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Recently I've been struggling a lot with anxiety (mostly affects school) that has been partially created by my mother who is very firm on the "get stuff done" front (my anxiety makes it difficult for me to get stuff done). i right now have a ton of scholarship forms to fill out and i need to get a transcript and a recommendation from my guidance counselor and/or a teacher and i need them by tuesday (today is sunday) which is probably not going to happen but i don't know how to tell my mother that i can't do all of these scholarships because she has been asking me to get them for a while but i've been so preoccupied with school and my many activities and also trying to figure out how to tell my mom that I have anxiety that i just haven't gotten around to it until now and i didn't know that they were due this wednesday and so now i'm screwed and i have no clue what to do. i know this doesn't seem like a major major issue but i'm honestly really anxious and scared right now and i don't know what to do.

[possibly graphic, possibly trigger] I started cutting myself a few weeks ago. I'm a 24 yo male in my first year of med school. I've never been able to have a girlfriend or anything like that despite trying. I tried the online sites but failed again. I guess I cut to punish myself because I feel unworthy of love or romantic relationships. I have no problem making friends (although no I really don't hang out with people anymore) but I could never seem to find someone with mutual attraction. I'm in relatively good shape physically (so people say) but I still feel repulsive, maybe it's my face or something I don't know. I'm kind of worried because each time I cut it seems to get easier to do it. I know Dr. Dombeck said in his experience 100% of people who self-injure have survived significant abuse but I haven't. My psychiatrist thought I had PTSD like symptoms but no, I have nothing I can blame my inadequacy on but myself. I cut worse to punish myself when I have a fantasy that I could actually be in a relationship with a girl I actually like as though to remind myself what a piece of S I really am. Everyone says it's no big deal but my personality is changing as I'm becoming more reserved, withdrawn, yet more prone to outbursts. I started taking Zoloft last week but the cutting hasn't stopped. I'm ashamed to tell that to anyone in real life, I don't cut for attention I do it to punish. I am not suicidal right now but I worry if I fail out of med school I will be. School is the only thing holding me up anymore but I'm not doing well academically right now which frightens me. I just don't know what to do anymore.