.

I'm a 27 year old female with adult cystic acne. I get new breakouts nearly every day. I eat clean. Consume less than 50 grams of Sugar a day.
I don't do dairy.

I've been breaking out since 13. I've been afraid to try accutane because I have panic disorder--but the Antibiotics make me sick. I have stomach pains all the time.

I feel like I've tried a million and one things and have come to the end of the road. I'm depressed and slightly suicidal at times. It sucks because I'm a pretty girl with a lot of ambition and talent but Acne completely takes away my self confidence.

I don't know what else to do. I feel I'm giving up. Tweet