( Mika isn't going to take a stab at the specific cause since that's already covered, but instead: )

It doesn't matter. You tell someone these things, even if it's small. If it ends up being bigger than you thought - like now - no one's gonna know to help.

( nag nag nag )

I don't care if you hate yourself and think you deserve everything bad that ever happens. You need to think about other people, too. All of us are working with you and we need you to be functional for that. If you don't want people helping you for yourself, at least let us help you for us.

( Otherwise, you're just flat-out selfish! )