So much has happened to you in the past several years that I'm not surprised you are in this state. Were I you, I seriously doubt I'd be doing any better.
I believe you will need some kind of practical assistance to get to any type of a better place. The state mental health system has "dismissed" you. Have you told your story to anyone else reachable through
2-1-1 (United Way / AIRS)?
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My dog

mastered the "fetch" command. He would communicate he wanted something, and I would fetch it.