Dear Sam,

You may be feeling sadness and anxiety because your birthday is a reminder that another year has passed without the improvement you want and need so badly

Other people may think you are "fine" because our outsides don't always match our insides. Over time I've learned how to hide what's going on internally very well (most of the time) so I don't upset other people and I can fit in better. I hope you have someone you can talk to so that you have an outlet, and are not always keeping your feelings inside.

I'm so sorry that you are feeling more sadness and anxiety lately

We are always happy to hear from you Sam, and look forward to hearing updates. Please don't doubt that we care because we do

In addition to the people who reply to you, there are many people who read on the forum, but don't post. Many are likely following your thread with interest even though they don't reply.

Take care Sam, and let us know how you are doing
Kay