Hi,

So I would like to know what you think, I have been lucky enough to see a therapist for three months in an organisation that provides free counselling. She has really helped me and I want to thank her with maybe a card and or a box of chocolates but I don't know if it is appropriate.
I think it is because the service was free so she has been giving her free time to help me and I have seen cards in her office, would a small box of chocolates at the end of our last session be appropriate ?

Thank you for your advice

I've been having pure o OCD for a long time. I was never properly diagnosed, but I've been having obsessions ever since 3rd grade. Lately I started to obsessing over my sexuality, even though I've already had a crush on a boy in my school. I got over my HOCD, and after a day of pure relief, when I was scrolling through YouTube, I found a video about a trans. Immediately a thought popped in my head, "What if I am transgender?" I started to obsess over that. I am tomboy-I had a lot of the character traits and humor of boys, my voice sounded slightly deeper than other girls, I was different than other girly girls, I hate pink, my childhood toys were cars, and I even looked kind of like a boy. However, I always loved being a girl. I felt quite comfortable in my body-and I've never disliked being called 'her' and 'she'. I've had a lot of fantasies and daydreams, all of which I was a girl. I imagined myself growing old as a girl. I've always believed/identified I was female, and that was what I told myself when I first started to obsess. As time worn on, I became less sure. Every time I look in the mirror, I felt ugly and boyish. I don't want to be transgender. I keep on having unwanted thoughts m=of y=myself as a boy-I don't want to think about what it ould be like to be male because I'm scared I might like it. I dont know if I'm actually trans in denial or just TOCD. Please help!

my father always was suspicious as to why i get really anxious any time my boyfriend leaves. he thought i was doing drugs with him or something - i'm straight edge, so no, i'm not doing any drugs that cause some sort of anxiety disorder. though i did think about how whenever my boyfriend leaves i get anxious. even so when i'm with him i start to get anxious because he's leaving soon. this only happens with him. i automatically assume i'm never seeing him again. i panic and feel as if i cannot feel okay without him. i absolutely hate this, i don't know how to change it, the only thing i've tried is distancing myself but that only leads to emotional distance in the relationship and makes everything worse. i don't know what to do. i don't want to depend on him to feel okay.

Hello, I'm a cutter...

Why do I cut? What turned me into a self hater who scars his body and often wants to die?

I'm a 44 year old man who has seen his world fall apart two years ago. I was seriously injured on the job to the point of full disability. I can no longer do the job I lived to do, which was Police work. Add to that the fact that I suffer horrific pain everyday due to my back injury. I have crushed a total of 9 discs in my upper, middle and lower back and have to use a cane to walk.

Not only do I have permanent nerve damage, but as a result I lost function of my bladder and need to urinate with a catheter and a leg bag. I have had several surgeries to include a two level cervical fusion, an interstim implant for my bladder and a Morphine drug pump implant. Despite these surgeries, the Morphine pump and oral pain meds I am still in a great deal of pain all day and night; awake and sleeping. I still have a few more surgeries I must endure in the next year. This physical pain alone is one reason why I cut myself.

Since I don't have any control of the constant pain related to my back injury I at least have control over the pain I endure when I cut myself. I don't scratch myself...when I cut I cut deep and I have scars over 70% of my body. I often cut out of anger or frustration, because I lost my passion for life when I lost my career as a Police Officer. It's extremely difficult to go from being physically able to chase bad guys, make arrests and help others to someone who can barely walk and is in constant pain.

Over the past two years I have gone from a mentally confident and competent person to a mental basket case. Now I must say that prior to my career ending injury I suffered from PTSD and bouts of depression related to my Police experiences while employed by NYPD during 9-11 and survivor's guilt. Also, growing up I would from time to time cut myself. Oh yeah and when I was 13 years old I slit my wrist and OD on medication in an attempt to end my life. It was really tough covering up the huge ass scar on my wrist, especially while applying for work as a Police Officer. I don't regret the scar, I regret the fact that I lived. Looking back I guess there have been many times where I was in harms way and could of, should have died, but didn't. This happened more often of course during my Ten years of Police work. Looking back now I can honestly say that I wanted to be a Police Officer so I could die. Had you asked me while I was still working as a Police Officer I would have said it was so I could help people and save lives.

Anyways, I now suffer from a whole host of mental disorders, such as Major Depressive Disorder, BiPolar Disorder, Borderline Personality Disorder, PTSD and a couple of other disorders that escape me at this time. I'm taking a handful of medication daily in the hopes of controlling my mental and physical pain.

It's not working, I can't sleep and the urges to cut keep getting stronger. I also envision me cutting my own throat with a knife. I can be sitting on the couch watching a TV show and out of no where I see it...I see the knife in my hand held to my throat. I wonder, is this how I am supposed to die? I always hoped it would be via lead poison ( aka a bullet). No matter, I keep cutting and my wife sees the cuts and scars and naturally freaks out. I'm putting her through hell and that just adds to my anxiety and frustration that often boils over and results in even more cutting! I wish I could post pictures so you can see my scars and know that this is for real. I'm living a nightmare and I'm ashamed of myself for being so weak. Two years ago I was a decent role model for other Officers and the community I lived to protect and serve. Now...now I am suicidal and spend most of my time at home, in pain and alone.

The urges are becoming too great and I'm fast losing any control. My cuts are becoming deeper and deeper. How can I cut out the ugly side of me when...

[ Continued ]

i am CONSTANTLY picking off scabs and pimples on my face and even more so on my back. it's so embarrassing because i have tons of scars on my back and luckily on my face it isn't so bad. but whenever a new pimple or scab appears i pick it right away. i don't know why i do it. i don't even think about it when i am doing it. i don't have any disorders so i don't know if this is one and i want to know if i may have something that needs to be checked out.