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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.
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. 
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.
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?
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’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. 
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.
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. 

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It does not matter
I can not do anything for days at a time. Sleep is only relief and I can not sleep enough. Body hurts and have to get out of bed. I suffer from depression, anxiety, apathy, ptsd and ocd. There is no point in anything as I will not take meds, will not go to behavior mod and will only do talk therapy if I do not have to go in person or show my face. Doomed to live miserably
Someonewhocares
My own step daughter is going through this, even to this day. Her Italian father is old fashioned, outdated, old school, he uses her as a punching bag for his many miserable and repetitive failures, his own lack of confidence in himself, he's a coward and a worm, a total loser, it really truly breaks my heart. I've tried many times to talk to her face to face but she runs, she only listens to her mother who she's very close to. I tried to toughen her up and strengthen her weak, very timid and naively trusting character, but she does have many other strong qualities. She does give her piece of mind to some people who deserve it. Last night was the breaking point, she's had enough. She texted her father and told him he's a total miserable loser and to leave her alone for good.
So many times I've told her, stay far away from him, he will tear into you and shit all over you if you dare to go with him anywhere. Sure enough, every time he's alone with her in his car, when they go out as a family with her tow small children he craps on her and abuses her emotionally and mentally.
She always says she knows what to do...but they're just meaningless words. Sad...
JoAnna Johnson
When it comes to anticipating the upcoming activity, especially if I'm in hyperfocus mode and need to shift, I often think about what it is I am about to do (like going home to be with kids from work) I'll think about things that make me feel motivated that I want to do when I get home. My brain shifts to where it is that I'm going and starts pulling all of the tasks/things I enjoy completing to the for front. Then I transition much easier.
Annonomous
Myself and partner both had an embarrassing night. My partner got blind drunk and passed out. I checked on him and he seemed okay. Then I look again at him and he has pulled his penis out in front of everyone and starts peeing while sitting on the couch. I am shocked embarrassed surprised and react like a crazy person. I scream and yell at him for doing that. Today I hate myself for reacting that way in front of all his friends. I’m embarrassed for him and myself.
Surina
I am so sorry sweetheart. It is now your job, responsibility, and duty to get yourself away from him regardless the cost. Go to a shelter out of state if need be. Take photos and create a log and file a restraining order now! Pretend you love yourself more than life, pretend you are your own daughter, son, friend, mom or anyone who you would protect. You MUST love yourself more than the apathy from this situation. My heart bleeds for you. I do understand. Please protect yourself now. He will not stop and this will only get worse until you are in the grave - or worse than that! I’m sending you love from afar and I pray you find the strength to run away. Don’t fight fire with fire, fight back with the hope of your future self. You are worth fighting for! Fight back with the rain and the sand by extinguishing his hate by leaving. You CAN do this! I believe in you. You are not alone. Good luck 🍀 and god speed!