Pretty simple. I've gone out of my house a handful of times in the last year, each time nearly unbearable. I'm acutely self-conscious about my appearance. It's got to the point that I keep my curtains closed in my house because I'm suspicious of people seeing me from other houses. I'm going to a uni a hundred miles away on Sunday, and I'm terrified. I don't know how I'll possibly cope. More generally I'm severely depressed and have anxiety/paranoia. My self-esteem is nil. I live alone and have no family or friends to support me. What the hell am I going to do?