Have you tried CBT or ACT therapy with a competent therapist? I think that would be a good start to work out any underlying problems and also lifestyle changes. It sounds like a self-esteem and self sabotaging issue. I believe in body/mind/spirit unity for a healthy now and future. As far as meds,. they may be helpful but you need to talk to either your current therapist or find another if you are not satisfied with s/he.