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If you have dissociative identity disorder, dissociation is your primary coping mechanism. As such, it's both adaptive and maladaptive. It allows you to continue functioning despite overwhelming stress. But dissociation is also what prevents you from recognizing that you've fallen off a cliff until you hit the ground. The idea behind taking stock of mental health warning signs is to notice your free fall a little sooner. Ideally, you'd eventually have the awareness to see the edge of the cliff from a distance and avoid it altogether. 
The better you listen, the more you will know. It may sound very simple and it is. Listening takes up more of your waking hours than any other activity. Of your waking hours, 70% of them are spent communicating. Writing takes up 9%, reading 16%, talking is 30% and listening is 45% of communicating hours. THE underrated business tool is good listening.
This week one of my Twitter followers asked me for advice on communicating with her friends and family about her mental illness. She has only recently started telling people of her illness and she wasn’t sure on how to express her needs around her mental illness. This is a great question and one I think every person with a mental illness faces. How do you tell people about your mental illness needs?
Verbal abuse is confusing. I sometimes blame myself for not hearing our conversations for what they were. Conversations is not the right word. A conversation is a flow of words and thoughts, back and forth, between two people - a dialogue. But my ex-husband and I didn't have dialogues, we filled our communications with monologues in which we looked at one another, directed our sometimes screaming voices at one another, but definitely did not converse. 
One of the things I have tried hardest to avoid is having a house divided. Regardless of the differences in our DNA, I wanted our family to function as one cohesive unit. But lately, despite my best efforts, one of the sheep is doing his best to separate himself from the flock. And it's driving me nuts.
A mental illness that saps sufferers of motivation and energy, depression notoriously impedes productivity. For many people living with depression, even basic day-to-day chores seem to take herculean effort. The inability to get things done is frustrating on its own, but even more maddening is the vicious cycle it perpetuates.
I recently went to my obstetrician for a routine check-up and got onto the dreaded scale after the holidays (never a good thing to do, in my opinion). The nurse said, “You must have had a really good Christmas.” I cringed as she told me I gained 10 lbs. I packed on10 lbs. in a month! Even though I am seven and a half months pregnant, this is definitely not a good thing. This got me worried that I’ll have another huge baby (my first one was close to 9 lbs. which is large for someone my size). So the wheels started turning in my head for ideas on how to be healthier—physically, mentally, and emotionally.
I am Kellie Jo Holly, and I participated in the cycle of verbal abuse with my soon to be ex-husband for almost 18 years. I retain the relationship with him because we have two sons together who are now teens. Leaving the marriage did not end the abuse. Stopping verbal abuse has more to do with my reaction to it than convincing him to stop!
What could cure my anxiety? In answer, all I've got is a deer in headlights expression to go with the sign that says 'wrong way, go back!' So no, I don't have a cure for anxiety. But I have some ideas.
Although our obstacles are on a smaller scale, we too know what it's like to be stuck 100 years behind the rest of the country. We face discrimination and hostility because of a psychiatric diagnosis.

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Paula
I have a lifetime of trauma and BPD and depression & anxiety and i can really identify with everything you have said chronic low self esteem and believing i nothing worthwhile to contribute to any conversations in social situations, iv grown up believing i was a bad evil person who doesn’t deserve anything good that life has to offer, even when im with my family i again feel like im an outsider and all the above caused me to isolate for 16 years and this made my situation a million times worse when i came back into society only months ago, im absolutely filled with Paranoia and i dont feel safe around humans unless im with 2 people that i can sort of connect with but its not often this happens and on any given day im that terrible or feel unable to have a conversation with people i can retreat to isolation again which again makes me worse everytime, i feel like i suffer if im out with people and i suffer if i isolate, im just constantly in a state of anxiety and terror and it paralyzes me and makes me brain shut down where i cant even think of a sentence to strike up a conversation with people, it’s absolutely horrendous and all the negative things my head tells me about myself it’s disturbing! I wouldn’t talk to anyone else the way i talk to myself but i just dont know how to stop it its been so ingrained in me for at least 4 decades now and im 45 years old.. i keep hoping one day it will get easier, but my heads such a mess, honestly and im not a bad person, iv just had a lifetime of trauma since i was a little girl that it completely changed me, that I don’t even recognise myself and neither does my family or anyone who knew me, but i might have more serious mental health iv just never been able to get out the house to go to mental health assessments.. but i wish you all luck!
Anonymous
Hi I'm 15 and I have severe anger issues that I can't control. I don't know why I am like this but when I am super mad I like to punch myself in the head repeatedly until I pass out and I sometimes slam my head against the wall. I used to cut but I try not to. I would just take scissors and you know, snip snip. I think this started when I was younger- around 12 years old. I always thought about sh but now I actually do it. I wish I had never started because once you start you can't go back. It's like a one-way road. There is no way you are going back to where you started.
anon
I do not have a BPD diagnosis (or think I should), but I can relate to much of what you're saying. I had a parent who was bipolar and struggled with addiction and who ultimately died when I was in my twenties. My other parent was extremely religious and I was raised in a controlling and punitive environment. I am extremely codependent on my intimate partners but can simultaneously hold others at a distance when I feel overstimulated or just want to be alone. I too am very triggered by perceived abandonment and really struggle to communicate with others because I feel too much too intensely and cannot make others understand it..I don't always understand it. Despite all of this, I feel very triggered by this post?? I have a friend who also struggles in the same ways I do, but I suspect it is much worse for them. I notice they ALWAYS have plans even when they feel burned out because they are terrified of being alone. We used to be very codependent on one another but now I find myself keeping my distance. And sometimes for unrelated reasons, I have to cancel plans. OR I will state upfront that I tentatively agree to the plans but reserve the right to cancel if I don't feel up to it. I don't know if that makes me a bad friend or not; I have been in counseling for years learning how to hold space for both myself and others. And sometimes that looks like cancelling or rescheduling. I know that this is a trigger for my friend- they not so casually mention other "flaky" friends in conversation- but at what point am I supposed to cater to someone else's (sometimes irrational) needs at the expense of my own peace? Why do I have to give you a play by play of my thought process (and maybe a doctor's note) to get out of doing something? What's an acceptable reason to cancel? This friend recently encourages me to just say I don't want to do something (almost aggressively mind you), but when I do, I feel like I get the silent treatment or otherwise passive aggressive responses. And I am constantly hearing stories about this person's disappointment in other friends who cancel or are perceived as flaky. I want to give them space to process their feelings about cancelled plans, but sometimes I feel annoyed and overlooked. Like their pain is more valid or important than my own. I have not had the courage to talk to my friend about this but feel I need to soon or else I will continue to harbor resentment. Anyway, I know there's room for all of us to feel our feelings but it's so hard to navigate right now. I have been a caretaker in one form or another my entire life. I really need to take care of myself and not feel guilty about it. The end!
Mj. Bean
You're definitely not alone. My boyfriend has DID and more often times than not, we dont get throiugh the day without arguing or disagreeing at least once. I'm head over heels in love with "Super Max" which is who he basically is when he reaches this sort of "peak performance" and the "lesser" maxs' are the ones that can get downright insane. One talks like an 8 year old, another one acts like he's around 20 years old. I didn't have any idea he had this until we were 3 months in and i had already fallen hard for him. Most days he's in "annoyed/angry max mode" where he is literally the biggest control freak on the planet. Obsesses over silly things like "spilling" things and such. It can be exhausting but the violent max is the one that, while i rarely see him, he's still the only one i dread and have only seen a handful of times.

My point being, I'm right there with you. I hate the rollercoaster. I just want to live life without being in a state of constant fight or flight mode, only for his character to change and de-escalate and I fall for the person I fell for all over again.
Exhausting is a horrible word. The understatement of all understatements, if you will.

I wish there were better support groups for this kind of mental health condition.
midnightvibes
I’m so sorry that you’re going through this. It sounds so difficult and I can’t imagine what it must feel like. I know what it’s like to feel like no one in the world cares, that they’re all just caught up in their lives, and I’m so sorry that you’re feeling that way. I would just say stay strong and seek the help you deserve. You deserve to be alive in this world. Even if it feels like you don’t, you 100% do. I don’t know you but I can tell from this post it’s seems like you are resilient and care about others and have some hopes for the future. Stay strong friend, seek help if you are able to, and have hope if you can. I believe in you so much <3