Well it sounds like you certainly are struggling with a lot of mental health issues, and could have multiple disorders. If you've been through a lot, that could certainly be a contributing factor to what you're experiencing, some could have to do with genetics. Typically its a combination of biological, social and environmental factors that cause mental issues. It also sounds like your family is not very supportive...meaning you've probably been trying to cope with it all on your own which can cause a lot of stress. Also a lot of times ones condition can get worse...so if you were dissassociating when you were younger and haven't been getting any help it would certainly make sense that would still happen at the age of 23.

It would probably be a good idea to talk to a mental health professional who can diagnose about those issues and then maybe look into therapy and sometimes medications can help some things....though I haven't had much luck with that.

My issues make me feel crazy, but that is a somewhat vague term...but some people find it offensive in reference to mental illness, I really don't same with the term insane...unless someone is trying to use it in a derogatory manner at me then I wouldn't like it but generally those terms don't offend me.