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Many people find it challenging when they think they are disappointing others, whether a loved one, a friend, or a coworker. I am no exception. I will avoid disappointing someone if possible. We all know how it feels to be disappointed or let down, so why would I want to inflict that feeling onto someone else? I possess great empathy for others, almost to a fault. So, to know that I am about to confront someone and make them feel sad or disappointed makes me feel guilty, which then leads to depression. However, lately, I have been trying to reroute my thinking and people-pleasing tendencies to remember the positives and why I can no longer appease everyone. 
Once a person has experience with a person with bipolar disorder, they may assume that they will always have a similar experience with others who have bipolar disorder. In other words, a person may paint everyone with bipolar disorder with the same brush. If the first person with bipolar disorder they have experience with is very intelligent or creative — they may think all people with bipolar are. On the other hand, if their experience with a person with bipolar disorder was very negative, they may assume that all their future experiences will go the same way. Generalizations of any group don't help us, however.
Living with borderline personality disorder (BPD) often means grappling with BPD mood swings that can swiftly turn my world upside down. When these BPD mood swings hit, thoughts become tangled in cognitive distortions, and black-and-white thinking takes hold, making it difficult to see shades of gray or to check the validity of my assumptions. In other words, BPD mood swings are a rapid descent into a world where worst-case scenarios feel like certainties.
Learning how to silence your inner critic after trauma can feel impossible. Personally, I developed a harsh (and loud) inner critic during early childhood, following a trauma that made me question my worth. As I grew up, I found it "safer" to try to be the perfect kid, teen, young adult, and now woman, thinking maybe it would make me more worthy of love and good treatment. However, this has only ever perpetuated more self-loathing and vicious cycles.
It feels like I write an article on this topic at least once a year—but as someone who has dealt with sexual assault and a lifetime of body image pressures, I will return to the keyboard once again as society continues to devalue women's bodies (i.e. anyone who identifies as such). So, why am I talking about it this time? The answer is simple: Because it's hard to escape the stark reminders that women's bodies are often not seen as culturally valuable or worth protecting.
Playing the piano affects my schizoaffective disorder in a very positive way. Let me tell you how my piano playing soothes my schizoaffective disorder.
I've noticed that slowing down helps my anxiety. When I am extremely busy, the pressures of having a demanding schedule and multiple deadlines begin to weigh on me and contribute to my anxiety. The busier my schedule gets, the more I feel anxious daily. Unfortunately, this becomes evident as I start having a hard time sleeping, concentrating, and focusing on day-to-day responsibilities. In these situations, I need to help my anxiety by slowing down.
Depression has affected my self-esteem lately, making me feel like nothing I do is ever good enough. These days, I often have this question at the top of my mind: Should I just stop trying and give up? Sometimes, I feel I should keep going anyway; at other times, I am convinced I need a break. Tired of this conflict, I decided to write about it. Here's what I realized about thinking nothing I do is good enough.
Managing finances when you have a mental illness can be complicated. The dreaded "your account is overdrawn" bank email and I were well acquainted while my mental health declined. I felt a heavy sense of guilt when it came to my finances. My reluctance to face my situation and the shame I felt asking for help created a snowball of dread. Mental illness can make managing finances more difficult, but it isn't a hopeless situation, and it shouldn't be a source of shame.
For me, self-esteem and Earth Day are connected. As someone who has experienced the ups and downs of a mental health condition, I understand the ongoing struggle to find ways to boost self-esteem and cultivate a sense of purpose. Amidst this journey, I stumbled upon a source of solace and empowerment that I did not anticipate when I was younger: Earth Day practices and sustainable living. Earth Day occurs on April 22 and is an annual celebration that reminds us of the importance of our only habitat. Earth Day can be used to cultivate improved self-esteem.

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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