Now I know initially you might be thinking that she isn't telling me things, but she is 100% adamant that she is happy 95% of the time, but when she is down, she is close to breaking point. We are currently long distance partners and have been for our 18 month relationship, and she's also struggling with lockdown.  She usually gets really down due to a trigger, so for example today she had a good day, went for a walk, worked from home, tried on a new top which she had ordered and was pleased with it. However, later she tried in a new wig (for representing a brand on social media), and she felt she looked disgusting and spiraled to the point when she was questioning whether I loved her, she doesn't deserve anyone, deserves to be alone and said she doesn't know how to be a person. This last part is what scares me, she has repeatedly over the last few months questioned how to function as a person and she feels like she's acting in someone's body. But then I'll sit and video call her for a few hours and reassure her, and she'll eventually calm down and the next day she's fine.  We have been together 18 months and she has struggled with friendships and relationships, and felt like she has been walked over, used and abandoned. She is so grateful that I listen and support her and feels she has never had support like this before. She has had therapy and didn't feel it helped and she now doesn't know what she can do. Please can anyone help