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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. 
It helps to know the difference between paranoia and anxiety. If I am experiencing paranoia, it involves delusions like someone is out to get me (suspicion and distrust) or has betrayed me. I frequently battle the delusion that someone is poisoning my food. My paranoia can cause anxiety, but the two do not have to be present together. My anxiety attacks often have ties to worry (like health concerns, the health of a loved one, public speaking, etc.), but not always. I can have an anxiety attack where I can't identify a triggering cause.
I, like many others, struggle with finding a healthy balance for most things, and finding my self-esteem sweet spot is no exception. As I navigate the highs and lows of self-confidence, I often wonder what level counts as optimal. My outlook on self-esteem was, for a very long time, one-sided. I didn't believe there was such a thing as high self-esteem. Now that I know better, I have been very conscious about my efforts to keep my self-worth at a healthy level. 
Do you have any negative beliefs (those which usually deliver an unwanted outcome)? Have you ever thought about why you believe some things and not others? Did you learn them at school, or are they the result of your experiences? Do your thoughts and ideas create positive or negative outcomes? It's worth taking the time to look at your beliefs, as they make up a fundamental part of your ability to experience happiness and have a powerful influence over your life, and replacing negative beliefs can be beneficial.
Eleven years ago, I got arrested for my first driving under the influence (DUI) charge. Long before that original DUI arrest, I knew I had a problem with alcohol. I knew that blackout drinking a few nights a week was not healthy. But I never spoke up or asked for help because I was terrified of being labeled an alcoholic. Facing the truth meant I would be diagnosed with alcoholism, an incurable, highly stigmatized disease. 
I’ve always been the kind of person that gets anxious about taking mental health days off work. Some of that, I think, is due to the lingering stigma in society that it’s not a valid reason to take a day off, but I’m here to say let’s ditch that. Let’s ditch the guilt of taking a day for our mental health and ditch feeling guilty about how we spend it.
You can change a negative, harmful coping skill into a positive skill. Sometimes negative coping skills seem easier or better, but in the end, they aren't. I know initiating such a positive change can seem impossible sometimes, but you can do it.

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Dawn Gressard
Hey Amanda!
First of all, thank you for sharing your story. You are a very caring person, and I commend you for, as Tammy Wynette sings, "Stand(ing) by your man." That aside, I wholeheartedly agree with you that those living with depression may seem selfish to someone on the outside. Still, in reality, they (me also being one of them) think our loved ones would be better off without us around because of our depression. We think we are doing our loved ones a favor by leaving. Depression causes our brains to work in different ways, causing us to think distortedly -- so no, we are not purposefully being selfish. Thank you for seeing that with your loved one and not allowing someone else to convince you otherwise.
Amanda
I dated a wonderful man for almost 3 years but he suffered severely from Crohn's Disease and Depression. His Crohn's made it hard for him to keep any kind of steady job and of course that disease can be "yucky" but I love him despite him being able to be the typical male provider. He was what I call, passively suicidal in that he would never commit the act but he prayed to God to not let him wake up because the Crohn's was so bad at times. He really struggled not feeling like a burden and he was worried I would eventually resent him for not being able to work. Neither of these things were true at all, but as many of you know, depression tells us otherwise. When there were better days where he felt physically better and therefore mentally better, he was the most thoughtful and loving person. I felt very cared for and very loved. I felt nothing but compassion for him on the not so good days. There were periods of time he would go dark and completely cut off communication with not only me, but his parents and sister. I never was mad about it, just concerned. I wanted so bad to just be with him even if we just laid there together and didn't talk. I just wanted him to know he did not have to go through it alone.

Well, eventually, the depression demons took hold and he told me on August 5th 2023 that he decided he wanted to just move to MT and isolate himself from everyone. He had been offered a free place to stay if he did some maintenance. He is very handy and that type of situation was very ideal because it was flexible; he only worked on things on the days he was physically up to it.
We talked every night like "normal" up until he left on April 14th 2023. We had a long distance relationship then and so I didnt get to see him in person often and didnt see him that last week. He told me one last time that he loved me and he was sorry to hurt me and I have not heard from him since. He didnt even tell his parents or sister he was leaving.
I still love him as much as I ever have even though it has been over a year since we last spoke. I just had dinner with a close friend who was always very critical of him because often he would have to cancel plans last minute due to the Crohn's or because he would go dark for weeks at a time. She told me tonight that he is a selfish person and that if he truly loved me he would have gotten help for the depression. Oddly, she has been depressed before and suicidal which you would think would make her more understanding. I asked her if when she contiplated suicide was she selfish? She said yes. I said but are you a selfish person and she said no. I said that was the same for him. Sure him leaving me and his family was "selfish" but at his core, is he selfish? Absolutely not. She thinks because she was able to conquer her depression that if he really loved me, he would have fought his depression. It makes me sad to think she cant see the amazing guy that is buried under the depression. I know, without a doubt, if he did get a handle on the depression, that he would NOT be selfish at all. It is hard to understand why others cant see the true person under the depression.
I hope those that are struggling know that not everyone will abandon you in your time of suffering. There are people out there that see the real you and would do anything to help.
I encourage all those suffering from depression to not only tell your loved ones what you are going through, but also to seek professional help. And for those of you who love a person suffering from depression, have compassion and understanding for their struggle. Know they do not intentionally hurt you and deep down they still love you even if they cant show it.

Thanks for reading.

p.s. I also struggle with depression and anxiety but I did get help and between medication and coping techniques, I am able to be myself again.
Luci
As a person on the DID end of this interaction with my (our?) own partner, I would appreciate being approached as a different person when my alters switch. Get to know me again. Because I find it really agitating when I'm approached romantically as the same person who is in the relationship, and how everything already feels assumed of me to behave exactly as my alter regardless of whether this is the case or your intention. Having to mask our whole lives as one singular alter to avoid being ostracized or alienated, this is a burden that everyone except for the alter being imitated is fed up with and traumatized by more likely than not.

From the story you told, it sounds like you know when your partner's alters switch.

I'm sorry this was written in the first/second person. But maybe apply this to your situation with a grain of salt.
Sean Gunderson
Thanks for sharing this experience! While the decision to start or leave a job is big, such decisions also contain much power. It sounds like you chose to face that difficulty with courage and empower yourself by leaving a workplace that was not conducive to your mental health. I'm glad that you recognize the role mental health plays in our lives. I hope that you find a job that is both rewarding and meets your mental health needs. Please continue turning to HealthyPlace for trusted information on mental health.
Buddy
You can understand how everyone feels?