I've had depression for as long as I can remember. I've been sexually assaulted twice. I'm on meds and in therapy and all things considered doing okay. 

One persistent and bothersome symptom is that I always feel physically unclean, even if I've just showered, brushed my teeth, etc. I don't really struggle with maintaining my personal hygiene. I think it has more to do with general low self-confidence about my appearance and the specific type of trauma I've experienced. 

This is impacting my self-esteem and my social life. I really don't want to feel dirty anymore, and I'm not sure what to do.