My friend is experiencing fear of being judged by others, preoccupation with physical appearance and low self esteem. ?

How old is (s)he?: If your friend is also 14, (s)he's below the age limit to be on HealthTap. But I'll address it anyway. I could say that if (s)he's 14, (s)he's right on schedule, i.e., a lot of adolescents go through such a phase. Or, it could be more than just adolescent depression. Your concern for your friend is laudable, but you now must decide whether to take on the responsibility of doing something about it.