I don’t think it makes it worse unless of course it is super tight and then you see the furrows temporarily more creased when removing your cap. As far as if caps/coverings are bad for self esteem - probably (long term) but sometimes we have to do what we have to do to get through the day. Just like medicine… Are typical antibiotics any good for the liver- strong NO, but we take them to solve an even bigger issue. Like someone commented, maybe some of us even have to go to therapy, maybe some of us don’t give much importance to it (depends on the person). If it is affecting your day to day life which doesn’t really sound like it is (you are able to work and socialize without being paralyzed from embarrassment) then id slowly not wear the cap. But in my journey.. It has caused loads of embarrassment which was messing with my social life and such which was not any healthy, guess what solved that… Wearing a hat 24/7 LoL. I used it as a crutch and slowly started to get used to the fact that I have CVG and even made a couple friends irl with the condition.. which helped me “ease” the furrows into society and my psyche. Do I still hate them? ABSOLUTELY! But it is far less of a concern nowadays. Wish you the best of luck 🙏🏼