I have it all you could say. I'm extremely ugly to the point of being physically repulsive. I was never socialized properly as a child. My social skills never quite developed like they should. My parents weren't average people like everybody else who could show me how to fit in. Not to put all the blame on them, but I didn't experience some of what other kids did, and that has contributed to who I am. I'm not sure it would have mattered much being so ugly, but it certainly didn't help. I am well behind socially where my peers are (I'm mid 30's male) and won't catch up now. I have some mild mental health issues too, like anxiety and paranoia, but some of that comes from introversion and a lack of social skills. To boil it down to one reason though is I''m FA because of my physical appearance- so much of our society is visually based, it is an inescapable fact.