Hugs,
Stress, skipping meals, not sleeping enough and constant disphoria added to the last straw I experianced. When the pain was constant and unstoppable then I had to make choices.
If you feel desperate to stop the pain get to an emergency room or do and intake.
I normally get 4-5 hours of sleep a night and catch up on the weekend. When I had an issue December 2013 I had very little sleep for weeks with some nights with no sleep. I felt I could not go on. Well, what I found out was I could go on but not denying who I am.
The good news is I did an intake, got a therapist and found Susan's.