Interestingly, I didn't develop it until my first year of college which was like almost a year ago. So, I've only been incapacitated by it for about a year. I always had low self-esteem, which I don't know where it came from. I had an extremely supportive family so the only thing I can think of is school which honestly is what made me feel shitty 99% of my childhood. So that became a bad attitude about everything, plus I did some bad things which haunted me for years later. I recognized at an early age that I had an overinflated ego, so I got into the habit of saying mean things to myself to compensate. The problem was (and is) really just a FRAGILE ego so yeah I kind of traumatized myself. I also did a sport in high school for all the wrong reasons and that whole experience reinforced a lot of obsessive hypercritical tendencies despite the progress I made in it. So, basically I think I just finally snapped in college. Nothing in particular happened other than what happens when you suddenly develop intense social anxiety and have to share a small room with a person and you stick through the whole year. It was also in Baltimore so low-key I was fearing for my life every once in a while. I still get crime alert emails from that school. I have a lot of anxiety on my dad's side so I was predisposed to it I think. Also, if anyone has any information about propranolol and how that has worked for you or someone you know, I'd like to hear about that please. I'm still using CBT but it's exhausting to constantly monitor your own thoughts. Thanks! Hope this post helps!