I feel extremely empty and my self image is distorted. its been four years, how do i fix this issue? i feel hollow and i self harm to feel. help?

Understanding: The psychotherapist can help you find the root of your hollow feelings. If you're dissatisfied with this feeling and want to change, Four years is a long time to feel this way without understanding.

Self-harm help: You need to see a mental health professional without delay. Depending on what you do to self-harm, you may need to be treated by a doctor for any wounds, cuts or other injury to your body. Talk to your pcp and ask for a referral for guidance and support. See: http://www.helpguide.org/articles/anxiety/cutting-and-self-harm.htm I hope this helps and you feel better soon.