Lots of things.
General incompetence and uselessness. I can't really take good care of myself, I almost always need help from others in some form or another, I can't work, I'm terrible at everything I do despite my efforts, and so on. I can't handle basic tasks or any of the responsibilities of life.
Extreme social anxiety. I'm terrified of other people and having to interact with them, and it's too much for me to handle. Anything social at all is too much for me really. I have no social skills and ruin any relationship I have with anyone. I'm terrible. And my social anxiety extends to just being terrified of the outside world in general. I am quite honestly way too scared to go out by myself. I always feel so out of place and lost. It's too stressful. And I've had really scary experiences in the past like being harrased late at night by someone who very clearly was on too many hard drugs. I think the only reason nothing too bad happened then is because my boyfriend was with me and he got that guy to focus on him instead. I was so scared. Shit like that is why I don't want to go out alone anymore.
Chronic pain and nasuea. It has really worn me down over the years and knowing it'll never go away really gets to me.
Gender dysphoria and unrealistic transition goals that I am unfortunately too attached to to separate myself from. This stuff brings me so much pain every day and it's been like this for years now. I can't take it anymore. It hurts so much.
Depression and anxiety. I'm always scared, paranoid, and on the verge of a panic attack. I hate it. And I'm always so negative and can't control my emotions well, and get in my own head too much. I'm just an awful and toxic person to be around because of it. I hate it and wish I could change it. But I can't.
Life has nothing to offer me and I hate everything about it. Like, even the most basic things. I hate eating and can only sometimes barely force myself to do it. It's near impossible for me to get any sleep and I hate it. I hate being able to feel because something is always wrong with my body. I hate having emotions. I hate being able to think. I don't want any of it. And on top of that, I don't have anything I want to do with my life. Nothing interests me. There's no point in living. I have no goals to work towards. Nothing to live for. No reason to keep going.
Past traumas that still get to me. Parents did a lot of shit to me growing up and the effects of that aren't going away. I was also raped as a kid. So both of those things still hurt me a lot. And I tend to suddenly cry and break down fairly often during sex because of those memories getting triggered, which is so embarrassing and pathetic. Just feels awful. Makes me hate myself more. Can't enjoy anything without things like that creeping back in somehow.
I'm just so sick of all of this. I can't take it anymore. I can't. Everyday that I wake up is hell. Each day I continue to live is just a mistake because all that does is cause me to suffer more. I want to die. I really want to die. I want to escape all of this.