Dysphoria with responsibilities

I keep having waves of severe dysphoria every few days but I feel like I can't talk about it or even do anything to help it because of my situation. I always have so many people looking at me, my wife, my parents, my friends. I'm afraid to lose them, I'm afraid they'll look at me differently, I'm afraid of making their lives any more difficult than they already are. I feel like such a burden most days. In order for me to be comfortable and happy I would have to be selfish and become a burden to all the people I care about.
I hate myself for being this way.