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I've learned that it's difficult to fight self-doubt when you are often anxious. Unfortunately, naturally, anxiety and self-doubt go hand in hand. Because of this, my anxiety can affect my decision-making. In other words, when trying to make a choice, I often doubt myself and my ability to make a good decision.
When I spent three months in residential treatment back in 2010, the clinicians would frequently encourage the other patients and me to communicate and honor our needs. This practice was meant to teach us how to separate our own inner voices from the control and influence of an eating disorder. As well-intentioned as these clinicians were, however, I remember asking myself: "How can I learn to express my needs if I'm not sure what they are?"
One of the best pieces of advice I've ever received was to stop trusting my emotions, which means, don't trust my gut. I had gone to see an acupuncturist with a strained back and an abundance of curiosity. He palpated my ovaries, eyelids, and the like for a half minute before diagnosing my issue as one of emotional over-indulgence. He stuck a couple of dozen needles in me, left me alone for 20 minutes, and returned with his treatment plan. "You shouldn't trust your gut so much," he suggested and sent me on my way.
One of the hardest things about any mental health condition is that they are unpredictable. The same thing is true at my job. Some days are very difficult because of the anxiety and depression I feel at work. However, several activities make it easier to get through my shifts. Here are six strategies that help me overcome anxiety and depression during my job.
As soon as puberty kicks in, many of us lose self-esteem. Many physical, emotional, and psychological changes begin to take shape during this time, leaving us confused and extremely sensitive. As our bodies change, so does our self-esteem, leaving us vulnerable. Even fully understanding that this is a perfectly normal part of life that everyone goes through didn’t make it any easier for me. Puberty was a time in my life I think back to and wonder whether anyone handles it any better than I did.
I talk about eating disorder recovery all the time. You might call them healing conversations. I unpack the layers and nuances of it with my therapist. I excitedly share these revelations with my partner once the session is over. I journal about what I'm learning in the process. Then I pass on those lessons to the younger women I mentor, who deal with similar experiences of their own.
Every hello ends in a goodbye, but every ending is also the beginning of something new. This will be my last post for "Speaking Out About Self-Injury." What will life be like after writing for this blog?
If your childhood included kids teasing you, an adult might have explained that they teased you because they liked you. I'm not sure when affectionate teasing and verbal abuse evolved into a well-known sign that someone likes you, but it should stop.
The transgender experience can be lonely. When I first began hormone replacement therapy, my doctor asked me if I had a good support system. I lied and said I did because I didn't have the time or energy to join a support group and didn't want to cause worry. Now, I think about all the hands that have reached out to me in the past that I brushed off. I believe loneliness was caused by my self-imposed social isolation. 
I’m still struggling with the negative self-talk that often comes with depression. Many of you have probably experienced this in some form or other—a nagging voice in the back of your mind that fixates on all things negative, constantly reminding you of your failures and flaws. For me, this voice is especially frustrating because I know it isn’t logical. I have, overall, a happy and fortunate life. Yet sometimes, I can’t help feeling defeated or worthless over a relatively minor event, like forgetting to run an errand or even burning the toast. When depression rears its ugly head, my negative self-talk magnifies the smallest perceived failures a hundredfold. 

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Carol Wilton
I feel that you are very blessed to have such a loving and supportive husband.. I also feel that you may never find someone like him again because relationships are not always about chemistry and sexual fulfilment but more to do with respect and understanding both which I feel that you and him share.He obviously loves you very much and from my own experience of bipolar disorder these qualities are not so easy to find,if not extremely difficult to replace.All I can say is before you decide to leave him and look for a sexually compatible partner I would feel like it would be best to go to see a therapist and explore your life there with the therapist.It’s always good to look at other people’s life and choices to determine who would be best for you. I wish you love, and hope for you in your life. I can’t remember if I said that I also have bipolar and having chemistry between you and any future wife that you would like to have is disruptive to one’s mental health because I had a relationship that had amazing chemistry between him and me but ultimately it became obsessive and at times I was crazy in love with him and other times I really didn’t like him at all because he wasn’t fulfilling my expectations of being in love with me because he found it too difficult to use my bipolar disorder.So I hope you don’t mind if I just say think about this decision that you might make with deep consideration. I truly hope that you can make the best decision for yourself..Sending you love and peace.xx
Mom
Thank goodness we are not alone . I often ask myself why I feel so inadequate after visiting my 39 year old daughter ( 4 year old granddaughter) , why I m sad and relieved to be going home .... walking on eggshells , hoping I m not going to say the wrong thing when all I m trying to do is love them both and share special times . I feel I m kept as arms length and there is no closeness. Sadness and depression and guilt all kick in for a few days , but then I think , get on with it . As long as I see my beautiful granddaughter I m happy .... " I am enough" .... I will always be there when needed .
Iz
This isn’t uncommon… It can be difficult for a borderline to feel individuated or have a strong identity, so they may tend to lock in to a partner, their children, or parents beyond what non-borderlines would. The refusing to speak to you may be to maintain an image as part of wanting to be seen a certain way.
Erin Crowe
I agree in that DiD doesn’t make you violent, but there are people with DID (such as my mom) who can be very violent. Also, the people on blogs and getting help and so forth don’t represent everyone with DID. I’m sure there are many, many violent offenders in prison who have DID. Maybe the DID didn’t cause them to become violent, but their trauma did.
I also have DID. And I know that it is not safe for people or animals to live with me. This is just the facts and it’s devastating. I know that to be ethical and non-harming I have to live alone. To see me, I look kind and sweet. And parts of me are. But not all the parts. I’ve been officially diagnosed and in therapy over two years, and even if we all heal, I don’t think it’s worth the risk that I could hurt or kill somebody. Some risks can be taken, but I don’t think I could say, ‘hey- let’s move in together. By the way I had violent tendencies but I think I have it taken care of. You ok with that?’
Mel
I feel like I’m reading my own reply. Each and every syllable. Wow.