question

Genuine, serious, and earnest. How do I know if any actions I've done or words I've spoken either in real life or the Internet are signs of a real problem or if everything just exists in my head? I'd rather not explain EVERYTHING, but how do I know if I'm just looking to garner sympathy, pity, or attention, and there's nothing really wrong with me? How do I know if my thoughts and feelings are fake and that I'm just being immature, selfish, egotistical, narcissistic, insensitive, self-absorbed, conceited, supercilious, holier-than-thou, sanctimonious, preachy, or any other flaw one could think of? Is it possible that even if you... say...get medications, go to an outpatient program, move out of a certain household, go to the hospital, be confronted by the police, go on medical leave from school, block some phone numbers, and any other thing you could think of (some of this stuff is true in my case,  is hypothetical stuff I've just been thinking of) Please be as brutally honest as possible, since a lot depends on it. I know some would say to seek a therapist, but if everything about me is fake then I do not really see why I deserve or need one anymore.