I don't know if this will help Tyler but when I was younger I had periods of image issues and I went to the gym to improve my physical self and higher self esteem came with it. I don't know if this would help you but going to the gym and working out also is a good way to release feel good endorphins and add purpose and positive routine to your day.
I have become a bit of a gym nut so if this doesn't help feel free to ignore it.
I know it is not for everyone.