I'm not sure if anyone mentioned the more mundane but also important stuff, but how's your haircut? Do you keep in shape? Do you keep your facial hair neat? etc. etc.
I'm just saying that if you change your appearance a bit in a positive way (not saying there's anything wrong with you, but what I mean is for example, I'm 6 feet but 250lbs...i could stand to be 20 to 30 lbs lighter...I got pics in my profile) then not only do you feel better about yourself but that will make others see you differently too.
I'm pretty much in the same boat too, but I don't think telling someone to change their appearance always helps.
I'm short, on the fat side, glasses, with little of my hair left, not much is gonna change in these regards. And except for the weight I'm pretty much content with my appearance - if people won't like me for who I am I'm pretty much past caring.
I tried therapy of various kinds a few years back, I seem to have been forgotten about. Never medication though. I could get depressed about it, but since I got past 30 I don't let it get to me anymore - I'm resigned to my fate.
I've always remember Dr Crusher's line from the Neutral Zone - too afraid to live, too scared to die. sure I'd love a family of my own, adult responsibilities, but at the same time I've always avoided responsibility where I can. I am very much like a kid, I don't really feel I was ever a typical teenager.
I probably would be in a very low place without the internet, it allows me interaction with the world, I've met a few friends by it, it gets me out (half way across the UK )but even dating websites have been a complete waste of time & money. But oddly since it became more a social network I hardly want a Facebook account to show how antisocial I am! I've had a job for the past ten years in a small company so I can't meet anyone there, but I'm too settled to look at a job elsewhere. I've been (mis)using the gym regularly for 3 years too. I enjoy it but the fact some of the girls there are half my age reminds me how old I am.
So I can't say I'm happy (not sure I've ever been happy since I was a child!) but I am content to be content. This game of life is one I don't appear to be playing.
I remember one of the therapy things - how high are you on the ladder. These days I'd rather stay where I am than risk going higher - I'd only fall off eventually. I remember being confident once - huh half a lifetime ago - it made me arrogant, I made mistakes - I fell off that ladder and took ages to get where I was in the first place. Not sure I left the house in a year.
I've suffered odd anxities since I'm old enough to remember, just a pity I didn't know what anxities were back then. Too set in my ways now.