My anxious thoughts and my fears will think:
Dear alpaca,
sometimes you seem like a child, you are too anxious, you can't cope with your emotions to the point you cutted yourself, sometimes you make me anxious because I never seen a case like yours before, so full of problems. I don't know if you can do this and recover, I don't know if you can become a social worker, you are so full of problems and too anxious to work in a place like that! I don't like you, and so I cancelled our session on purpose, because I didn't want to see you and to be bothered by you. I'm too gentle to tell you this in person, but I don't want you there.

The realistic version will be:
Dear alpaca,
I'm proud of you, you faced difficult things but now you seem to be able to be resilient, even when you face relapses, you are able to use your coping skills. I'm sure you can do it and face your anxieties.