Jaq, I'm sorry but I've gotta say this and I know you'll hate it and most probably take it the wrong way.

You say you're sick of things being the same way, but since the last time you said that what have you done to fight back? I'm pretty much aware of the big issues which trouble you and appreciate the difficulties of changing those situations but on a daily basis to deal with things I'm pretty sure you could battle a bit harder. Other than medical appointments how often do you leave the house? You have become so isolated and it makes me sad to think of you being so alone. I would love to see you push the boundaries and get out more. I know you care for your mum but there is no reason why you can't take an hour of your day to get out and about instead of hiding in your room.