Self image is a vague realm at best . Look at all the people who suffer , and even die with anorexia , they weigh seventy five pounds , and are close to death , but they look in a mirror , and see themselves as fat . There is the more recently named condition of body dis-morphia , where very large , muscular body builders see themselves as still small and thin , and take more drugs to get big . The mind is a very powerful thing , and it is hard to overcome self image when it is negative . I think that positive affirmations can help , visualizations , things like that . I suppose we are all prisoners in our own minds , and slaves to our own beliefs .