I am so tired of complete #######4. I don't see the point of anything anymore.

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 had dp/dr, emphasis on the DR, for about 4-5 months. I'm 19 years old. I know I got it after a visit to the ER a few months ago for chest pains, which turned out to be acid reflux. On top of that, I was and still am having migraines and very intense sharp pains in my head. I do have an appt with a neurologist.
Anyway, the world has felt completely fake and dreamy to me starting a few weeks or days after that visit to the hospital. I know my anxiety spiked an extraordinary amount, the worst it's ever been. I've been suffering from panic attacks since I was about 9 or 10 -- I remember sort of feeling derealized once back then too. However I didn't process it as intensely, so it went away quickly, plus I was young and my mind was occupied almost always.
I'm just terrified at the moment, because I've always been tortured by existential thoughts to begin with, but having dp/dr makes them so much worse. Unbearably worse -- they would send me into a spiralling panic where I'd just cry and cry for days on end, and I hate being alone with my thoughts -- I've been sleeping in my mom's bed This dreamy feeling is so real, I can't always convince myself that I'm not dreaming, or that the world ISN'T fake. And that is what's been getting worse. It's like my brain is convincing me everything is fake,oh well. I feel completely hopeless at this point.
My panic attacks lately have been about how I can't believe I'm going through this. I can't believe this is actually happening, so my brain says "it's not" and now I'm fk'd.
Will everything ever feel real again?
Will I ever enjoy life again?
I think another reason I'm stuck in this is because I'm not in school, and I'm unemployed, There's only so much I can do to get a job. I've applied everywhere.
I have memory problems, panic attacks in which I feel as if I've dropped acid, and the world feels so fake I can't believe it's not. Writing all this down/talking about it does not help one bit. I've purchased 2 books in the mail that are supposed to help me--one should come tomorrow, so wish me luck xx
This is one fk'd up anxiety symptom.
(Hard to process it even is one anymore)

What am i if I like watching a black man have not just my gf, but want to watch black men with anypetite white female, but lately my fantasies have been about watching big black men with young white girls that are 7-10. This is a uncommon fetish. Some one tell me what this would be called. If I had a label I could get help of understanding why I have this fantasy and try to control it. Don't like it because I have Shane a guilty feelings after I masterbate.

I'm a 16 year old girl. I never bit anyone as a kid or anything like that. I have been diagnosed with OCD, Severe Clinical Depression, and a Generalized Anxiety Disorder. I am on medication for those things. But I have been having the urge to bite things lately. It doesn't matter what mood I'm in. I just randomly have the urge to bite things. I mostly bite myself; I could never bite another person. Yes, I have been self-harming for a little over 4 years, so maybe it's just another form of self-harm, but it's getting pretty bad. The bite marks last about a half hour. I've only broken through skin once. What is going on with me..why am I biting all of a sudden...