<p>I am so sorry you are going through this, and I wish you and your daughter the very best. One thing that has not been mentioned re therapy. Has she been in any group therapy? You can find groups, some that meet quite often, and she will have an opportunity to connect with a peer group who help each other get well. I would start anew with a full physical and psychiatric evaluation, and look towards finding a new therapist, and a new approach.</p>
<p>The poster who mentioned bullying may be onto something big. Best wishes.</p>
<p>I would also recommend looking into the nose job. Especially if she’s getting teased about it. Having to look in the mirror every day at something you hate (and other people are commenting on) is not good for one’s self-esteem. My son was born missing his top incisors (the two teeth next to your front teeth) and had to wait until he was 17 to get implants. He was literally a changed person once he got those implants. He started smiling, was more out-going. I’ve known several people who have gotten nose jobs and it really changed the way they felt about themselves. </p>
<p>Now if she wanted breast implants, I would take it a lot less seriously.</p>