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Hopeless
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hi and welcome to beyond blue.
firstly, you said you have had several low point in your life and you today you decided to write here and share a little of your story. I am glad (if that is possible) you were able to write here, perhaps as a way of putting your thoughts of paper, getting them out of your head and I hope was able to get a little relief. Though now wondering what sort of replies you might get.
I also want to acknowledge the help you give your family. You said that you spend all your time helping your sister and her son. I guess that also means you do not allow yourself to have any time to yourself? Even when you support someone else, there also needs to be time for you to be able to recharge. Web pages on the beyond blue web site talk this
https://www.beyondblue.org.au/the-facts/supporting-someone
And when there are some many things to "fix" it can be hard to know where to start also, so can be difficult to - "do something about it". Perhaps if you were able to imagine (and write here?) the future you would hope for when all the issues were no longer problems, there can be possibilities in how to get from point A to point B. What would that look like?
Jumping into a space of uncertainty is hard. It might also open up possibilities. A new path or journey waiting.
Listening to you,
Tim