I've browsed these forums many times, usually on my exceptionally low nights, looking for stories that are close to mine as a way to comfort myself. Although I have seen several threads of people asking if they can have BDD if they are truly ugly, the situation is still somewhat unresolved for me.
I should start off by saying that I have not been officially diagnosed with BDD but I do strongly believe that I have it and have believed this ever since I first learned what it was around five or six years ago. I just am too afraid to go get diagnosed.
The earliest I can recall thinking I was ugly was around age 7 or so, which seems to be quite a lot younger than many of the people here. My BDD area is mostly concentrated on my face. Ever since that age I began obsessing about my ugliness 24/7, constantly checking mirrors for hours on end and hating the reflection that is staring back at me, being afraid to go outside, taking hundreds of pictures of myself hoping that at least one will show me as pretty but avoiding getting my picture taken by anyone else, constantly comparing my self to others, skin-picking, crying myself to sleep almost every night, wishing and praying to wake up pretty and wondering why I have to be so ugly and how unfair it is that everyone else gets to be beautiful. I don't have an ounce of self-esteem; only self-loathing. I have been called ugly, or stared at/pointed and laughed at/been whispered about, or have had various other appearance-related insults thrown at me many times, and almost always by strangers/passersby. I have concluded that if so many people say that I am ugly, it has to be true and not just BDD.
I am now 24 (and living at home) and I just don't know what to do. My obsessions and sadness are getting harder and harder to hide from family and friends and I feel like I am losing control of everything. I am so exhausted from being so ugly for so long. I feel so hopeless and like things are only getting worse. Perhaps its because as each year passes I come closer and closer to the realization that I will be alone forever and will never amount to anything. I am too ugly for anyone to love or want to date and marry and have a family with. And knowing I will live my entire life never having been loved is almost too much for me to bear. I used to have hopes that one day all of this would go away and I could be happy and normal, and that is the only thing that has kept me alive this long, but now that hope is starting to deteriorate. The more I think about it all, the worse I feel, but my appearance is something I can't ignore. The world doesn't let me. I can't go outside without feeling self-conscious. I have now begun avoiding my friends completely. I just sit inside all day, alone and sad, and now, in addition to my BDD, I believe I have developed major depression from all this stress as well.
I really think I should get some help for all of this before it gets even worse, but my main problem is that I would feel so stupid and foolish walking into the doctor's office and explaining to him that I think I have BDD when in fact I really am just as ugly as can be. I feel as if they would be laughing at me (on the inside) and tell me that I don't have BDD, I'm just ugly and there's nothing they can do for that. I really do want help and for all of this to go away but I also don't know how to explain any of this to my parents. They don't know about my obsessive BDD behaviors like the mirror checking, they just think I'm just shy but don't seem to really know why, or perhaps they do and just don't want to admit it. I feel like if I tell them I think I'm ugly and have BDD and depression they will just dismiss it all and tell me I'm not ugly just to be nice. I feel like I have no support system (which is something I really need right now in my life) because I don't know how to tell my friends and family. I just want to ask them if I really am just ugly, but I know they wouldn't tell me the truth and if I tell them I think I have BDD and it turns out I really am just hideously repulsively ugly, they would all just laugh at me for being so stupid to think that I might have "perceived imperfections" rather than real ones. I know they're real imperfections though. They must be! I can see them plain as day when I look in the mirror and so can all the people that have laughed at me and called me ugly. I just don't know what to do. I wonder if getting help would even help because if I really am just plain ugly, how is CBT or medication going to change that? People will probably still make fun of me either way. I just want to disappear into nothingness.
Sorry if any of this is confusing or jumbled and sorry it is such a long post. I have a very difficult time putting all of these emotions that have been bottled up for so long into words. I don't know what anyone can say to help me, but I at least wanted to tell my story to someone without fear of being laughed at and this seemed like a place where I could do that.