I have been avoiding people a lot because of BDD/SA (I never got diagnosed with BDD so I'm not sure if I got it, but I kind of self diagnosed myself, I really feel more aware of my ugliness than other people do.) I never wanted to go outside because anyone could spot my ugliness, but I have worked on it and it has gotten better, I cut my hair, wash my head with water a few times a day (to look healthy), get enough of sleep (i try to lol), use whitening toothbrushing, it really helped a lot to have a new haircut to feel better about myself and looking more healthy makes me feel really good. For me the problem is most not looking healthy, I still hate the purple skin under my eyes, I try to figure out how to get rid of it, but I'm feeling better about my looks but still I have moments of true disgust. (especially my face and skinny arms).