My mixed episode turned into a severe depressive episode, also with a lot of anxiety.

I haven't showered in a week. I am going to tomorrow only because I have an MRI and I don't want them to get upset with me for being dirty. If not I'd probably push it off even longer. I can go to the gym just fine but showering is a nightmare and I don't know why. I never have issues showering when I'm depressed.

I've been self harming regularly, almost daily. It's nothing severe...