my skin constantly feels dirty

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my skin constantly feels dirty
Sapphire basically moved in with me. She made sure I was eating and taking care of myself.
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REALLY getting sick of college...
One computer science teacher over-weighs point value on his tests to the point that missing more than 2-3 questions on a exam means an F, another does nothing but recite dully from the texts and make us do overcomplicated scenario simulations using a program that automates so much that it doesn’t do much at all for training/retaining info that’s actually useful on real equipment...
My only high-scoring class is the non-technical one... but it’s Speech class, combining organized writing and public speaking, two things than send my anxiety skyward.
But I cannot drop out or shift majors, too much money and time has been invested to do either...
I just wish I could escape everything.
Psoriasis and depression suck majorly... both my body and mind hate me.
The only thing that seems to affect my psoriasis is weekly Enbrel injections (not fun due to my squeamishness over needles/pain), yet even then I still have persistently stubborn patches on the bridge of my nose and behind my ears, due to my glasses constantly rubbing there... so even though the rest of me is cleared up, I still itch and flake all over my shirts half the time.
And if that’s not annoying enough, the stuff I take for my depression, Lexapro, while it works excellently as a mood balancer, it screws with my ability to fall asleep easily (meaning I’m often tired and fatigued) and worse yet, fucks with my sexual function, such that I get aroused at damn near any stray thoughts like I was a newly pubescent teenager, yet inhibits my ability to actually reach orgasm to a staggering degree... nothing is quite so aggravating as having to stop masturbating after a half-hour not because of exhaustion from multiple orgasms, but because my wrist is cramping, my elbow aches, and my blood pressure and pulse are so high I fear I’ll have a stroke of an entirely different sort if I keep up the strokes I’m already doing.