First CBT session

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I have my first CBT session today but I am so scared about it, unlike I have been scared of a medical/mental health thing for some time. I want to try and get better, I wish I could be normal or see myself as normal but it is so difficult for me because of how ingrained my beliefs and self hatred are.

I’m scared about making it there ok. It’s a long way and I can’t remember exactly where I need to get off the bus and I keep thinking I’m going to get lost and be late and start panicking like I do when I’m in that situation. My nerves are already shot, I keep crying and can’t seem to stop. Maybe it’s partly down to the venlafaxine withdrawal; my psychiatrist told me to drop down to 150mg this week and 75 next week and then stop altogether. I’m not sure about his schedule, it seems rather abrupt especially if it is having this much effect on me already.

Mostly I am sad because I fear I have lost a friend though. I don’t know if I can repair the massive damage I have done by being so foolish and I’m hurting so badly even though it was my fault. I’ve never lost a friend who I actually cared about before, I was glad to be rid of the people who were supposedly “friends” at school, but I have never felt like this before. I’m struggling to write this without making it into a guilt trip. I really don’t deserve forgiveness but because I am so childish and socially undeveloped I don’t think I can cope with the consequences of my actions.

I hope I can make it there alright and be able to show them the things I have written, otherwise it is going to be extremely hard to explain how I feel and it seems to me like this CBT is my last shot at the start of a solution and I am desperate.

I never want to feel so suicidal as I did over the weekend again but at the moment I can’t tell when it will happen again. It has begun to make other people’s lives worse and that is too much. I can’t let that happen, I need to try and overcome this but I don’t know if I have the strength to do it.