I (F) put myself down a lot, especially my physical appearance. I've been dealing with awful anxiety for about four years now, which I have realized is when my self esteem tanked. I've always thought about the two issues separately until I had the realization in therapy that I am a perfectionist. I never thought that negative self talk (my looks) and anxious thoughts could be related. I am not sure if I agree with my therapist on this, but I will follow a plan we made, To go through the day and try to be kind to myself and see how my anxiety feels.