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I agree that it sounds like body dysmorphic order. I had a gf that had this to a lesser degree. She was NOT flat stomached, but she wasn't fat, and she's very pretty. Eventually I did what I know best how to do... tell her she was being an asshat, and that I could no longer be her emotional crutch. That if she wanted to feel better about herself, I could help, and that if she wasn't going to make any effort to do so, then I had to end the relationship. The seriousness of my actions led her to understand that she did have the power over herself to change things and over about a years time she really did get better, no meds, no anything.
As background, her mom always told her she was fat and lazy and blah blah blah. Her mom seems like such a sweetheart, but she treated her daughter like shit on a stick. It's really quite sad. At any rate, a similar technique was applied one or two other times with some issues she had. We had to part ways eventually anyway, but now she is successful and happy, and I feel good inside knowing that to some degree I helped with that.
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