Hello,

I'm a 21 year old (virigin) male, underweight and 6'2" tall and been struggling with depression, suicidal thoughts and anxiety. I can't do this anymore, I am getting worse and I have to change before I get deeper down this rabbit hole. I consider myself ugly and I have really low self-esteem, I think I might be a bit delusional as well (Often times I think that people are laughing at me, or are disgusted). I'm especially scared of women, I never tried to approach because..anxiety I think? Scared of Rejection or worse. I have only a little bit of experience because I got approached a couple of times (made out once, thats it) but I was too scared to try anything.

I joined the gym last week and I'm reading this fashion advice subreddit currently. I don't want to life this shit anymore but I don't know if I can pull myself out of this without professional help. How do I know if I need therapy? Has anyone of you been in a similar situation?

Thanks.