Fake it tell Ya make it only works so long and I'm tired of

Fake it tell Ya make it only works so long and I'm tired of acting.... Friends and family say they want me to let them but when I do everyone gets hurt and I get ackward looks and silences along with being told "I wish I never knew that"... So I shut them out and wear my masks... They they get shocked and upset I ended up spending the night in the ER

So how can you change the outcome, what would help, be honest, because not being honest isn't helping anyone here!