Adderall XR Makes me Feel Unattractive and Paranoid about my Appearance - HELP

I'm a 31-year-old man living in the United States, and I've been on stimulants my entire life. Currently, I'm taking 25mg of Adderall daily to help me study and manage a super intense job. I feel incredibly hideous and gross while on this medication. I become super self-conscious and can't shake off the anxiety and paranoia about my appearance. I am over 6 feet tall, a really healthy weight and I have nice features - but I just feel so fucking ugly and can't make eye contact when I take these meds. Is this normal?

In 2022, I had a tummy tuck and liposuction after significant weight loss, but despite this, I still feel extremely ugly. All I can think about is getting more plastic surgery because I'm so dissatisfied with how I look. I notice I feel way more ugly when taking these meds and want to know if I am legit crazy or if others on the same meds have felt this way too. I feel like my skin and acne scars are super visible when I take my meds, but I really benefit from them professionally, so I cannot just stop after 20 years on them.

Has anyone else experienced heightened anxiety and paranoia about their appearance due to this medication? What have you done to cope with these feelings?

Please don't recommend therapy; I've been to many therapists, and this isn't a therapy-related issue. I'm specifically looking for advice or shared experiences from others who might be going through something similar.

Thanks in advance for your support and understanding.