Good on you for losing some weight! Congrats, its not easy. And yes, I think that the NHS will remove loose skin when you've finished dieting but I think you have to convince them that its making you dreadfully unhappy which am sure everyone could do in your situation.

And yes, you could have CBT. Forgive me for saying, but I do not think all of your confidence issues is down to your weight, I think your father may have something to do with it too from your other post. I think CBT may just help you as they also work through some of your family history etc. I think if you explain it to the doc that you have very low confidence and it's stopping you doing things (put it on thick if you need to) then if the GP is good, they will recommend you. My partner went because his unhappiness meant it was effecting his memory and also his ability to take anything in. People could speak to him one to one and his mind was always elsewhere, even if really important. 2 seconds later he had no idea what they just said. The doc did some basic memory tests and then put him on the waiting list, no probs. I was put on the list because I broke down in a GP's surgery as was hopping mad and it made me cry (I always cry when mad, its maddening!!).

Hugs