My client, like so many gay men, is convinced that without a gym-buff body, he is unlovable and doomed to be alone for the rest of his life. The objective truth is that he is a good-looking young man in excellent physical shape with a nice face, good hair and and fine taste in clothes. He just can't see himself that way.
It's hard for any minority group to thrive from their minority position. The LGBT population has a hard time thriving in a world where everybody expects you to be heterosexual treating you differently and as "less then" if you are not straight. In the U.S.A