// general narcissist venting, feel free to comment if you wantThe thought of dying without being able to see if anyone cares or not just fucks with me too much to actually commit suicide. I mean of course they would care. People even care when strangers die. The initial shock of someone you knew dying and knowing that you could not do anything about it is very traumatizing. But I think what would affect them is the idea of a family member dying, and not that they would miss things about me or reminisce over memories or anything like that. The only memories they have of me is me being a dumbass or saying "what?" five times in a row because my hearing is going.But the thought of this makes me want to go out and be something that I know I cannot be. I want to make something of myself but I just, I cannot. I have nothing to put on my resume, I cannot do taxes, there is so many obvious things that other people know that I just do not! And nobody thinks to tell me because I should already know! Why do not I already know basic crap! Why did I spend my childhood locked in my room instead of trying to learn and develope like a normal child! Why cannot I take care of myself without burning out? If I brush my teeth, shower, get dressed, and do my hair routine all in the same day then I am burnt out! that is it! I cannot do anything else for the day, I am too tired! there is no way I could work or get a job like this! I would burn out after one task and get fired! I hate that my huge sense of self importance has manifested into me always focusing on how I am the worst instead of atleast making me delusional enough to think that I am the best. I hate that my self esteem is based on other people's approval, but unlike other narcs I do not get approval because I am literally shit at everything so I am just an unmotivated sack of shit who cannot do anything. I hate that I even told anyone that I am a narc. Of course they would not accept me!! What the hell was I thinking!! What kind of idiot would expect anything different!! Things are not going to get better for the NPD community, not in my life time atleast! Well, maybe that will be another reason to stay alive. Imagine being an old man and seeing 20 something year olds openly talk about their NPD recovery process that they felt no shame entering because there is no more stigma, experiencing something I could not. Maybe. When I am in my 80s. And my mom, my poor mom. She has to pay for everything because I cannot do shit on my own. Physical therapy, regular therapy, medication, my food, I hate this!! You should not have to take care of me!! You should be relaxing somewhere without worrying about my next diagnosis or my next medication or whether or not any treatment is working!! You should be doing your hobbies and I should be the one buying you things!! Maybe I will get to the point of recovery where I am not so self-centered, and then I can finally let go. And they can all finally live their lives. I wish I was not such a narc so I could just find peace in death

The user expresses feelings of self-worthlessness, struggles with daily tasks, and mentions suicidal ideation. Additionally, there are feelings of burden on family and dissatisfaction with self-identity. The mention of suicide and a deep sense of helplessness in achieving any self-betterment are significant indicators of mental distress. This content suggests more than venting; it indicates potential mental health crises, warranting attention for intervention and support.


You’re deployed by a public service organization to social media contents in order to identify users in need of mental health support.

I do not necessarily want to die but I am tired of suffering. I feel trapped in a constant cycle of suffering. Nothing is going my way. My life is horrible and I am sad almost everyday. I do not know who can help me or what to do. I have no clue what to do. I am really thinking about ending my life

The user's statement mentions feelings of being trapped in a cycle of suffering, experiencing persistent sadness, and specifically mentions thinking about ending their life. This indicates a situation with high-stakes, as it involves potential risk of self-harm or suicide, requiring immediate attention and support.

Filled in based on scale_labels and scale_label_confidence


I am pretty sure I have completely ruined my hips. Its my place to cut. Now its my place to hide. No more full frontal reddit pics for fun, my hips are constantly being bandaged or cut. It makes me feel like I have some control in this fucked up life. The only thing bringing me pleasure is the pain Making scars

The user is expressing engagement in self-harm behavior, which is a significant indicator of potential mental health crisis. The mention of cutting and finding control through self-inflicted pain suggests a risk of serious physical injury and underlying emotional distress. This situation is likely high-stakes due to the immediate physical and psychological risks associated with self-harm.


I started sh again, and I just do not know, everything is just so bad lately and I cannot take anymore not like I even have the things to commit suicide it just really sucks I also made a post here yesterday and here I am again, too tired to sh wanting to die while only being able to lay in my bed because I do not have the energy to do anything, again. Everything is so shit lately

The user is expressing severe emotional distress, mentioning self-harm (sh), feeling overwhelmed, and a lack of energy. They also express suicidal ideation. These factors suggest the user is at risk of harming themselves or worse, making it a high-stakes situation requiring immediate mental health intervention.


we'll get warmer as we walk.

The statement 'we'll get warmer as we walk' is vague and does not inherently indicate a situation involving mental health, distress, or danger. It appears to be a casual comment, potentially about taking a walk in cold weather. Without additional context suggesting a mental health concern, this situation seems low-stakes.


It feels weird when I am happy and having a good time with my family and friends I have not been able to feel truly happy for a long time now... and I am afraid things will go bad when good things happen to me.

The user is expressing feelings of unease and fear about their happiness, which could indicate underlying mental health concerns. However, they are currently in a situation where they are spending time with family and friends, which suggests they might have a support network. The situation is concerning but not indicative of an immediate crisis.


i wish this wa easier or that you got the hint booooo

The user's message seems somewhat ambiguous but suggests a level of frustration or difficulty in communication. It does not directly indicate an immediate crisis or severe mental health condition. However, since expressions of wishing for things to be 'easier' sometimes imply significant underlying distress, it would be prudent for a mental health professional to further assess the context if this were a repeated or notable behavior.


Who knew Omg I'm home.   Finally a place I belong.

The user's statement 'Finally a place I belong' suggests a positive sentiment and relief about being home. There are no explicit or implicit indicators of distress, danger, or need for mental health support in this statement.


Stress is mostly created by the people around us Do you all agree that stress is mostly created by the people around us?

I had this one job that was not really that important but people were constantly bugging me but I have new job where I have to make split important decisions but people are very chill and my stress has gotten better.

The user's message reflects on a change in work environment and its impact on their stress levels. The discussion is about the causes of stress and how different people can influence stress levels. There is no direct indication of a crisis or severe distress that would suggest a need for immediate mental health support. The situation seems to be a reflection rather than an urgent cry for help.


awesome song by Press play on tape: http://www.youtube.com/watch?v=hLWw1OpDrpI geekyness at it's best

The user's message expresses enjoyment of a song and relates to being a fan of geek culture. There are no indicators of distress or mental health issues. The context is light-hearted and focused on entertainment.


what kind of dressing do you use?

The user's question about dressing does not seem to indicate a situation involving mental health support needs. It appears to be a casual or general inquiry not related to any critical or high-stakes situation.


This week, I'm only working for 2 days, wfo is really borne

The user's message does not indicate signs of distress or an immediate need for mental health support. The user is expressing dissatisfaction with working from the office (WFO) and a lighter work schedule. There are no markers of severe emotional distress or a crisis situation.


I am so tired of failing at everything.I am tired of being a disappointment to myself and others.it is been this way my whole fucking life...barely passed middle school, failed and dropped out of High School. Got a GED and tried going to college only to drop out because of abysmal grades and horrible anxiety/depression.Went to therapy, psychiatrist the whole deal, it did not fix anything. Got diagnosed with ASD (basically what most people call Aspergers) and got on some meds for awhile.Meds helped a bit with the anxiety but they turned me into a zombie, effectively killing the last two neurons I had left.Dropped the meds and decided to try my hand at college again...it was pathetic, performance was even worse than before and I washed out a second time.Could not hold a steady job during this entire time either. I am so fucking stupid I fuck up even basic tasks. I have Worked a string of minimum wage jobs here and there until now and I have sucked at every one of them.Here I am about to turn 26 and I fucking hate what a pathetic looser I am. (I am a autistic, friendless, borderline unemployed, virgin dumbass who struggles to perform basic everyday human activities)My failures are not just academic and work related. I have never had any semblance of a social life either. Never had friends growing up NOT A SINGLE ONE. I was always alone, it worried my parents, they tried to help but clearly it did not. I have never had a friend, never dated, had sex or even had a halfway decent conversation with anyone not related to me. Every interaction I have ever had has been nothing but surface level politeness nothing more. Not that I would have anything interesting to say to anyone anyway since I have no life experiences or interesting thoughts to share. I have basically been a hermit for as long as I can remember. Everything feels so god-damned difficult and it produces so much anxiety that I basically hide from everything and every failed attempt at anything that want or feel that I should do causes me to sink even deeper into this hole I have spent my whole life digging.I wish I was like my siblings. Successful, smart, loved and respected. My parents would never say that they are disappointed in me, their love for me is unquestionable. I can however see it in their faces; feel it everytime they ask how I am doing or what my plans are. That tone of voice that tries to sound reassuring but instead sounds like they are questioning themselves on what went wrong, why I am the way I am.I do not even know where I am going with this other than the fact that I just want jt to be over. I give up. I am tired of being a damn waste of oxygen. I cannot stand another day of struggling on a shitty job, only to come to an empty apartment and sleep until the next day because I do not have it in me to try anymore...I have tried, for 26 years I have given everything I got and it always failed. My absolute BEST efforts are often less than other peoples "half-assed" rush jobs. I am tired of feeling like the dumbest person in every room I am in. I am tired of never being taken seriously. I am tired of being alone. I am tired of never having anything go how I want it to.Some of you may read this and think its impossible to actually fail at everything and yet here I am. The only things I possess have been handed to me out of pity by my family, superiors or just the occasional kind stranger. I have not earned ANY of what I have. It is actually a bit comical how bad I am at just living. My existence has an almost slapstick quality to it, the problem is that while that shit may be funny on screen its actually fucking depressing in real life.So here I am typing this while I think about wether I should buy Helium or a Shotgun. Helium would be peaceful and leave an intact corpse (less traumatizing on my survivors) . But a shotgun seems faster and easier to acquire ('Merica!) but my head will essentially look like someone threw a plate of chunky tomato sauced Spaghetti at the wall... The thing that scares is I will probably botch my suicide too and survive this shit with irreversible damage that will make my existence even shittier...wich is why I am probably stalling myself by typing this shit on here...if only I could just die in my sleep... Failure...

The user is expressing severe distress, feelings of failure, and suicidal ideation, specifically mentioning methods of suicide, which indicates a very high risk situation. They express a lack of hope and despair about their life circumstances, which are key indicators of someone in need of immediate mental health intervention.


charltonbrooker you ve got my sympathy i ve got to go have my back x rayed

The user's message appears to relate to a personal medical situation involving a back x-ray. While medical procedures can be serious, the context of a routine or initial diagnostic test like an x-ray doesn't inherently indicate a high-stakes or urgent situation unless there are additional indicators of distress or critical health concerns in the message. The mention of sympathy towards another person (possibly a public figure) suggests a general sharing of experiences rather than a crisis. Therefore, it doesn't specifically indicate the user is in immediate need of mental health support but shows they might be dealing with some stress regarding their health.


Even though it's only been fasting at this hour, but my stomach....

The user's statement indicates some physical discomfort related to fasting, which could be a normal experience during fasting periods and not immediately suggest a high-stakes situation. However, without additional context, such as whether this discomfort leads to serious health issues or distress, it's difficult to ascertain the gravity. Typically, minor physical discomfort during fasting does not warrant mental health intervention unless it leads to significant distress or mental health issues.


Grief making me feel bad everytime i look at people with their parents I just stood there,staring.sometime it can even felt like days,weeks,or even years pass by when truth is just a couple of minutes.i feel despair everytime i look at my miserable existant

Everytime happy memories come.it will be season with hours of nightmares and bad memories.i know am not a good son to begin with.

Being born as gay,not being as smart as other people.and quite honestly not really good at making friends.even me disappointed in myself.

The user is expressing feelings of grief, despair, self-disappointment, and inferiority. They also mention bad memories overshadowing happy ones and describe themselves in a very negative light. These are indicators of potential mental health struggles, possibly including depression or anxiety, and suggest that the user may benefit from mental health support.


I have decided after my 19th birthday (August) Id like to die. I am waiting because I want one last celebration with my family before I go. I am dead set on my decision and there is no changing that. I have picked out where but now just unsure as to how. I am scared of doing it myself so, I was wondering if its possible to pay someone to do the job for me? If not, Ill find a way. I am so sick of this world and everyone in it. I just want to be at peace. Can I hire someone to kill me?

The situation described is extremely high-stakes as it involves a person openly discussing their intent to die by suicide, having a plan, and actively seeking means to carry it out. The individual is expressing feelings of hopelessness and has a specific timeline and motivation, which indicates a high risk. Intervening is crucial to provide the necessary support and potentially prevent a tragic outcome.


i think she killed herself. i was fine and not thinking about it till i started thinking about our first message ever before we were even friends and I am fucking broken. all i had to do was be there for her more and maybe she would have felt like she could talk to someone but no i fucking failed and now she could be gone i have to go too i think she is really gone

The content indicates the user is dealing with the potential suicide of someone they knew, which has triggered feelings of guilt and self-blame. The language suggests the user may also be contemplating self-harm or suicide, making this a very high-stakes situation. Such expressions of distress and potential risk to self warrant immediate attention and intervention from mental health professionals.


Are you a liberal activist?

The question does not imply a situation of heightened urgency or consequence. It appears to be an inquiry about political orientation rather than a request for mental health support or related to a high-stakes scenario. There is no immediate or long-term risk associated with answering the question.


I bought an expensive gym membership for me and my mom. They have a jacuzzi and large swimming pool. She will promise to go with me but whenever that day comes she always says she is tired...every single time. I think before the pandemic we have only been to the gym twice together altogether out of my 3 year membership. She will not go with me. I wish I had someone to go with but I do not :/. I have 0 friends. Guess I will go by myself. Going by myself is so awful. I see everyone else with their friend/partner and me... all alone.. I have went to the movies by myself too because she did not want to go. Someone even asked me in the movie theater what is a young girl (I am 21) like me doing alone :/ Wish I had someone to do things with :/

The user is expressing feelings of loneliness and disappointment due to lack of companionship in activities. While the situation involves emotional distress, it does not involve immediate danger or severe mental health crisis indicators that would suggest it is high-stakes.


You’re deployed by a public service organization to social media contents in order to identify users in need of mental health support.

So I got a Therapist… I haven’t had a full time therapist since I was 14, I am 35 about to be 36 in a month. I am scared, I was honest with her and told her my issues with therapy and meds as a child. I flat out told her about some of the suicidal ideation and that I am never going to go through with hit fir collateral emotional damage reasons to loved ones. I also told her that I don’t trust therapists and the reason I have avoided going is I am afraid someone would overreact to my dark thoughts.

Anyway. Wish me luck. Next visit is second week of April.

The user has expressed suicidal ideation and distrust in therapists, which are significant indicators that they may be in need of mental health support. Although they currently have a therapist and claim they won't act on their thoughts due to concerns for their loved ones, the situation remains high-stakes due to the potential risk involved with such ideation. They also face challenges related to trust and fear of overreaction. Their upcoming therapy appointments may provide support, but monitoring the user's situation is crucial.


I am tired of trying for other people. I do not care about getting better because I do not want to be alive at all. Its making me hate the people around me every time they say they need me around or something of the sorts. I do not fucking care if I am selfish. I did not choose to be here and now I am forced to be alive and its bullshit.WHY is it so fucking hard to just be able to Kill myself. I deserve to have that right over my body and my life and to not have people try to stop me. I hope to god I can figure it out today and that this is my last day here. I am tired.

The user's message indicates a high risk of suicide. The expression of a desire to die, the frustration with being alive, and the explicit mention of hoping to end their life today are critical warning signs that require immediate attention and intervention. The situation involves the user's life, making it extremely high-stakes.


Experiences with lithium? Psychiatrist says I can stay on 200mg Seroquel but she thinks lithium would be a better treatment for me. I've done too much reading about the side effects and I'm a bit freaked out. What are you experiences with lithium? Has anyone switched over from Seroquel?

The user is discussing a potential change in medication for mental health treatment, which can be significant, but the conversation appears to be informational and not urgent. The user is seeking experiences and not directly in distress or in need of immediate support. However, any discussion about changing medication is inherently important because of the potential impact on mental health. Still, this post alone does not suggest a crisis or immediate high-stakes situation.


RT @MarvelStudios: âNo one has had more of an impact on my career and everything we do at Marvel Studios than Stan Lee. Stan leaves an extrâ¦

The user's retweet of a Marvel Studios post about Stan Lee suggests engagement with fandom and pop culture, but it doesn't indicate any need for mental health support. The content is light-hearted and focused on a positive figure in entertainment, rather than expressing distress, harm, or urgent mental health concerns.


Fuck it I'm starting benzos on Tuesday. My brother had shit withdrawals from them and almost died, but according to him, you don't give a shit on them and actually function like a normal, non-mentally-ill person.

The user's message indicates the intention to start taking benzodiazepines, which are medications that should only be used under proper medical guidance due to potential for dependency and severe withdrawal symptoms. The reference to a family member nearly dying from withdrawals highlights risk of life-threatening consequences. This suggests a potential need for mental health support and careful management.


Although I still think about killing myself, I still do not know what the heck will happen to me if I kill myself.For now, Ill rather cut myself until I die than to kill myself. I may or may not kill myself, but Ill rather cut myself for now.I just do not have a gut to end myself, hence I want something or someone to end me instead, painlessly and quick. And since I am a religious person, I do not think killing myself will be my main goal for now. I do not know. I am just scared about the unknown, mysterious things that might happen to me if I kill myself.Right now, I am cutting myself with a pick. It left me some good scars, and the good thing is that they do not leave a messy blood nor leave scars permanently. I can just keep doing it again and again and again until the day I die (hopefully I die a young age, not an old age). Ill rather harm myself than to kill myself

The user’s statement reflects serious mental health concerns, including suicidal thoughts and self-harming behavior. The mention of ongoing self-harm and thoughts about suicide, even with uncertainty, highlights imminent risk. Though the user expresses fear and uncertainty about suicide, their current mental health state requires immediate attention and intervention.


where is pasadena?

The user is simply asking for information about the location of Pasadena, which does not indicate any immediate mental health concerns or high-stakes situation. This is a straightforward geographical question without any underlying urgency or risk involved.


Goodluck bbykwoh

The phrase 'Goodluck bbykwoh' is ambiguous and lacks context to determine its stakes accurately. It appears to be a colloquial or informal expression, potentially a slang or a phrase directed at someone, but it does not inherently imply any urgent mental health issues or indicate a high-stakes situation without further context. Therefore, it would be prudent to investigate further or look for additional context in surrounding messages or the user's recent activity to make a more informed assessment.


why do both of my best friend have to be shitty simultaneously can u at least take turn hurting my feeling jerk going sleep

The user's message implies emotional distress due to personal issues with friends, but it does not clearly indicate an immediate risk to mental health such as harm to self or others. The phrase 'going sleep' might indicate a desire to disengage from stress rather than suggesting self-harm. This situation could benefit from emotional support or counseling, but it does not appear to be critically high-stakes in terms of mental health intervention.


New diagnosis, nervous about medication Was diagnosed with BP 1, but it must be the mildest ever, based on reading posts on here. I have been taking lexapro for three years, b/c previous therapists diagnosed anxiety disorder. So currently, i have a lot of mania, but very little depression. and the mania doesn't seem too extreme - my therapist thought it was BP 2 but the psych testing came back BP 1, which she agrees with now. I have thought I was the second coming on occasions, that's probably the most manic idea i've had. I have a good career, have always done well in the workplace. I am a mom and wife, and my family loves me. So I really hesitate to medicate. But I also wonder if I should keep taking Lexapro? My therapist said withdrawl from that is ugly, so she doesn't recommend it. But maybe it's been triggering my mania? I was also diagnosed with mixed personality disorder, mainly borderline with a heavy dose of narcissism. So naturally, I am very concerned with medication that could affect my skin (already went through struggles with acne while younger, not going to do that again) and also obsess about my weight. Anyone on a mood stabilizer that others haven't experienced acne or weight gain with? And no lithium for me, it's an unnecessary hit on my kidneys when I am pretty functional unmedicated.

The user is dealing with a complex mental health situation involving a diagnosis of Bipolar 1 disorder and mixed personality disorder, and is contemplating medication changes which could significantly impact their mental and physical wellbeing. The user's concerns about medication side effects on appearance and health are substantial as they affect the decision-making regarding treatment compliance. The situation is not life-threatening at the moment, but mismanagement of these conditions could potentially escalate to more severe symptoms. This makes it a sensitive and moderately high-stakes situation.


I’m convinced I have a urethral stricture In may of last year I had a type of explosion in my bladder. It came with an insane feeling of urgency, frequency and a feeling that my
Bladder was in the grip of a vice. I also had an electrical type feeling in my bladder and Perineum.

I saw a urologist who thought I had a urethral stricture. I was sent for a cystoscopy that showed everything was ok. That was in September 2018. 3 months later the urgency and frequency decreased but then what accompanied was pelvic pain, tailbone pain, I had to start sitting down to urinate and I had to start milking my urethra to empty it - at this time I was also tapering from 6mgs of clonazepam. I hit 2mgs when this started. I finished my taper on clonazepam in the middle of February.

I now have all of those symptoms but they’re at full force now. For the past two weeks I had a slight burn at the end of urination. Peeing didn’t hurt but at the end I had a sharp/burn pain in a specific area in the top of my penis/urethra.

For the past two weeks I’ve had a feeling that there’s a marble stuck in my urethra. Sometimes I can feel pressure in my urethra when I move about. Sometimes I get a sharp stabbing pain down my urethra too. The side of my penis hurts too.  I
Also have to gently milk my urethra to get the rest of the urine out.

My fear is that the cystoscopy has caused a stricture. It’s done the very thing that it was supposed to rule out. There was no blood after it was done, nor did it burn when I peed, but the tip of my penis was very swollen for an
Hour or so. Apparently it’s extremely rare for someone to get a stricture from a routine cystoscopy, especially in the area I think mine is. But I’m 100% convinced that I have one. It’s making me very ill.

I see the urologist in 5 days time. I’m in a chronic pelvic pain support group and apparently this is a very common symptom. But other guys have the same symptoms and have a stricture.

I don’t want another cystoscopy but I’m guessing I’ll have to have one as it’s the only way to treat a stricture. I can’t believe I’m in this mess. I’m so upset and frustrated.

The user is expressing significant distress over their medical condition, believing they have a urethral stricture, which is a significant concern for them. However, they have a planned visit to a urologist in 5 days, which suggests they are taking appropriate steps to seek medical assistance. Additionally, although the user is upset and frustrated, there is no indication of immediate life-threatening risk or a mental health crisis at this moment. They are part of a support group, which implies community engagement. The urgency, however, is in ensuring the user manages their anxiety and receives proper medical advice.


here goes nothing Would anyone in their early 20s like to chat occasionally? Maybe even be friends? I literally talk to no one I figure maybe the social interaction could be beneficial

The user is expressing a desire for social interaction, highlighting feelings of loneliness or isolation, which can be a concern. However, there's no explicit indication of imminent risk or danger. It's important for their well-being to have social connections, but the post doesn't suggest immediate high-stakes urgency.


I can't tell if I'm jealous of other people I think I like my life when I am alone. I am happy to be by myself, do my work and my chores, and I have hobbies that bring me joy. But it feels as if it all comes crashing down and a heavy sense of depression and grief hangs over me as soon as I'm reminded that other people do "fun" things together. I don't want to join them because most of the time having fun with friends isn't actually fun for me, but the feeling persists and can go on for days. I know it's silly to feel resentful of these other people and it makes me resentful towards myself as well. I just want to make it stop.

Ex: driving my sister, who is still in high school, to hang out with her friends or go on dates. I'm only a year older than her and afterwards suddenly my existence is in a different focus and I remember that objectively it is very dreary that the most exciting thing I have done in a month is watching my spinach sprouts grow.

The situation described involves feelings of depression, grief, and a sense of resentment towards oneself. The user experiences significant emotional distress when reminded of their social life in comparison to others. The emotional pain described suggests a potential need for mental health support, though there is no mention of harm to self or others. Therefore, while the stakes are moderate in terms of mental health, they may not be urgent or critical at this moment compared to more severe crises.


A big move has me stuck in a mixed episode, not sure how to cope. Hi, r/BipolarReddit

I just moved back home to be with my family for the next 6 months and I'm trying to figure out how to cope until getting to my new pdoc.

Surprisingly I have been stabilized on only 12.5 mg of Lamictal (extremely rare-- my body is intensely sensitive to meds, substances, etc.) for the last couple of months. My day to day routine was rather consistent though, so there wasn't that much to throw me off. It's helped more so with my co-morbid BPD mood swings.

But after an 11 hr stressful care ride, change of environment, change of sleep schedule, and moving away from my boyfriend? I'm lost. I'm waking up in a deep depression, don't want to shower, don't want to eat. Then when my loud and boisterous family gets me out of the house I start feeding off of their energy and won't stop talking, become obnoxious at restaurants, speed home, racing thoughts and sweating like crazy, stay up all night, then repeat the next day. Luckily I haven't been doing anything too extreme (yet) but I don't know what to do in the meantime, even right now I feel panicked and sweaty and confused yet worn out and can't find the will to do anything. Not to mention I've been feeling intensely lonely even though I am near my family.

I start work on Monday, which I'm hoping can add in some needed structure to my day, but at the same time I'm nervous to be adding another facet of change to my life and sending me down more of a spiral.

I want to get out and distract myself during this weird state but I really can't find the footing and I'm afraid if I stay around my family I'll get worse.

I don't see my new doctor for another couple of weeks, what can I do in the meantime?

The user describes being in a mixed episode, which involves experiencing symptoms of depression and mania simultaneously, a serious state for someone with bipolar disorder. There's mention of significant life changes that typically increase stress and could exacerbate their condition, like moving, starting a new job, and separation from a partner. The risk factors such as deep depression, potential for manic episodes, feelings of loneliness, and the lack of immediate professional support make this a high-stakes situation. Although they have not taken extreme actions yet, the situation is volatile. The user's request for coping strategies indicates awareness and a desire for stabilization, but the current instability due to circumstances denotes a considerable risk level.


not this werey playing the depression card

The user's comment appears to dismiss or trivialize someone else's mention of depression, which can be a serious mental health issue. While the stakes are not directly high from this comment alone, the context in which it is made could potentially impact mental health perceptions and discussions. This makes it somewhat important, but not extremely high-stakes.


I only have like few of thesis chapter to go and like its oso like already filled in but my lazy ass being extra daâ¦ https://t.co/6Y6UzBwbsR

The user's message appears to reflect a common experience among students: procrastination and feeling overwhelmed while completing a thesis. The language used ('lazy ass', 'only have a few chapters') suggests that the user is venting frustration but does not indicate any direct harm or severe mental distress. The situation is likely low-stakes because it does not show signs of an acute mental health crisis, such as expressions of hopelessness or harm.


-11fess, if you want to invest for the long term, is it better to buy bluechip, gold, or alms?

The user's query is about investment options for the long term, specifically asking about bluechip stocks, gold, or some other asset (possibly 'alms' was a typo or miscommunication). This question is financial in nature and does not indicate immediate mental health support needs. It lacks any indication of distress, threats to well-being, or other high-stakes elements related to personal safety or urgent health concerns.


They will get fed lunch at school, so we mainly need help with breakfast and dinner - we're also dreadfully close to the point of no TP. Ugh. <url> Thank you for your consideration. If you have any ideas of products to add to this list - please feel free to let me know.

The situation described involves concerns about food insecurity and lack of basic necessities, which can have serious implications for mental health and overall well-being. The request for help suggests this is an ongoing issue, not a one-time occurrence. Given these factors, this can be considered a moderately high-stakes situation as it impacts the user's quality of life and could potentially lead to more severe consequences if not addressed.


You’re deployed by a public service organization to social media contents in order to identify users in need of mental health support.

what if this happened then i dont have money omg slfl depression 0

The user's message implies distress potentially linked to financial issues and a mention of 'depression,' which suggests they may be experiencing mental health struggles. It signals a situation where the user might benefit from mental health support. While it's not explicitly a crisis, the reference to depression and financial stress indicates a moderate to high level of stakes due to the potential impact on the user's mental wellbeing.


Do you also do this during hypomanic (mixed?) episodes? TLDR : I'm bipolar type two with mixed features currently in a hypomanic (mixed?) episode.
I experience some of these things:
- clenched jaw
- 10-15 minute panic attack that disappears in a few seconds leaving you confused but not feeling  bad (just very confused)
- nightmares and night sweating
- completely forgetting to eat and losing the instinct of eating or liking food except shit like sweets cola coffee and chips (with cigs ofc)
Do you?

Note : I'm like 95% sure I'm hypomanic right now and have been for almost a month but was in denial until a week ago, seeing psychiatrist on Friday to talk.

Anyway, I'm experiencing these things and was wondering if anyone else had this:
- clenched jaw most of the time
- random 10-15 minute panic attack/dark dissociation (few times a week, had one where i couldn't contain a scream that was just so guttural like I was giving birth and then started hyperventilating so hard I almost fainted and had to sit down and hold onto something to not fall), but then all of a sudden you have a posotive thought and it disappearears in a second making you wonder what even happened and laughing at how dramatic you are
- nightmares or night sweating
- completely FORGETTING TO EAT, like losing the instinct to eat, even when I'm hungry I don't think about food but I think of resolving the problem so I stuff myself with the easiest fastest food that's kinda nutritious and idc about the taste, like plain slices of protein bread, Bananas (I don't even like the texture or the taste of bananas but its the cleanest and most efficient for hunger), vegan pre-made protein shakes in bottles (over 2 months I've consumed about ~100 of them, I have one every morning and other shit "meal" mentioned above) and SOMETIMES have the patience to boil a pack of ravioli that takes 3 minutes to cook and eat it just with olive oil and balsamic vinegar or airfry in 10 minutes a pack of vegan nuggets or fish sticks and eat them plain, yup, no sauce and not evem fried, such a treat (less dishes).

Btw I'm also diagnosed with mixed episodes and I've experienced them, but usually they are way darker and cold with a bit of psychotic moments, and I just feel superior to others like an evil God and I'm full of rage.
Whereas here I feel quite at peace but a bit out of control, but I know that I'm gonna take care of it soon (going back tomorrow to my parents). And overall I feel happy everyday and grateful and I feel like the world is so beautiful but I just have those breakdowns described above few times a week if not almost daily these days...

Mmh yeah I talk a lot but that's a known hypimanic thing.

Thank you for reading if you did and have a good (insert what it is for you) ! ✨

The user is describing symptoms of a hypomanic episode combined with mixed features, which is part of bipolar type two disorder. They are experiencing significant distress, as evidenced by panic attacks, difficulty eating properly, nightmares, and other intense emotions. The situation is high-stakes because it involves mental health and the potential for harm due to impaired judgment, the risk of exacerbating their condition, or engaging in dangerous behavior. While the user has a plan to see a psychiatrist, their current state requires close monitoring and potentially immediate intervention to prevent the situation from worsening.


choking feeling Does anyone know why I feel like I'm suffocating? If anyone knows can they please help me?

The user is expressing physical symptoms that can be related to anxiety or a panic attack, but could also be linked to other physical health issues. Feeling like one is suffocating can be distressing and warrants attention to rule out serious health concerns. This can potentially be a sign of an urgent mental or physical health condition that may require timely intervention.


you know i may sometimes get my as kicked by my depression but overall my depression is struggling with me rather than the other way around these day and i consider that an achievement

The user acknowledges battling depression but conveys a sense of empowerment over their condition, noting that their depression is struggling more in this current phase. This implies progress and self-recognition of improvement. While the mention of depression suggests a serious underlying issue, the tone is positive and optimistic, which reduces the immediate high-stakes nature of the situation.


Check out r/kratom for some info. I personally swear by it Edit: Seems like it has a bad reputation. From my (and others) experience: If you take it in moderation and get it from a REPUTABLE VENDOR, (some 'kratom' is not actually kratom. I heard some head shops tend to mix it with bad stuff) You will have no issues with it.

The user is discussing kratom, a psychoactive substance that is used for various purposes, including pain relief and opioid withdrawal. While the user shares personal experience, they do caution about potential risks if not sourced from reputable vendors. However, the post itself does not indicate immediate mental health distress or high-risk behavior requiring intervention. The mention of kratom's reputation and caution suggests an awareness of the risks involved, although promoting unregulated substances always carries potential risks. Nevertheless, the immediate stakes in this post appear moderate as it's more informative and advisory in nature.


@petemc My Mrs is always telling me off for this - sit and enjoy the moment instead of trying to take photos of it!!!

The tweet appears to be a light-hearted comment about a common situation where someone is advised to enjoy moments rather than focus on photographing them. It doesn't indicate any distress or need for mental health support. The stakes are low, as it reflects a humorous or relatable moment rather than a potential crisis.


then we'll just make a u-turn.

The statement 'then we'll just make a u-turn' is ambiguous and could relate to any number of situations, such as driving or metaphorically indicating a change in decision. Without additional context, it is challenging to determine its connection to a high-stakes or mental health related issue. Typically, such a phrase by itself does not inherently suggest anything high-stakes unless linked to a more severe context.


Been going through a break up, I cannot stand her treating me as if i was nothing so I keep questioning her decision so that she would hates me and blocked my number. She offered me to breaking up and refused to block my phone number but I declined, enabling myself to chat her will just makes everything worst so I make the dumbest and hardest decisions I have ever made. Now I am lonely with the thought that everything probably would have been better if i was not such a fool, i had my families and friends but really i still feels so lonely rn. I feel rejected after her last message to me "I just do not want you anymore" Even tho I was the one who caused all of this Just me and my thought

The user is experiencing a breakup, which is a common emotional stressor, leading to feelings of loneliness and rejection. The user's repeated attempts to contact the ex-partner despite recognizing it as harmful show emotional distress. While the situation does not mention any direct thoughts of self-harm, the feelings of loneliness and self-blame potentially indicate a need for mental health support to cope with these emotions. However, without explicit indicators of harm or severe mental health crisis, the situation involves moderate stakes.


Does anyone feel anxiety because of some people? (Sorry for the bad english or any grammar mistake :D )

I've been dealing with my anxiety since I was 17. Since then, I've been looking for "triggers" that makes me feel more anxious. Like a pattern. So I could deal better with it (I dont have any pro help). I've realized that my anxiety gets worse when I have to talk with people. So, I've been trying to better my communication. And Im better, actually. I'm feeling more calm around other people.

But there is something that it's haunting me since I'm trying to better my anxiety. I realized that there are some people that makes me worse. Sometimes even colleagues. For some reason, when I see them or talk with, I have a bad feeling, a heavy energy, and my anxiety explodes. Because of that, I cant trust on them. And I'm always in the "alert mode" when I'm around them. I don't know if this is a problem that my anxiety creates in my mind or if it's something that other people also feels.

That's why i'm here. I'm trying to understand if the problem is me and my anxiety or them. Anyone feels like this around some people?

Ps: I cant get away from some of them because of college and my job, unfortunatly :(

The user mentions dealing with anxiety since the age of 17 and having no professional help, which suggests an ongoing mental health challenge that could benefit from support. While the situation is distressing for the user, there's no immediate risk of harm to self or others indicated in the message. The user is actively working to manage their condition and seeking community advice, which suggests a proactive approach to their mental well-being. The stakes are moderate, as unmanaged anxiety can worsen over time, impacting quality of life.


I want to start by saying I do not have clinical depression. Everything is just falling apart, and I cannot handle it. My situation is fucking screwed, and when I try to make it better, it seems I only make it worse.I want to die, really. I have wanted to end it all for years, but have been holding on to one thing after the next. Now, I have got a daughter I am trying to be there for. she is the only thing keeping me here at this point.I am in denial about things, and I am like aware of it, but I feel like it is worth being in denial. it is not like I cannot handle the alternative, but I just do not want it. I know that if it comes to it, I will just keep on going, but God damn do I want this.You know, the worst part is I finally set myself up for therapy when I finally hit rock bottom. I am still at rock bottom, but since that day I put in the paperwork/application(last Thursday, today is Wednesday), it can take up to 3 weeks to even get the clinician. I cannot handle what is going on in my head for another two weeks, and then wait to even meet the person, and get fucking help.I started whipping myself with a belt again, which I had not done since 2018. This time, I upgraded to the buckle. My back is incredibly bruised, and sore. But I like looking at it, and I like feeling it in the moment. It makes me feel clear, and like I am being punished for all the fuck ups. I feel like I deserve it. I tried to earlier, but got stopped, because I said something I should not have because I was not thinking.And I am so fucking selfish. Since shit hit the fan, I have been focused on myself instead of what happened(which was to someone else).. But they do not want to talk to me about it, so I am stuck. I ask questions about things that have a concern to me. But this person is the only person I can even ask! I cannot ask someone who does not understand the situation, and I cannot ask the person who does, so what do I do with these feelings and concerns? The only thing I can think of is just punishing myself for even feeling.Fuck, if I could I would go right now and beat the shit out of myself. I am perpetually fucking up. I try to work on things, and then continue to make things worse. I feel like a bull in a China shop, but the bull keeps trying to put the broken plates back on the shelves. I cannot fucking handle it

The individual expresses deep distress, potential suicidal ideations, self-harm, and feelings of hopelessness. They mention wanting to end their life, engaging in self-harm, and feeling like they cannot handle their situation. However, they also mention a strong desire to be there for their daughter, who currently serves as their primary reason for continuing. Despite this motivation, the combination of their emotional distress, the stated intent to self-harm, and the delayed access to professional help indicates a highly concerning scenario. This suggests an urgent need for immediate mental health support to prevent possible self-harming or suicidal actions.


@RapierTwit People say they feel expressionistic - I've never heard them say pointalistic

The statement appears to be a comment on art styles, specifically referencing 'expressionistic' and 'pointalistic.' There are no direct or indirect indications of mental health issues, distress, or a need for support in this tweet. It comes across as a benign comment on art or perhaps an attempt at humor.


ohsbrat 0 i m sorry i m feeling kinda yucky myself am is going to come too quick

The user's message indicates that they are feeling unwell ('kinda yucky') and expresses a sense of impending overwhelm or anxiety ('am is going to come too quick'). It might suggest stress, anxiety, or another mental health issue. However, without explicit indications of harm or severe distress, it does not seem to reach the highest levels of urgency.


would not it be great if there can be an app that can help people in need of someone to talk to, find someone to talk to? Confidentially and safely! Here is a survey to gauge interest!  Mental health app idea

The situation described involves a proposal for a mental health app that would help people find someone to talk to. This deals with mental health, which can be high-stakes because it concerns individuals' well-being. However, the situation itself is only about gauging interest in the app, not dealing with an immediate mental health crisis. Therefore, while important, it is not critical or urgent in nature as presented.


I know there is no general answer to this question. What I am looking for is anecdotal information for comparison, so please feel free to share your story here!My question is for those who have experienced depression before and gotten out of it: How long did it take for you to overcome it? Also, what did you do exactly, what helped? [For those who have experienced it] How long did it take for you to get out of depression?

The user is soliciting personal stories about overcoming depression, which suggests a focus on mental health – a topic generally deemed sensitive. However, they are not expressing any immediate crisis or personal distress. Instead, they are asking for anecdotes for comparative purposes and do not seem to imply an urgent need for assistance. Therefore, the stakes of this situation, while significant due to the mental health aspect, are not extremely high.


Uwu uwu i miss dongkyu :(( .Where are you :((

The user expresses missing someone, which could imply some emotional distress. However, the context provided does not contain indications of severe mental health concerns or high urgency. Missing someone is a common emotional experience and does not inherently suggest a high-stakes situation.


I’m a 24 year old male. For the past month, my stomach has had little pain after eating and I’ll have problems with indigestion/sour stomach. I’ll eat a clean meal and it’s as if my stomach won’t digest the food and I’m burping it up right after eating. There is usually no pain after eating. My stool color has been normal and I’m regular.

The user describes digestive discomfort but does not indicate any severe symptoms like significant pain, blood in stool, or weight loss which could suggest a more serious condition. There is no indication of emotional distress, self-harm, or urgent mental health needs. Therefore, this is a medical inquiry rather than a high-stakes mental health issue.


We have tried crowd funding, I've tried to get a new job, I've even looked into being a sugarbaby. None of us can get a personal loan because of bad credit, or no credit, and lack of jobs. We seriously need help and have no where to go, if we can catch up on our rent, I know next month we can pay. I don't know what to do anymore.  We live in Conroe, Texas.

The user describes a severe financial hardship, which is impacting their ability to pay rent and potentially jeopardizing their housing situation. They have explored multiple avenues, such as crowdfunding, new job opportunities, and even considered becoming a sugarbaby, which indicates desperation. The statement 'We seriously need help and have nowhere to go' suggests a high level of distress and financial instability, potentially leading to homelessness if the situation is not resolved. While there may be no immediate physical danger, the stakes are high due to the potential impact on the user's living situation and overall well-being.


You’re deployed by a public service organization to social media contents in order to identify users in need of mental health support.

it seems like it s just who how i am that s making me this miserable i ve tried it all it just seems hopeless

The user's statement expresses a sense of hopelessness and self-blame, which are serious indicators of emotional distress and potential mental health issues. Such expressions may suggest a risk of self-harm or suicidal ideation. In the context of providing mental health support, this could be considered a high-stakes situation because the user's well-being is potentially at risk, and timely intervention might be necessary.


Anyone else use weed to cope? I do. It normally helps me cheer up and become more social but sometimes it makes me paranoid/anxious/depressed/insomniac Weed

The user is discussing using weed to cope, which can be a sign of self-medicating for underlying mental health issues. However, their tone doesn't suggest immediate danger or crisis as they share both positive and negative effects. The stakes are moderate as it indicates potential mental health struggles but not an immediate high-risk situation.


One bad thing from having a full on breakdown I’m one month away from graduating college, the first person in my family to do so. I’m working full time to pay my bills, recording and mixing my a cappella group’s album ENTIRELY on my own (basically another full time job), helping to direct my major’s HUGE end-of-the-year showcase, trying to make the most out of my classes and professors while I still have access to them, and trying to keep it together for one more month. I’m really really not doing well. I’m not sleeping, I’m always busy, I haven’t had a day off in 2 weeks and I don’t have one off for the foreseeable future. I keep telling myself to hold it together for one more month, because going off the deep end would mean not graduating, potentially losing my apartment, letting my group down, and losing the best free portfolio building opportunity I’ll ever have. I’m about one mildly bad thing away from losing it. I need some support, someone who’s been through the same thing and made it out the other side ok. I’m really hanging on by a thread.

The user is experiencing extreme stress due to multiple high-pressure responsibilities, including being the first in their family to graduate from college, working full-time, and managing significant projects. The potential consequences of a breakdown are severe, such as not graduating and losing housing. They explicitly express a need for support and feel on the verge of collapse, indicating a high-stakes situation for their mental and emotional wellbeing.


cnn in term of immune system depression

The user's message is vague and lacks context, making it difficult to determine the stakes involved. The mention of 'immune system depression' could refer to a health-related issue, which can be high-stakes if it affects someone's well-being, but there is no clear indication of a specific or immediate risk to the user themselves. Without additional information, it is challenging to accurately assess the stakes involved.


i spent the weekend with my mother at her favorite place (the ocean). she has a house there.i am having a hard time with a past dating experience. it is a trigger that has caused a major deep depression.i express and feel emotion TOO much. it causes quite a bit of mental pain and is exhausting. especially when i get out of a relationship.my mother understands the pain, but cannot do anything about it.continual mental pain of not feeling loved is hard. simply. hard.as i was walking to my front door this morning, i broke down. again. alone. jobless. without a relationship. depressed. this seems never-ending. weekend

The user's message contains indicators of significant mental health struggles, such as feelings of deep depression, being overwhelmed by emotions, feeling unloved, and a sense of hopelessness or lack of direction (jobless and relationship issues). The mention of breaking down and feeling alone highlights a lack of immediate social support. These factors combine to suggest a high-stakes situation which might benefit from professional intervention for mental health support.


This is all relevant because I'm slowly realizing that **keeping my relationship from my mother isn't sustainable**. I'm not a good liar. Eventually, the truth has to come out, because I cannot live like this. Problem-- my mother would HATE my boyfriend. Being a narcisist, she can't stand when I give anyone more attention or devotion than her.

The user's situation involves a complex family dynamic and personal relationship issues, which can be emotionally challenging but are not necessarily life-threatening. The stakes are relatively low because these are personal matters that many people face, rather than situations involving immediate harm or crisis. The main concern is emotional distress from anticipated family conflict, which is common in many relationships where partners may not align with family expectations.


want to take a break :(

The statement 'want to take a break :(' indicates a desire for rest or relief, which is not immediately suggestive of a high-stakes mental health crisis. It could imply stress or overwhelm but lacks specificity or urgency often associated with high-risk situations. Without more context or expressions of immediate risk (such as harm to self or others), it seems low-stakes. However, it may still be worth checking in for support purposes.


I just want this nightmare to end. Over the last few months I have thought about it a lot. And I realized I have always felt feminine and that I am mtf trans but Ill never be a real woman. I hate myself, my body. Ill never be who I truly am. I am well over 6 feet tall, large framed, masculine face, so Ill never even look like a woman. Its just one more reason to hate myself and one more reason to end it. I do not know how much longer I can live this broken life on this fucked up world. I do not want this anymore.

The user expresses feelings of hopelessness, self-hatred, and suicidal thoughts. They mention thinking about ending their life and struggling with their gender identity and body image issues, which are strong indicators of a mental health crisis. The situation involves a direct expression of suicidal ideation, making this a high-stakes scenario requiring immediate attention.


I finally saw the cardiologist today I had multiple ECGs, bloodwork done, I wore a two-week loop and I had an echocardiogram over a month ago, and today I did a stress test. I've been having HORRIBLE anxiety about my heart for over a month and a half.

**My heart is completely healthy. No blockages and no damage to it whatsoever.**

This is one of my happier days!!!

They told me the chest pain -- which I can reproduce by touching it -- is likely caused by either anxiety or costochondritis and the heavy tightness is likely anemia (which I can deal with much better than heart disease). The left arm pain is probably from inflammation because I lay on it so awkwardly and for too long at night.

I'm OK :')

Anxiety is a bitch, guys. It can make you truly believe and FEEL the most frustrating and uncomfortable symptoms. I'm not saying to dismiss everything as anxiety -- it will always be better to see a doctor -- but what I am saying is none of you are alone.

Thanks to everyone here who supported me through this. I can move on and focus on fixing my inflammation and anemia!! 💖

The user's situation initially involved significant anxiety about potential heart issues, which is a serious concern as it pertains to health. However, the user has since received confirmation of a healthy heart and understands the cause of their symptoms, which has alleviated their anxiety. Their overall tone indicates relief and optimism, and they express gratitude for support. The situation now seems to be more about managing minor health issues like inflammation and anemia, and ongoing anxiety management. Thus, while there are some underlying health and anxiety issues, the immediate high-stakes concerns have been resolved, making it a relatively low-stakes scenario.


Scientific Study How Mindfulness replaces medication to reduce anxiety

 **How Mindfulness replaces medication to reduce anxiety**

Care works similarly as well as a prescription to check nervousness, concentrate on finds

A care contemplation course might be as successful at lessening uneasiness as a typical medicine, as per another review.

The exploration, distributed on November 9 in JAMA Psychiatry, involved a gathering of 276 grown-ups with untreated uneasiness problems. A big part of the patients was haphazardly chosen to take 10 to 20 mg of escitalopram, the nonexclusive type of Lexapro, a typical medicine used to treat nervousness and wretchedness. The other half were relegated to an eight-week course in care-based pressure decrease.

The outcomes were dazzling: The two gatherings experienced about a 20% decrease in their tension side effects over the eight-week time span.

Elizabeth Hoge, the lead creator on the review and the overseer of the Tension Issues Exploration Program at Georgetown College Clinical Center, let CNN know that she trusts the examination can open up greater treatment choices for patients with uneasiness. [more](https://tomorrowgreatest.blogspot.com/2022/11/scientific-study-how-mindfulness.html)

The user is sharing a scientific study that discusses the effectiveness of mindfulness as a potential alternative to medication for treating anxiety. This is an informative post and does not indicate any immediate distress or need for mental health support from the user themselves. The post is more about spreading awareness of treatment options rather than expressing personal mental health challenges. There is no direct indication of a high-stakes situation involving the user.


I want her to tell me that she loves me, that she would only want to be with me. I just want her, and I'm even willing to give her another chance even though I know I shouldn't. I can't move on, everyday I think about her and the good times we spent together. So Reddit, help me, I need to know how I can move on from her. TL;DR : My wife cheated on me and I don't know how to get over her

The user is experiencing significant emotional distress from a relationship issue, specifically infidelity, which may impact their mental health. While not immediately life-threatening, such situations can escalate if not addressed, potentially leading to worsening mental health. Therefore, the stakes are moderately high as it involves emotional well-being.


Whenever I dream of killing myself I have always wanted to leave behind a poetic suicide note, just because I am melodramatic lol. But seriously, I have always imagined at least giving an explanation that I could not handle the pain of depression anymore. But now I am super suicidal and I am too depressed to even put pen to paper or type one out. If I ever get the courage to go through with it soon, maybe people will just be left wondering or left without closure. Who knows. Too depressed to even write a suicide note

The user's message indicates serious mental health issues, specifically active suicidal thoughts. They express being overwhelmed by depression to the point where they are contemplating suicide and struggling to write a final note. The absence of a suicide note also suggests a high risk of imminent self-harm. This situation involves potential loss of life and requires immediate attention and intervention from mental health professionals.


I do not want to fall asleep because I know that when I wake up I will feel just as bad as I do now, I know my parents are going to drag me to church and I am going to make some dumb mistake and feel like shit and probably self harm until I fall asleep again just to wake up and continue until the day I die. I do not want to fall asleep

The user expresses a cycle of distress that includes self-harm and highlights feeling trapped in a negative pattern possibly involving suicidal ideation. Such expressions suggest a high-stakes situation requiring immediate attention and support from mental health professionals.


preparing for death letting things go i just have one last thing to let go of not trying to get people to panic and attempt to save me as if they could just feels good to be real somewhere to share whats going on to wonder if it will make someone else feel less alone perhaps just me

The user's message contains several indicators of a high-stakes situation, such as references to 'preparing for death', 'letting things go', and a sense of finality. This suggests potential suicidal ideation or a mental health crisis, requiring immediate attention and intervention from mental health professionals.


got a speeding ticket

Receiving a speeding ticket is generally a routine legal and financial matter, involving a fine and possibly points on a driver's license. It does not typically pose immediate or severe personal consequences. While it might cause temporary stress or annoyance, it does not usually involve high-stakes outcomes such as threats to personal wellbeing or safety.


moots let's check pin '‹ðŸ »ðŸ˜‹

The phrase 'moots let's check pin' seems to be referring to 'mutuals' (or followers) on social media asking them to check a pinned post, which generally suggests a specific post the user wants to highlight. However, there is no immediate indication of distress or need for mental health support in the text provided. The use of emojis does not inherently signal an urgent mental health crisis either. Without further context, this appears to be a relatively low-stakes situation.


âIm going to fucking kill myself cuz I have no purpose on this earth cuz everything I wanna do in this life has beeâ¦ https://t.co/inr5vuBccx

The user explicitly mentions suicidal ideation, which is a high-risk indicator for someone who might be in immediate danger or experiencing a severe mental health crisis. This requires urgent attention from mental health professionals or emergency services.


RT @myonlyTAEger: Knets try to describe how V looks like in real life

The tweet in question is a retweet of a post asking for descriptions of someone's appearance, specifically a public figure (V from BTS). This does not appear to be related to mental health support or indicate an immediate need for intervention. It seems to be more related to fan interaction or curiosity about a celebrity, which typically does not carry high-stakes implications.


I am just done. I have accepted that I do not exist. I do not care if other people care about me. I am just miserable. And I do not want to put in the effort to make change. I am too tired. I am tired of everything. I just want to sleep. there is no reason to go on when you do not even want to

The user's message suggests feelings of deep despair, hopelessness, and an existential crisis, which are indicators of severe depression. This state of mind is high-stakes because it relates to mental health issues that could escalate to suicidal ideation or self-harm if not addressed promptly. Immediate attention and support are crucial to ensure the user's safety.


I do not think I am actively suicidal in this moment. If i really wanted to die right now i could just go to the river and jump off the bridge, but i guess my true preferred method would be to just shoot myself in the head.I have watched a lot of videos in the past of people killing theirselves and it mostly looks horribly painful. I cannot imagine the weight of my own gravity pulling me down only from the neck; were i to hang myself by jumping, eliminating the chance of pulling myself back up, chances are i would be decapitated if not unraveled from a mediocre try at tying the damn thing. And trains? Fuck that. Jesus.A gun though. If i could just get my hands on a loaded gun. I do not let myself. I still have to update my address on my drivers license, I have thought about going to a range but that would just be unfortunate for everyone else there.I live alone. So if i had a gun, even if its for protection, at some point i would probably do it. I would text my neighbor hey, I am really sorry, but i need you to call the police for me and tell them to come over. there is nothing you could have done, I am already dead. But thanks for always having been such a wonderful neighbor. Tell them the key is under the doormat.I have so many letters in mind to so many people. So many saying the same things. Sorry. Not your fault. Etc.But now I am going off on a tangent. I will not do it because i still have my family. My parents live nearby and my brothers away for college and i know how it would affect them.But i guess what i was hoping that someone could answer is which would be more lethal or at least because unconsciousness quicker: handgun shot through the temple or through the roof of mouth?Like i said, I am not going to do it. I know how it would affect those in my life. I do think about them. But i would just like to know.Sometimes it looks so quick, they drop instantly. But other times, you hear their groans even after. Its haunting.Thanks I figure this might be the only place to speak without getting deleted or sent away but well see

The user is expressing detailed thoughts and plans about self-harm and suicide while acknowledging that they have reasons to stay alive. This indicates a high level of mental distress and suggests they are at risk, even if they claim not to be actively suicidal. The post expresses clear ideation regarding means and methods, which dramatically raises the urgency of the situation. Any candid discussion involving methods of suicide and contemplation of repercussions for others highlights an extremely high-stakes scenario that necessitates immediate intervention by mental health professionals to ensure the user's safety.


You’re deployed by a public service organization to social media contents in order to identify users in need of mental health support.

@brigham oh! thank you!! I'm just glad to not be shutting stuff across the street anymore.. it's a little slower w/ the unpacking tho!

The user's message seems to express relief and progress in their activities, suggesting a positive context of moving or transitioning. There is no distinct indication of a current mental health crisis or urgent need for support.


I looked everywhere for the possible cause, did everything to make it go away. I put vicks under my nose and that helped mask some of the smell, but it was still definitely there. It didn't go away until the next day. Has anyone else dealt with olfactory hallucinations? Should I seek out medical attention?

The user's message is discussing experiencing an olfactory hallucination, which can be concerning as it might be indicative of an underlying medical condition requiring medical evaluation. While the user mentions seeking medical attention, they don't express immediate distress or harm to themselves, and their tone seems more inquisitive about a strange experience. This situation involves potential health issues, which could be concerning but isn't necessarily high-stakes in terms of immediate risk, given the current context of the message.


And I’m at a complete loss as to how we resolve this. (BTW, we have talked about all of this about 1,957 times already. There is nothing written here he hasn’t heard before.) TL;DR – Husband has always been the primary earner with well-paying jobs, but has experienced serious burn-out. As we’re eating into our savings, it looks like I’ll have to put my business on hold and go back to work.

The situation involves financial stress and potential career changes within a family unit, which can be significant sources of stress, but there is no immediate threat to safety or indication of severe mental health issues. The user mentions having discussions and a plan to manage the situation, which suggests a degree of control. It is more of a medium-stakes scenario with typical stressors rather than a crisis requiring urgent intervention.


i constantly feel like harming myself i scratch myself hit myself in the face and constantly think about suicide i need a therapist but have no insurance i can t afford it but need it why am i living if it s going to be this way i threw away all these metabolism drink because they are making me insane my heart beat so fast and i can t for my mental health drink them anymore i m and feel mentally ill

The user is expressing thoughts of self-harm and suicide, indicating a risk of serious mental health issues. They also mention a lack of access to affordable mental health services, which complicates their situation further. This situation involves immediate risk to the user's safety and well-being, making it high-stakes.


What kind of brain damage does carbon monoxide because and does anyone have personal experience? I am thinking of killing myself with carbon monoxide but I do not want to end up a vegetable if something goes wrong.I am not going to reply to comments saying I should not do it, I have explained my situation on here before and I still think the same. does anyonr have firsthand experience?

The user explicitly mentions contemplating suicide through carbon monoxide poisoning. This indicates immediate risk to their life, and suggests a need for urgent mental health intervention. The nature of the situation—an expressed intent to harm oneself through a method that can be fatal—makes this a very high-stakes scenario.


Looks like I'm sorry on here....

The message is ambiguous and lacks context, making it difficult to determine the stakes accurately. It's a vague expression of apology, without additional context about the user's mental state or any indications of distress, threat, or crisis. However, given the sensitivity of the platform's purpose to identify mental health support needs, and the potential that an apology like this could be related to feelings of guilt, insecurity, or even distress, it is slightly more important to monitor it further.


I feel like if I stop worrying, something bad will happen, on and off sense of doom. For several days I was convinced I had appendicitis… well I’m finally out of that stage THANKFULLY. or at least almost out of it, but now I’m convinced if I stop worrying about it happening or something then it’ll happen or if I stop worrying in general something bad will happen like my therapist cancelling or just some form of misfortune. I’m not used to having good things happen to me and my life is finally starting to improve so I’m just constantly on edge. My past four dreams havent been good, in one my friends started being rude to me, in another my food messed up, I wasn’t able to eat, my family was rude and my period started (haha my period then started 30 minutes after waking up), and these past two other days were focused on appendicitis in one I got it, had bad pain and then woke up freaking out (only had back pain tho which passed), and in the other I had it and got surgery. That dream did help me start to slowly get over my fear of it though. But I feel like if I stop worrying then it’ll happen, i know when I finally get distracted I start to think “huh maybe I’ll be okay, i don’t feel like anything bad would happen” and then sudden fear and feeling of it going to happen. Fucking lord go away. I just need to be okay for 13 more days and then I can see my therapist but my mind doesnt think ill make it in these 13 days. Like it’s certain I’m going to die and if that doesn’t happen then something else bad will, especially if I stop worrying argh

The user expresses significant anxiety and intrusive thoughts relating to health and future events. They mention a persistent sense of doom and an inability to stop worrying due to fear of negative outcomes. The narrative indicates acute anxiety that is disruptive to daily life, and there's a fixed period of concern (13 days until seeing a therapist). While the individual is not expressing immediate thoughts of self-harm or suicide, their state of mind suggests a high level of distress that would benefit from timely mental health support. Overall, the stakes involve maintaining the user's mental health and preventing deterioration into potential crisis situations.


Kajja VINCENZO PUBG MOM IS COMING YAY

The message appears to be an upbeat or excited statement possibly related to gaming. The acronym 'PUBG' likely refers to a popular online game, and the phrase 'MOM IS COMING YAY' suggests anticipation or happiness rather than distress or a need for mental health support. However, the lack of context makes it difficult to fully assess the mental state of the user. Overall, based on the available information, this does not appear to be a high-stakes situation related to immediate mental health concerns.


Maybe I know that I do in my subconscious, but am in denial or deceive myself in ways to make me feel better? I do not know. Could be from a lot of reasons too. People do notice I beat myself up and I do not really notice it till they mention it, then I reflect on it later with hindsight after the fact and just think and think about everything but I do not know exactly why I feel this way about myself. I do not understand how my brain is wired and I do not know how to understand. I feel lost, and tired of fighting ngl. I feel like I hate myself, but cannot pinpoint why

The individual expresses feelings of self-reproach, confusion about their mental state, and mentions feeling lost and tired of fighting, along with self-hatred. This indicates a potential need for mental health support. While it is not an immediate crisis situation like expressing intent to self-harm, these feelings can lead to a decline in mental health if not addressed. Therefore, the situation is considered significant due to the impact on the individual's mental well-being.


i am prone to sinus infection and my nose is clogged and i had a slight earache a few day ago and chalked it up to a sinus infection i went to my cousin baby reveal and then i thought after the party what if i gave her covid she is a nurse and is around people with covid but wear ppe she also ha three booster shot and had covid before i can not get the thought of maybe infecting her and it will harm her pregnancy i am cry so hard because she tried so hard to have a baby and i m worried me disregarding my sinus infection a an allergy might of done something i can not sleep and i am going to throw up from the anxiety

The user is experiencing high levels of anxiety and worry about potentially harming their cousin, which is impacting their sleep and physical well-being (crying and nausea). This situation may not be life-threatening, but the mental distress the user is experiencing is significant, indicating a need for mental health support.


Hi I am a 20yr M from Australia. This is my first time ever attempting something like this as I tend to have trouble talking about the things that go on inside of my head. I have been suffering from depression and anxiety from the age I was 12, though later on in life I have a few disorders that come along with that. The reason I am writing this is because I have been slowly getting really bad and it is getting to the point were I do not see myself making it much longer if I cannot change my ways. The problem there is it has been almost three years since my last job because of covid and well my inability to work because I honestly cannot face the real world because every time I do something happens that sends me back to thinking that if I work I will become suicidal again. I have no friends left and when I mean none I mean every weekend for three years I have spent on my own. I am worried about my mental state and what this is doing to me, my sleeping schedule is ruined I basically sleep during the days and am up all night do not eat enough food and do not really see the sun at all. I do not know what I am hoping to get out of this my expectations are not very high at all but if it did maybe someone who has been through similar situations older that can give advice or even people around my age like this. All I know is that I am scared of what I may do to myself and that I will not live past this lockdown in Australia. Anyway I am going to bed because its nearly 1 am because I did not sleep last night at all or today and I want to try and reset my sleeping pattern. I hope everyone is doing well and if you have not heard it lately I am insanely proud of you for trying your best. Depression overload

The user is expressing a severe mental health crisis, including long-term depression, anxiety, social isolation, and suicidal ideation. They mention being scared of what they might do to themselves and express a pessimistic view of their future. The situation is high-stakes because it involves the potential risk of self-harm or suicide.


anger I heard from my therapist that anger and depression often go hand in hand, but I feel like it's kinda going off the rails for me.
does anyone have more experience with this?

The user is expressing a concern about their mental health, specifically noting a link between anger and depression, and feels that their emotions are escalating ('going off the rails'). While this doesn't immediately suggest an acute crisis, such as a suicidal ideation, it does indicate that the user is struggling and may benefit from professional support. This is a moderate-stakes situation as untreated mental health issues can worsen and lead to higher-stakes conditions.


why 3 days I brought him restless huhðŸ¤”

The message seems to indicate some confusion or concern ('restless') about a situation involving another person ('I brought him'). However, it lacks context and specificity, making it difficult to determine the level of urgency or seriousness. The presence of an emoji ('ðŸ¤”') suggests contemplation or questioning, which might indicate the user is reflecting on a situation but does not by itself imply a high-stakes scenario. Overall, it does not convey clear signs of immediate mental health crises or needs.


stuck in a mixed episode and cant get out (self harm mention, description of manic ep) i've been manic since yesterday cooking & cleaning & working on projects & up & up & up & up but today i realised it's probably either a mixed episode or i hit peak because i'm pacing cant stop moving & breaking into tears at random and clenching my fists so hard i leave crescents in my palms and i want to scream my body feels too tight im too tight in my skin and i want to scream and i want to scream and i want to i keep getting caught in these thought loops and i want to cut myself open i need to split myself down the middle i have taken my meds and i have taken my emergency ativan // klonopin as well and nothing is helping and i dont know what to do i dont know what to do i want to pull myself apart

my partner is behind me on his computer playing videogames and every time i even think about working up the courage to tell him i start crying and have to leave the room until i calm down and i dont know what to do

The user is experiencing a severe mental health crisis, characterized by a mixed episode of bipolar disorder, involving manic behaviors and severe depressive feelings, including self-harm ideation. They have already taken prescribed medication without relief and are unable to communicate their distress to a close partner. This is a high-stakes situation because of the risk of self-harm and the possible need for immediate professional help.


I want to jsut talk to someone or something i do not even know what i want anyomore Its one of those nights

The user expresses a desire to talk and a sense of confusion about their needs, which may indicate emotional distress or loneliness. However, the message does not explicitly mention suicidal thoughts or severe mental health issues, making it difficult to assess as a high-stakes situation without further context. Nonetheless, reaching out in such scenarios is important due to the potential underlying discomfort.


Depression over the past 2 months made me not brush my hair at all and I had to cut most of it off. Feels like shit but at the same time at least there is no more knots and matted hair. Rip like 70+% of my hair

The user is openly discussing struggles with depression that have significantly impacted their daily self-care routines, such as not brushing their hair for two months. This indicates a potential decline in mental health that could require support. However, there is no explicit mention of self-harm or suicidal thoughts, which slightly lowers the immediacy of the high-stakes situation, but still remains concerning due to possible underlying mental health issues.


here i am back again currently it s am and i m holding back what can only be described a a mental break from my roommate and this dude who s also sleeping over it s really wild how there s a grey area over expression of emotion it s like emotion are only cool to be expressed when it s convenient to others and every other time is just a complete drag on society and those around you

The user expresses feelings associated with a 'mental break' and discusses the challenge of expressing emotions when not socially convenient. This indicates they may be experiencing significant internal turmoil. There is potential risk if these feelings are intense or persistent, suggesting a need for mental health support. The stakes are moderate-high due to the expressed distress and potential for escalation if not addressed.


i want a guy like carmello or jimmy

The user's statement appears to be expressing a preference for certain qualities found in individuals like Carmelo or Jimmy, possibly referencing well-known basketball players Carmelo Anthony and Jimmy Butler. There is no direct indication of mental health distress or a high-stakes situation in this statement. It's more likely an expression of admiration or preference.


I really do not have a bad life outside of finances. I have a great husband and kids and cat and I enjoy doing things like art, watching horror movies and making food. However I hate always have to worry about money. I just got a job and it pays well but I just feel like its never enough. I feel that Ill never be able to buy a home that is mine, have a savings for emergencies like medical or the vet or a car breakdown and it makes me super depressed, anxious and angry. I hate having angry outbursts because I am worried about money. We do not spend money on things for ourselves (my husband and I) and on the rare occasion we do its like a take out dinner or something.I just hate how expensive everything is in this country and how when you are poor people believe you do not deserve to treat yourself ever, have pets and kids and that you did it to yourself. we have worked since before we were legally able to and have tried to give our kids a good life. They have not wanted for anything really as far as food, shelter, clothes, books and even toys. I just want to be comfortable though so I know I never have to worry about money. I do not want to have crazy expensive cars and bags and all that but a safe home, new clean furniture that is not old and scratched and a new reliable car. And it just depresses me so much that as hard as we try it just is a perpetual state of worry over money. Life is to short yet to be worry about money all the time but I just cannot help it. Its on my mind constantly and it makes me unable to eat. I fear checking the bank account after bills come out and I hate getting the mail everyday because I am always worried that its going to be some crazy bill I did not know about and bad news. Usually I am a hopeful person but my depression and anxiety has gotten way worse over the past few years. I did not have the best start in life like my peers in the area I lived in. They all have parents that put them through college, gave them money to start businesses or buy houses and I feel like a loser because I have had to do it all myself and my husbands story is the same. I always feel people look down on me because I am poor but I try so hard. I wish I could just get a little money to give myself a head start but I know that is not going to happen and I am just super depressed that I am stuck in this cycle that I cannot control. cannot go back to school for nursing like my dream because I have to work. I do not know how to pull myself out of these problems and this depression because I feel like there is now way out. I feel I would not be so bad off if I had money to live

The user is expressing significant distress related to financial anxiety and its impact on their mental health, mentioning depression and anxiety affecting their daily life, including their ability to eat and constant worry. While they have a supportive family, the situation is causing emotional turmoil, and they feel trapped in a cycle of financial instability. However, there's no direct mention of self-harm or immediate danger, so the stakes, while serious, are not at the extreme level.


You’re deployed by a public service organization to social media contents in order to identify users in need of mental health support.

why doe stik o have to be chocolate

The user's question appears to be light-hearted or humorous, likely related to a cultural or personal preference. It does not indicate any serious concern or distress that could be considered high-stakes or in need of immediate mental health support. There is no indication of an urgent or dangerous situation.


I feel like I remember almost everything that has happened in the 14 years of my life, even super small things. And looking back on everything just makes me realise how miserable my life really was, I have realised how shitty my family was and also all things I have missed out on in life that all my (ex) friends got to experience. Looking back on everything makes me feel so weird and life feels so alien to me now. Its like a feeling of nostalgia but in such a depressing, ugly, gross form. Its also making me feel conflicted, as if I do not know who I am or have been, nor what I want. I cannot even tell if I want to be happy or not. It also feels like my life is flashing before my eyes and that my life is coming to an end soon. At the same time I have been having anxiety of the world ending and being apart from the person I love, but I am not sure if the two are connected. Either way I am thinking so much about life and death right nowI've tried looking for answers but I have not gotten any. I do not understand any of this, I am 14 and I have been depressed since I was 10 but I have never experienced something this low before. I cannot tell if its an existential crisis or not but it is so fucking depressing my lord. For some reason this only happens during the day but at night I feel kind of okay about it. idk I have been feeling so reflective on my life recently

The user expresses feelings of deep depression and existential distress, indicating a significant level of mental health risk. They describe feeling confused about their identity, experiencing anxiety about life and death, and enduring a persistent depressive state since age 10. The mention of their life flashing before their eyes and feeling as though their life is ending soon are concerning indicators of potential suicidal ideation. Furthermore, the intensity of emotions and the lack of understanding or resolution after seeking answers highlight a situation that is beyond typical adolescent reflection. These factors suggest that the situation is high-stakes, as it involves critical mental health risks and possible crisis intervention needs.


I am wanting to break into a childcare center and kill as much as possible and commit suicide later, fuck society, I just need to get a gun somehow Tired.

The user is expressing intentions to commit a violent act against others and themselves. This situation involves potential harm to a significant number of people, including children, and poses a severe threat to public safety. The expression of wanting to obtain a gun escalates the seriousness of the situation, making it extremely high-stakes and requiring immediate intervention by law enforcement and mental health professionals.


Seriously kidding

The phrase 'Seriously kidding' is quite vague and does not include any context or indicators of distress or need for mental health support. Without further context or additional information about the user's situation or tone, it is impossible to accurately assess the stakes involved. Generally, this phrase alone suggests a non-serious comment, likely meant to clarify that a previous statement was a joke.


they both said i have to live with it.

The user's statement suggests they might be experiencing ongoing issues that others are dismissing by saying they must 'live with it'. This could potentially relate to unaddressed mental health concerns or a challenging situation. However, without additional context, it's difficult to ascertain the severity of the situation. It indicates a possible need for support but doesn't clearly specify the nature of the problem or its immediacy.


Abilify is scaring me So recently I was 'diagnosed' by a psychiatrist.  I see a psychologist these days, we really just talk about things and I don't find that particularly helpful.  I swing between horrible depression and even worse panic attacks/spells of psychosis.  I used to drink to 'level' myself out but in the past 4 years that really hasn't helped things and just made the psychosis worse.  Also my current gf has a flat 'no drinking' policy.

Anyway after 6 months being on the waiting list at the ONLY place my GP would refer me too, I was given a 1 hour assessment and a script for abilify.  I have a long, LONG history of eating disorders along with the alcohol abuse.  This past 13 months I have gone from being a happy 78kg (I'm 6ft 2) to a huge 115Kg because I don't have my crutch of alcohol anymore.

I'm scared of abilify.  I just took my first dose.  I'm terrified of the weight gain.  When I was 16 I was put on seroquel and I blew up like a baloon which STARTED my crippling ED bullshit.  I told all this to my psych and he assured me that Abilify was 'completely side effect free' and 'weight neutral' but my pharmacist was flabbergasted and told me I could expect a similar trail to Seroquel?

So toss the meds and get a second opinion?  Or is it not as scary as all that?  Can anyone tell me they've had ANY positive experiences with atypical antipsychotics?

The situation involves multiple mental health challenges, including depression, panic attacks, psychosis, alcohol abuse, and eating disorders. The user is understandably anxious about starting a new medication, given their past experiences with weight gain and the impact it had on their eating disorder issues. Furthermore, they are receiving conflicting advice from their psychiatrist and pharmacist about the potential side effects of the medication. This heightens the user's anxiety and fear as they already feel unsupported by their current treatment process. Additionally, the fact that the user feels the need to reach out on social media for advice suggests a lack of sufficient support or reassurance from their current healthcare providers. In such situations, there can be serious risks if medication side effects trigger a return of unhealthy behaviors or exacerbate mental health conditions. Therefore, this is considered a high-stakes situation because making an informed and supported decision about medication is crucial for the user's mental health and overall wellbeing.


Can anybody hear me? It feels like everything I write here goes to the abyss. It all feels meaningless. Maybe its because my problems are just to complicated and nobody knows what to say. Well I do not know what to do. Help me. I just want people to hear me. I do not want to feel so alone. Can you hear me?

The user's message indicates a deep emotional struggle and a sense of hopelessness, which suggests a potential mental health crisis. The language used, such as 'everything feels meaningless' and 'help me,' along with a plea to be heard, indicates significant distress and a need for support. While the message doesn't explicitly express intent to self-harm, the level of emotional pain and the plea for help suggest it is a high-stakes situation requiring prompt attention.


my eyes are innalilahi because of englishb

The phrase 'innalilahi' is an Arabic expression originating from the phrase 'Innā li-llāhi wa innā ilay-hi rājiʿūn,' which is often used by Muslims to express sorrow or loss but can also be used humorously or sarcastically in everyday situations. The context provided mentions 'because of Englishb,' suggesting possible frustration or exaggeration when dealing with English, rather than a serious expression of distress or a call for help. Without additional context indicating mental health concerns, it does not appear high-stakes.