If 18 year old you knew what you know now...

Sexually: Thankfully, my husband was accepting, but a much younger self was for several years was fearful of sharing up front with a man my bisexual nature. This did cost me a very painful breakup with the man I was with before meeting my husband. I have found being honest with one's spouse sexually can be beneficial up front. Even if not, at least one spares themself wasted time as I did.

Non-sexual: Avoid debt as much as possible. Use money wisely and not foolishly. Thankfully we worked our way out of unnecessary debt early on, did not live above our means, saved and invested. In our non-sexual times we worked hard, and were able to comfortably retire in our early fifties, working only when we want to.
 
You know what, I was still a virgin at 18 and would not change anything till early 20s.

If I knew what I know now, I would have a better chance of forming a working relationship with a Pediatric nurse. My only regret in life, the one who got away.
 
That I had my entire life in front of me but that I didn't have to plan every minute of it right then. To take the year off and learn how to "live" before heading to college. That yes there would be things that I would regret doing but there would also be things I would regret not doing and that I needed to consider both before doing something. To NOT take the trip to New York because that definitely was a regret. When she asks you to go out for a movie, say yes because you will spend years wondering what if.
 
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