My story

Here's my situation and how I see it.

I have had body image issues for many years. I look at myself and see a disgusting looking person. As a result, I feel self-conscious and worthless when I go out. I isolate myself because of this and find it very difficult to interact with other people due to the anxiety. I'm not agorophobic because I have a job but don't have any friends so rarely leave the house, except for solitary walks and occasional outings with my immediate family. I constantly think about changing my face and body with surgical intervention. I also write down a lot of things such as what I've eaten on a daily basis, how many calories are in each food, how much I've lost and gained in weight and I also write endless lists about what I'd like to achieve with my life in the short-term and long-term. I'm depressed and have had CBT as well as Prozac and citalopram.

Here's how I breakdown my situation

Body image >> Anxiety >> Obsessive-compulsive tendencies >> Depression >> Occasional suicidal ideation

Does my analysis sound correct?

I want to back on antidepressants but I've noticed that the antidepressants I've tried have had sexual side-effects such as an inability to orgasm and dry skin (which obviously contributes to self-consciousness).

Feel free to elaborate your thoughts.

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