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How do I get confident enough to leave the house?

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I'm 15 years old, i already know the answer your going to give me, looks dont matter or inner beauty blah blah blah.. but its more than that- i have been housebound for 4 months because i don't want to be seen in the outside world by anyone. looking the way i do has ruined my life, ive already missed some of my GCSEs, my friends have given up on me because i refuse to see them in real life, and i have no idea what to do with my life. my skin is too pale, i have a stupid nose, my eyebrows are funny, the rest of me is fine but the different features don't go together making me look like some sort of troll >.> i have tried everything, counseling, taking little steps, different types of therapy and it doesn't work... and to make it worse i keep having the urge to hurt myself...