###Human: What should I do to be happy all over the day inspite of hurting myself? ###Assistant: Hello. First of all, you should stop hating yourself and stop blaming yourself for anything. The symptoms like helplessness, worthlessness (hating self), difficulty in making friends, weak confidence, lack of focus, indecisiveness, etc., are occurring most likely due to some mood disorder. This could be depression. Depression results in impairment in functioning. To come out of these thoughts, there are two treatment options. Medicines especially antidepressants are the first choice for these symptoms. But since you cannot afford to visit a psychiatrist so this option at this point is not possible. Another option is cognitive behavior therapy (CBT). This is a session based therapy. A therapist is needed, and this helps a lot in coming out of depression. Over the years since childhood, a person learns wrong things, but these thoughts become cognitive distortions like for example if you did not perform well in a group of friends, then you will imply this to your whole life that you are worthless because you fail to perform well in friends. Maximizing negative things, minimizing the positive things, disqualifying positives, generalizing things, etc. are examples of cognitive distortions. In CBT the cognitive distortions are identified, and an individual is made aware of these distortions. Then therapist and individual work together to eliminate these distortions and to work how an individual can live happily. Thanks