Is my skin really that damaged?

I would recommend going to a dermatologist for the best advice and help. However, I would recommend putting on a moisturizer that has a high SPF in it, and apply it twice a day (even in the winter) . I would also recommend switching to skinID instead of Proactive. It was proven that skinID cleared acne twice as fast (go to skinID.com). But really, go to a dermatologist for best results.