Yea, I'm going through the same shit right now. People tell me I look nice (granted when I actually shave) but I can't ever convince myself that I'm decent enough.
I've contemplated a possible diagnosis of BDD, but I'm not exactly sure if I fit neatly into the definition. What happens to me is that I get intense anxiety during conversations because I lack confidence in my appearance during speech delivery (I also lack confidence in tonality and pitch).
Here's a typical situation:
(1) My friend and I are playing a sports video game (Let's say soccer).
(2) Something happens on the screen that 'demands' a response from me (an uncalled foul, a 'lucky goal').
(3) My mind immediately formulates a partial response.
But during this formulation, I immediately begin to doubt my future delivery. What if I say it the wrong way? What if my sarcastic remark comes off as just plain arrogance?
(4) The aforementioned negative thoughts retards my ability to successfully formulate a plausible response.
(5) In exhaustion, I spit out my remark anyway, but it comes off as garbled.
(6) I feel terrible because I don't think I truly expressed myself.
Usually this is when my friend answers with his own brand of sarcasm as well. Most likely, he proceeds to jokingly critique my response (i.e. my definition of foul-play, etc). Here's the interesting part. I get put-down. Yes, I get put-down by a silly critique that I KNOW wasn't intended to be offensive, lol. But I take it seriously because I have so little confidence in my initial response that I automatically believe any criticism - even if it was in jest!
And this has been happening to me ever since elementary school :
:. And I still can't stop it. So if I have BDD, it's a perception that I look incompetent during speech delivery (even though I can deliver speech flawlessly in front of a mirror).
I'm really desperate for a solution. I've been trying so many things this past year, but I feel like I never get anywhere.