Your skin needs a proper clinical assessment.

Different kinds of acne have different solutions some of which are diet related and differ from case to case.

You can get a feedback loop where stress or mental agitation can generate a chemical response in the body which manifests as a skin condition which adds to the distress.

Trip number one is to a general practitioner.

Show them your skin and explain your distress and you might find the solution to one problem will lead to an improvement in the other.