Patient: I’m a 17 year old girl. For years I have been dealing with my emotions strangely. When I was 12, I was self concious and went through a sage of anorexia. I have since then recovered and rarely use those means to deal with my emotions. I do however, go back and forth with self mutilation. As of recently, I am finding it hard to accept myself. My parents rarely want to speak about serious subjects and so I am left to my own thoughts. They expect me to excel at school but I am struggling. I can’t do anything right. I can’t control anything. I hate nearly everyone around me. I can’t stand the people and teachers at school. I do plan to see a doctor, I have not spoke about my mental health since I was 12 and feel uneasy, especially since my doctor retired and I feel uncomfortable speaking face to face with a new doctor. I just want to stop the way I think and the way I feel and have any insight as to what is going on in my mind. Cutting helps get over emotional breakdowns but I later regret it, despite the fact I know I will do it again. I also started burning. I haven’t told anyone as I don’t want people to treat me differently either. Any advice would be greatly appreciated as I don’t want to keep feeling this way and doing this stuff to myself, while at the same time I don’t want to be treated like an alien. Thank you for your time I really do appreciate this.