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A great deal of my insecurities from how I look! When I meliorate the problem - by, say, wearing certain clothes or when I feel I look better (clear skin, whatever), my confidence shoots up enormously, explosively.
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It still mostly in your head.
When you wear certain clothes you give yourself the permission to feel more confident.
You could also decide to give yourself more confidence when you don't wear those clothes. It's your own decision whether you are confident or aren't.
People generally rationalize their choice to feel unconfident with things like their outer appearance.
The problem is that it's a habit to choice to feel unconfident. It's a bit like choosing to smoke.
People might tell themselves that they smoke because it makes themselves more relaxed. In reality they smoke because they have the habit of smoking.