[Acne] Why did I start getting cystic acne randomly?

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I've been dealing with moderate simple acne (which I used to think was a bitch... until I started getting cystic acne) for 4-5 years. Since 14 or 15 years old I had some bad acne days here and there but overall it was manageable. I used epiduo and that helped dramatically.Then around 19 years old, this past November I was looking at my skin and was so happy because it looked like my skin had finally improved and was starting to think that I was finally growing out of acne. Wrong. Literally a week or two later I was hit with a wave of cystic acne, which I'm still dealing with right now, mostly the hyper pigmentation though. Can someone please help me understand what caused this?! It's so infuriating it makes me angry as hell. I stare at my face in the mirror for at least an hour a day. I don't know what the hell to do anymore. Nothing changed, my diets the same, and skin care routine was the same. The only thing I can think of is the fact that finals was approaching and I was extra stressed. But I've always been a stressed person so I don't know why all of a sudden cystic acne happened. I gained a few cystic acne over the course of the past few months, but most of it happened during the initial breakout. And now I'm looking at my forehead and it's starting to get bumpy all over (not red, just bump), even though my forehead wasn't having acne issues, it was mostly my cheeks up to this point.Can someone please enlighten me.I'm a male, 20 years old, I eat home cooked meals. I work out. I wash my face at night + tazorac which I've been recently prescribed and I've been taking doxycycline for the past two months and I apply benzoyl on my face in the morning + moisturizer. WHAT DOES GOD WANT FROM ME?? And the most infuriating part is the fact that my brother and sister don't get acne, and both my mom and dad have said they never dealt with acne growing up....
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