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I still remember the day I had a nervous breakdown. A real one. Kind of a ridiculous and horrible story. Anyways, how does this tie into your question? I'll tell you. I was 23 and when I snapped out of it, I didn't give a fuck what anyone else thought. Literally, to this day, I don't give one single damn what anybody thinks of me. The whole fucking world could hate me and as long as they stayed the fuck out of my way, I would be completely unfazed.
This level of "dontgiveafuckedness" helps with confidence.
i had a similar event lead to the "dontgiveafuckedness" state. i came to vomitting my guts up into a squatter (the squat toilets in asian countries) that had a massive turd in it. i was naked, my mate cradling my head so i didnt go face first into the shit and i had an iv bag in my arm. before that i vaguely remember lying in the shower with people checking my carotid pulse (the one in the neck) regularly and asking if i was still alive.
after pretty much the whole company (army) saw me naked and probably in the worst state id ever be in, i kinda didnt worry anymore about what anyone thought when i did things because i knew i would never look as bad as i did that time.
lesson learnt, dont do endless shots malaysian rice wine that they buy in 4L plastic bags of the side of the road