Why am I so pathetic?

[Tobin S.]

8. Intense social anxiety and depression could be signs of psychosis.

Also, don't get psychosis and psychopathy confused. Psychosis, simply defined, is being out of touch with reality. Psychopathy, simply defined, is a lack of conscience. Psychopaths are closely attuned to reality, maybe even more so than their empathic prey. People suffering from psychosis can be dangerous, but they mostly just have trouble distinguishing what's real.

Intense depression and social anxiety were aspects of my illness. They were dealt with nicely and immediately with the introduction of an anti-psychotic at a strong level. I also had other indications that I was suffering from psychosis, though. I was hearing things that weren't there. I would go into states where I would be so absorbed in my thoughts that I would become almost oblivious to the outside world. I was paranoid.

I'm not saying you are suffering from psychosis. I have no way of knowing. But if any of that stuff rings a bell, you should definitely bring it up with your doctor.