I know a lot of my negative images ceased after this latest combo of meds, but they aren't gone completely and I still say things to myself that are pretty ugly. I think that's more something to work on in therapy. Positive reinforcement, etc.

It sounds lame, but it's true. If you feel better, it's easier to believe the therapist when he/she says to replace the negative thoughts w/positive ones. You fill out a list or something. All the negative things on the left and all the positive on the right. Whenever a neg one comes up you repeat the positive one on the opposite side. It works but only so long as you do it. I quit doing it a few years ago because I stopped believing there was anything good about me. Now I think I might be able to do it again. The more you say it, the more you believe it and can get out of the loop of thinking You're...whatever...eg. a lying faker.

Or try something else your therapist suggests for this chronic problem.