Hi, this is my first post here. I usually only lurk but I felt like I had to reply because I used to be in a similar situation and it's kind of spooky how you posted this on the same day my dermatologist told me I didn't have to see her anymore (yay

).
First thing I'd advise you to do is to go see a dermatologist (bet you didn't see that coming

). I've tried many things for years -- home remedies, cutting down on various foods, facials at beauty salons, expensive skincare products etc -- none of them really worked or they only got rid of
some of the acne. A dermatologist will be able to identify your skin type and administer the proper treatment/medication/whatnot. The first time I went to see mine, I brought along all the skincare products I was using and she replaced most of them with stuff that actually work and cost only half the price. After nearly 6 months and just 4 visits to the dermatologist, all the acne and most of the scars are gone.
If for any reason it's not possible for you to get a dermatologist, here are some tips that may help:
- put on sunscreen for your face when you're outside
- keep your hands off your face
- try not to have hair covering your face
- change your pillowcase daily (if possible)
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Regular exercise, a proper diet and multivitamins go a long way. Exercise will help you tremendously, simply because it puts you into an amazing state. Vitamins keep the skin happy.
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And to add on to what Truefire said, drinking plenty of water (plain water, no sodas) is good for the skin too.
That's all I can think of the moment, and I assume you have a proper cleansing routine? If not, you can check this out:
Acne.org - Acne treatment and community Actually, there's a whole lot of stuff about acne and getting rid of it over at that site (Personally, the regimen mentioned on the site didn't quite work for me but otherwise it's a very informative web site)
Physical attractiveness, prettiness, etc is a rather subjective idea. My friends and I have different views of what's good-looking and what's not. And the thing about physical attractiveness is that it's not fixed and can be enhanced in many different ways (new hairstyle, the right makeup, even clothes

). Besides, how attractive (looks-wise) you find someone shouldn't be the basis for whether you like the person or not, and it probably isn't so for most people.
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However, it is difficult for me to talk to people and hold a conversation with people, because I don’t feel pretty enough and feel they think I’m not pretty.
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It all comes down to how you feel about yourself. Most people aren't judging your looks when you're having a conversation with them. I know it's hard to think this way when you look in the mirror and see that blanket of red -- I've been there before and it sucked -- but you have to tell yourself it really isn't a big deal and it won't be forever, etc. and to quote Truefire again,
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You answered you're own question. You're in your head and in your "shell." If you did truly accept and love yourself, including your acne, it wouldn't be a problem. Granted, other people would be more accepting if you had clean skin, but you shouldn't let that stop you. Instead of looking at your negative self perceptions, change it up, start complimenting yourself(this works better for girls than guys), Tell yourself you've got a nice ass, even if you don't think it looks that nice yet. Eventually you'll be wondering why you aren't giving your nice ass the attention it deserves by eating bags of chips and sitting on the couch.
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As for initiating conversations, that's something I'm working on as well. I'm not really good at randomly making up conversation topics yet but I try to smile if they're looking in my direction. I find it easier like that than to try and start a conversation out of the blue. Usually once you've established that you're friendly (by smiling), it'll be easier for you to talk to the other person and vice versa later on.