I am on Tryptomer 25 mg for the past 10 months since I was diagnosed with GAD after the death of my cousin brother last year. I am 30 year old female. I had a habit of pulling few strands of my hair (on my head only) since teenage and I read on the internet that its called trichotillomania. I was also tested positive for Vitiligo in October 2017 and have been on melanocyl tablet 10 mg (2 tabs every day) and Dicaris tablet 150 mg (only on saturday and sunday) and application of skin ointments daily. Since then, my anxiety levels are better and manageable. But I have recently developed this condition where I can see my nose in my vision continuously and this really spoils my concentration levels and confidence levels as I can see it all the time. I also have this recurring thought in my mind since I am trying very hard not to notice my nose, that we cannot see ourselves and can only see ourselves in the mirror and hence I can not visualised myself how I look to others. And hence my confidence has become low and I keep checking myself in the mirror. I do not know how to avoid thinking about this topic and this really gives me low confidence and it is making me believe that it will eventually affect my daily chores and behaviour although to everyone else I seem normally functioning and no one can notice that there is any problem as I do everything normally. I go to the office, work, interact normally with everyone, drive and do normal things, but at the back of my mind, it makes me doubt everything and again and again I get this irrational thought and its disturbs me. Whenever I am in front of the mirror I cannot see the point of applying make-up now as I believe that whats the point as I will not be able to see it myself. But when I apply make-up, I do it normally. It is hard to picture myself in front of the mirror since I have lost lot of weight by regularly exercising and diet control, everybody kept saying that they can not recognise me and now it makes me think that what if I have lost too much weight and what if I will not be able recognise myself? Even though I know that I still have to exercise and take care of my health and lose weight. But now the fear of becoming too thin and one day not recognising myself has made me stop exercising. This has also happened recently in the past 2-3 months. Please advise how I can avoid thinking about this irrational thought and can get on with my daily chores as I keep worrying that what if I might develop some mental health issue since I have read so much information on the internet that it is making me believe lot of things even when I know its not true.