That is the depression talking-------pulling you out of the world you need to be a part of---I know the feeling and it can feel relentless BUT believe it or not it isn't much of an issue for others, the way you interact with others is----and if you get out there, stop with the video/mirrors (not easy these days) and focus on your job, the people around you, show an interest in them, you will find that the preoccupation will diminish (you may still feel overwhelmed by it at times alone but far less with others) and you will be OK. This really is the disease/disorder talking. Do things that make you feel better (eg: I know that when I am physically active regularly I feel as if I look better---better than I do now for sure----when I eat healthy and help others (or am just friendly casually) I feel better. Also remember, most people have some insecurities about their looks, even those you would least expect (& for all I know you are actually stunning physically but it doesn't matter)------and long term relationships do not survive, grow, or rely on appearances. ((((((((((((((((((((((hugs))))))))))))))))