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We make habits out of how we view ourselves. Habits are hard to break. They take constant effort until one day you realize "Hey this isn't work anymore!" You probably won't even notice the moment when being comfortable in your skin becomes a habit.
Just because you go to a professional doesn't mean that you HAVE to take drugs. You can refuse them anytime you want to. They can give you tricks to help you remember your new "habit" when the old nature pops it's head back up and says "Hey ugly." Yes those tricks could be viewed as crutches but we need crutches while our legs are broken, why not when our self-esteem is broken. It's only to help ease the pressure until you can heal from the inside out. Take care, keep up your hope, and it will come around eventually.
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"Always learn the rules so that you can break them properly." Dalai Lama
My Karma just ran over your Dogma. 
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