He said his ex was hotter... Even though he knows I have major depression and self-esteem problems?

Anonymous
We're both young and he's my first boyfriend. He's had a few other girlfriends before, but he says I'm the first one that he actually wants a future with, so we're pretty serious. We were playing truth or dare by text using a website that generates random questions, and it asked him which of the girlfriends he's had was the hottest. I already knew it wasn't going to be me, since I know he's dated popular girls at our school that are basically everything a guy would want on a girl. He already said that the thing that made him attracted to me was my personality, since we're both huge nerds and we understand each other. He sometimes says I'm pretty, but I don't think he really means it. I feel ugly, fat and disgusting compared to other girls he's dated, and he knows that I'm dealing with deep depression and self-harm because of my low self-esteem... Well, when he got that question, he said that his first girlfriend was hotter than me, but he still loved me. I felt guilty for feeling so hurt, because I know he did nothing wrong and he was only being honest. I tried pretending nothing was wrong but he eventually noticed that I wasn't acting okay. I broke down and said everything that was going trough my head, and how I thought that he deserved better than me, and that I wouldn't blame him if he got back with her. I apologized and said I didn't want him to feel bad because he did nothing wrong, and that I knew I was the problem. I had never felt so ugly and worthless. I got my razor and cut my forearm deeper than ever, and it bled for half an hour. I've been hiding it with long sleeves since then, and I didn't tell him or my parents. After one hour, he answered my texts saying that he still loved me, and that I shouldn't feel this way, because I was beautiful on the inside. I apologized again and thanked him for being so patient with me, and for always trying his best to make me happy. But I can't lie, it's still destroying me. What should I think? Should I do something?
He said his ex was hotter... Even though he knows I have major depression and self-esteem problems?
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