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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.
The 2022 psychological thriller Alice, Darling, a movie showing emotional and verbal abuse, is another true-to-life scenario familiar to many individuals, unfortunately. This movie depicts a woman involved with an emotionally and verbally abusive partner, but she continuously explains his habits away as normal occurrences. The storyline displays how the verbal abuse dynamic can change an individual's personality and how they navigate everyday life.
I was diagnosed with schizoaffective disorder, bipolar type, in 2002 (after a diagnosis of schizophrenia in 1999). But the anxiety that so often accompanies bipolar disorder and schizoaffective disorder has been with me since early childhood.

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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.
Laura
I've been through something worse, a close friend who started to openly compare my mental health diagnosis and it's repercussions to other people they new. This was with me standing in the room. I realized then that they were ranking me against others in their head and had found me wanting. I've since stopped regarding them as a friend.
TJ
Hello, I resigned from a toxic workplace with boss who was demeaning and disparaging every single day. I was broken in my self confidence and ability. I feel so relieved that I finally left. I would benefit from never beginning to work there.
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