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 don't know whats going on with me, its getting worse and im getting tired. Im a boy, 20 years old and I can't remember as many details as I would like to remember about who and what I was before that 'something' happened thats why I'll be vague with some things. If you think you may have and idea or have some information or a good advice on this please feel free to answer cause I'm desperate.
I've been in and out of psychiatric institutions since high school and I've been diagnosed multiple times by different doctors (Antisocial personality disorder, Borderline personality disorder, Anxiety, Depression, Schizophrenia Paranoid, Schizoaffective disorder, Bipolar not otherwise specified.) When I was younger I was pretty much in control of myself, some things with me were off but nothing that really bothered me, things like excessive boredom, intrusive thoughts, derealization and depersonalizations and not being able to not to fake every social interaction, a giant disgust for every human, an entertained mind with every mechanic answer, things people could just not see, I planned everything I said and everything I did, it was automatic, It was sorta exciting getting everything I wanted, I stole things like whole outfits in expensive clothes stores even though I had the money just because it was exciting and made me feel good, I abused all kinda of drugs and people in a way, I got sorta lost in the drug path, I started getting psychotic and I did a lot of crazy things like going out of town, not sleeping, spending weeks on the street, drugs, wild parties, sex with strangers, but then a day I started to notice that I wasn't so sure of what I was doing, something that I think I never felt before, I was kinda lost, I was kinda alone and I didn't knew what was the next step to take, like if the part of me that was sure of everything and had everything sorted out disappeared, the drugs were getting down and I was so exhausted and desperate feeling that I couldn't go out for more, now i'm clean except for weed (auto medication) I became aware of every little thing but didn't know how to deal with it or what was the importance of everything, I have a cloud in my mind and im not sure of anything I don't know how to explain it, its driving me crazy, I want to stab my face multiple times after I stab everyone else, I always thought that in a way (a proxemic way) I can read peoples minds but after this happened it was like their thoughts and expression became sharp and aggressive to me, and now its like they can hear my thoughts too in that way also, something happened to my nerves, I can't be relaxed, not in my house, not in my bed, not in my sleep, I just can't relax its like If I am possessed and my brain and inside my body its burning I have ricing and negative thoughts, i'm angry and irritable to the core, to the point that if some one talks to me in that moment I snap and attack them with everything I have and I hurt myself cause I need it to stop now, it so much. Everyday I end up screaming and scratching my face because I don't quite get what im feeling but it is a lot, I can't concentrate, I can't decide between stupid easy things, I feel guilty all the time, I can't organize my mind and put whats first first, that makes me angry as ###$, I can't sleep well, I have panic attacks, night terrors, my stomach hurst and I need to throw up since I wake up, this are just some things that are happening, there are a lot more but I don't know what its important what its not, I also some times experience selective mutism when some one asks me what is happening because my brain does not know the answer or at least thats what I think. No one has been able to help me, not the doctors, not in the clinic , I don't trust anybody and im fearing that Im gonna have to kill myself because I won't live like this my whole life, and its not getting better, 2 years now, I feel hopeless. Alexithymia and mixed bipolar episode are things that can describe...

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Ive been struggling with depersonalization for a few months now. It began after a year long 24/7 battle with extreme social anxiety and fear. My brain has shut down and i dont feel fear anymore or nervousness. Not even when talking to people. I feel very dettached and unhuman. I dont feel real. I cant even recall the last moment of happiness i found. I feeel relaxed and peaceful but unable to relate to anyone and have a very profound lack of interest in socializiong. Although i dont really feel emotion i can tell i am experiencing symptoms closer related to panic disorder - like difficulty breathing , tightened blurry vision, tensed jaw, etc. the most disturbing apsect of this to me is that i sincierely believe i have no personality, quirks, opinions, interests, or dislikes. Nothing moves me and i can not seem to make my mind up about anything simple or large because i really feel internally that i just dont have a preference for anythinng at all. I have no sense of self to be honest. I often feel transparent and itd hard to feel like you have a relationship with anyone when you cant process that they truly want to talk to you, or that they are actually addressing you . This is hard to explain but if anyone feels the same way it would be very helpful to hear.

So 2 weeks have gone by already. The 12 induction days are now over, what a relief ! I can still remember how I was living this, how days went by so slowly, with those 2 ‘girls’, those 2 bi*ches ‘rendering ‘ my life hell. Today, while we were on our meth doctor’s rendez-vous or consultation, one of my ex-induction friends (i accept to employ the word ‘friend’ here, how kind of me!) was talking over to me and that conversation TOOK ME BACK TO THE DAYS! Yes, back to the 12 induction days when we were all together, ha! To cut this story short (since I’m not writing about this today, some other day maybe…), I’m just glad I made it out! I imagined two more days with these animals in that cacophonic jukebox, that cacophonic cage, and I would have hung myself out dry, shyiiit. Believe it or not, I even made a rope out of my blanket, ready to be used… “Anytime!” I mumbled, without even shedding a tear, not even afraid of dying, well it was just for a few minutes, since that feeling quickly got out of me.

So today, when I went over to my meth doctor on consultation, the latter asked me if all’s well, if I didn’t get any side effects from my methadone or if I encountered any craving during my first week out and if I’m happy with my current meth dose. Well I told him the truth, nothing but the plain truth: every morning, I would wake up with my yawnings and running nose well, not as much as the time when I was addicted to heroin like back in the days LOL, but I’m not supposed to get any of this, not even an inch of all this ! My body was not on top mode, which is true as compared to the days when I was on induction. Even if I didn’t sleep at that time, my bosy was not as torn as it is now; we had less physical activities, less thinking to do and most of all, no stress at all, no phone ringing, no email to check, no meeting, nothing! As on my current life situation, when all’s back on other than the heroin cravings gone, I would have to, for instance, assist my parents in cleaning their yards, yes yards with an ‘s’. The truth? Well, I prefer to stay at work premises rather than spend a day home when my parents are at home as well since there would always be somewhere to go, something to do, no rest at all. And the days where we have nothing to do (meaning no cleaning or house chores), well, we would spend the days at the beach swimming and running on the beach. And I’d be all cranked up the next day at work, body all messed up, cramps, etc…

So I told all this to my meth doc and the latter just thought that was gibberish, from what I could conclude. The first thing he would mention was that I didn’t do as much physical efforts in an office, forgetting the fact that office is a part of my life. He said he would raise my daily meth dose but the question remains, since he didn’t write anything in front of me, and that’s quite discouraging.

Because then, the devil would lurk around me and maybe at a later stage, push me back on the streets who knows?? I know very well that a higher meth dose (maybe a 5ml raise might do to start with) is not recommended. Is it not better to be on a relatively higher meth dose than to hit back the streets ?

Think about it !

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