Hello all, I'm new here.
My sister gave birth and had really bad Postpartum Depression and she was already diagnosed with Bipolar disorder before hand. I have raised my nephew since he was born. She has a boyfriend, a little over a year now, and has recently moved to a different town. About 2 hours from where I live. I barely get to see him anyways because I have a very demanding job.
I had him over the summer for a week. He told me some information, and with my job I am a mandatory reporter (with a reporting number), and I ended up calling CPS on her. I went up at the beginning of December to see him for his birthday and give him his birthday gift.
She allowed me to see him for about an hour. After that she asked to talk when he was asleep. She asked why I had called CPS, I told her the circumstances, what was said to me, and the face that I'm a mandatory reporter. She told me "I'm your sister, you should have confronted me first." I again tried to explain to her if I don't report child abuse, I could not only go to jail but lose my licenses. She will probably never understand, but now she will not "ever" let me see him again.
I miss my nephew terribly. I hate that she has her thumb on him, and all control over him. Also, I fear for his safety around her boyfriend. I expressed this to CPS as well. The outcome was that they did a wellness check. They said, until they see bruises or broken bones they really can't do anything.
Recently, 8 years old now, they have been leaving him home alone. Unfortunately in Arizona there is no legal age at which you can leave a child home alone. But, if something happens to the child it is considered child neglect.
....... Ugh..... Stressful situation

I was diagnosed with PTSD after a car accident in 2010 (age 25), and was shocked when repressed memories from the past started surfacing without warning. Along with the scenes from the car accident replaying without end, images of an abusive relationship I had been in for three years started playing, a sexual assault by a boyfriend at 19 that I blocked out, a rape I had experienced at age 18 that I COMPLETELY blocked out, emotional and mental abuse from age 11 at the hand of a boyfriend of my mother's, and various bullying events I had sustained from around age 8 through 14. It was entirely overwhelming; for about two months after the accident I spent most of every day in bed, having nightmares when sleeping, waking up screaming thinking whatever I was dreaming about was happening, then having no perception of time when I was awake, being continually trapped in recurring flashbacks that seemed to last for hours when they were really just 10-15 minutes. I sustained serious lumbar spine and nerve injuries that required heavy medication (50mcg fentanyl patches every 3 days, 200mg neurontin daily for nerve pain, 10mg klonopin for panic attacks, 30-50mg oxycodone daily for breakthrough pain, 100-200 mg orphenadrine daily for muscle spasm and opiate potentiation). I could barely muster the energy to get out of bed to go to the bathroom and shower because of the pain, so I stopped eating, lost nearly 25 pounds within a few weeks (I am a 5'5" female and was an active and relatively muscle-toned 130 lbs., so I became underweight and lost a majority of my muscle tone), so coworkers I ran into once when I had to go to my office to sign some insurance paperwork started rumors I was abusing drugs due to my frail and noticeably gaunt appearance. I withdrew almost entirely from my social circle with the exception of a few friends who were so worried abouy my sudden changes they forced me to keep in contact with them. After nearly two full years of weekly psychotherapy, many hurdles, setbacks, tears, angry and violent outbursts, losing my job, and weaning off all the pain medication, I finally got my PTSD symptoms under control in 2012. During this time I was also pursuing my undergraduate degree in psychology, which obviously delayed my studies as I dealt with my illness and injuries. Since then, I have had a very exaggerated startle response that never went away (loud noises or someone approaching me from behind seriously frightens me, causing an immediate panic response). I've had difficulty with controlling or moderating anger, and sometimes respond angrily way out of proportion to the irritant or situation. Social anxiety that I always had got somewhat worse, and depression has been a nearly constant battle also. However, I was able to find a new, better job, and maintain my GPA at 3.85.

Things were going relatively smoothly until this October, where I suddenly experienced a PTSD retriggering event. I did not consciously recognize or want to acknowledge it at first, instead convincing myself that the eerily familiar feelings were just imaginations and nothing serious, until it suddenly dawned on me one day what was happening, about three weeks after the initial retrigger. I began addressing it with my psychologist and the psychiatrist I started seeing right before the retrigger for my depression that was getting out of control in the summer. It just caught me so off guard and has made me feel so powerless again. I keep thinking that no matter how far I get in time from these events, no matter how well I do, these horrible feelings are going to arise at any time and ruin my happiness. I feel that I never truly have felt happiness, and that now I may never know what it is like. It's caused me such horrible thoughts, the suicidal thoughts, the thoughts of giving up on everything, the thoughts of withdrawing into myself, the paranoia that everyone can see through me and thinks I'm pathetic and weak for not being able to just get over it....

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At the age of eleven, five years ago, I recall calling a voice in my head the narrator, because he would refer to my life in third person, always negatively, constantly talking, and arguing with me, To this day. As far back as I can remember I have had a want to become female, purely for physical reasons, however, this need was intermittent, usually I had the standardly accepted gender identity, I even imagine being a father- not a parent or mother, a father- and now at sixteen my gender identity feels as if it has split into two, transgendered and 'normal,' while I am now 'turned on' by material of transgendered nature at times, but usually am not. The narrator has also evolved, triggering bouts of sudden uncharacteristic anger, while I am usually calm and cheerful. I sometimes find that my face is curling into a look of anger or contempt, or that I have sudden images of badly hurting people who do something I dislike, that may have been an acceptable thing to do, but for whatever reason I just feel foreign satisfaction in imagining pain.

I began looking through myself, basically just trying to figure out what the hell is wrong, and the following are the results:

At the age of six I had a crush on a girl in my primary school class, she left that year, for other reasons. This is the most definite starting point I can place for my tgism. then, at eleven, I had my second crush, on another classmate, and she walked up to me and told me to stay away from her shortly after the two friends I told this secret to went and told everyone. My theory is that my subconscious took these rejections, and the stereotypical views on geeks and indians, and sculpted from them the idea that I was so repulsive that the only way I could ever have a girl in my life was to be a girl, and so that shard of my gender identity broke away, and from this information I called that shard Lust. Lust doesn't seem to be as conscious as the narrator (who is now named Anger), though she has on two occasions exclaimed on how 'hot' a guy was, though this may be because of nightly masturbation to the idea of being a girl, leading to lust already being expressed. Anger, however, is kept under lock and key, and so usually has a voice. There are other signs as well. I used to use electronic devices excessively, even when supposed to be sleeping, but I voluntarily stopped, and recently I've started feeling tired after 11am, as if I hadn't gotten the sleep that I obviously did. Occasionally, when writing, my hand forms a squiggle instead of a letter, and my handwriting has deteriorated, and today when trying to write while holding the pen loosely, I could only make squiggles.

There may be other voices, occasionally when playing a sport I become giddy, speaking without thinking, and really jumpy, and sometimes I hear a crowd, but that may be Anger messing with me.
There's a chance I am only imagining all of this, but I don't want to take that risk.
Help me please.

I'm 19 years old and for my entire life I've been having troubles feeling anything at all. I always thought there was some logical and simple explanation to why I wasn't like everyone else, and I assumed it would heal with time, but it didn't. It just keeps getting worse. First let me begin with that I'm completely unable to open up to other people. I have never opened up. To anyone. If I'm even close to doing it I feel disgusted by myself, I get nausea and an urge to flee. I've also never cared like others. I can't really feel empathy. Or I mean, I can, for like animals and my family, but no one else. I'm literally serious when I say my best friend could die tomorrow and I wouldn't be able to feel a thing. Obviously I'd think it's sad, but it wouldn't effect me on an emotional level.

I hide this part of me, and I certainly don't talk about it with anyone. I want to be normal but I just can't. I have tried to involve myself in other people, in relationships, and even - in my sillier moments - in love. But it doesn't work. Something in me is broken or missing. I love my immediate family, but that's about it. I can lie without feeling any kind of remorse, I manipulate people very easily, and when someone really gets on my bad side, I just attack their weaknesses and break them down with words. It's terrible, I know, but I can't stop. Even as I write it, I know I say it's terrible, but I don't feel terrible. I just know that it's not how a person should act. I could never physically hurt another person, but not because it would make me feel bad but more because I know it's wrong.

My condition is just getting worse, I've started to distance myself from everybody because I feel so tired of wearing a mask and constantly faking to like what they like or play their stupid games. I don't love others. I'm incapable of feeling on a deeper level, there are no strong emotions in me. I feel narcisstic but at the same time I hate myself. I can get furious very easily but it goes away as quickly as it comes. I haven't had such a bad childhood but I mean my mother was going through her hardest part of life when I was a kid, and she took it out on me a lot. Sometimes physically but mostly mentally, such as I constantly heard that I was a bad kid, and bad news, and she blamed me for a lot of stuff that wasn't really my fault. She changed and got so much better when I was like 13 or something and now she's the best mom ever and apologized 200 times but I can't seem to let go. It's stuck with me.. I'm seriously worried that my condition will become worse and something bad will happen... What's wrong with me?

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...

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