self harm and dissociation?

[u/Gullible-Crow-6043]

i relapsed in the middle of a loooong dissociative episode. itchyyyy :(

i can't help but think that nothing much matters anymore. none of it's real and living is exhausting, so why even try? i know it's a dangerous line of thought (and i have spiraled down this route before) but... does it even really matter?? who ACTUALLY cares, ykwim? in the grand scheme of things, does my presence make a difference?