Late Night Note

I have been going through old papers.  I came upon two pieces of  my writing that my mother gave me..

The first was a snippet of a piece of paper stating:

"I am smart. I like me"

The second was a note to my mother:

" I need help.  Can you make a doctor's appointment? I think I am in a depression. I can not discuss it
with you"

While I praised myself for asking for help..the note was from upper grade school years..I wondered
what may have happened between the two expressions of disposition