Thank you guys. I appreciate all your responses. I know I probably should be talking with someone. It's hard when I have periods of feeling fine, then a few days of feeling bad. I just get absolutely physically ill when I've come anywhere close to making an appointment. Then all the logistics to deal with - talking to a receptionist, dealing with insurance, coming up with a time, etc. stresses me out and....stress makes me want to cut. Then I have the habit of going completely silent when I'm overwhelmed or feeling vulnerable. It just feels impossible. I'll keep thinking about it. Thanks.