I have been in & out of therapy since I was very young, it never seems to make a dent. I have actually had more luck with deep introspective meditation and balance exercises getting ones body & mind into synchronization is a key to mental health but I often lapse & neglect it & this leads to obsession & compulsive behavior & thoughts. I am also very insecure about my body even though it’s not that bad. Yes I am obese but I’m relatively healthy for a man my size, slightly elevated blood pressure but that’s to be expected with narrow veins (they legitimately have to use baby needles on me if I go to the doctor) & I usually have bad lungs but if I do cardio every day for 6 weeks the breathing problems completely stop even though I keep smoking. I have joint & muscle pain but can usually make that stop with low impact exercise so my body is like an old car that just need some light maintenance to get it in fine working order so I really shouldn’t have any body dismorphia but it’s not a rational thing its an obsessive intrusive thought, same for my dick, I consciously know that I’m average at worst & slightly above at best, but since my enemies know it bothers me & my self esteem is so fragile they continuously erroneously ridicule it and that hurts, even though I know they’re lying, the fact that they hate me so much that they would lie hurts more than if I actually WERE small. Like if I actually were small it wouldn’t bother me, it’s the lying to hurt my feelings that bothers me. I’m really complex tbh & unless I talked to a therapist all day about every tiny little mundane thing that bothers me & then they provided me with coping mechanisms & cheat codes for being a human I don’t think that any therapist could actually help me. I mean seriously I would need possibly weeks of intense inpatient psychiatric care and possibly life incarceration in an institution unless & until we get the right cocktail of medications and coping mechanisms & self soothing techniques etc to turn me normal,but I honestly don’t think normal is a possibility for me.