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Sunday, March 8, 2009

Cutting and Self-Injury

By John M. Grohol, Psy.D.

January 5, 2009

This entry may be triggering or difficult to read for some people.

Self-injury behavior is something that is more common than many people realize. (In one study by researchers at Brown University of high school students, 46 percent had injured themselves in the past year on multiple occasions.) It is often misunderstood, not just by the lay public, but also by the mental health professionals who ostensibly should know what self-injury it is and how best to treat it.

Self-injury is used by people as over-drinking is used by others — to drown out emotional pain with something else. In the case of self-injury, that something else is physical pain. It focuses your attention and takes your mind off of your emotional pain, if only for a little while.

Cutting is the most common form of self-injury — making skin-deep cuts on one’s arms, wrists, or less noticeable areas on one’s body. The cuts are not meant to cause permanent damage or harm, nor are they meant as a suicidal gesture. The cuts are the means to an end themselves — they provide a source of immediate but non-serious physical pain (as long as they are allowed to heal cleanly). Other forms of self-injury include burning, or keeping old wounds open or inviting infection in them to keep them painful.

The people with the most severe self-injury behavior often can think of little else as they go through their day — it becomes something more than just a way to deal with emotional pain, it becomes its own obsession, as it did with Becki, a person who self-injured and is profiled in an article that appeared online in Newsweek last week:

Becki describes it as an obsessive battle, and one she often lost. At her worst, she says she spent every hour living and breathing self-injury. She dreamed about it. She’d think about it at school. She bought every book published on it. She searched for self-injury Websites, and compiled what she found into a 13-page Website of her own. “I was cutting 10-plus times a day, and still, if I didn’t do it, I would feel like I was missing something,” she says.

Newsweek’s article is a fairly good read on self-injury and self-harm, describing what self-injury is, using Becki as a case study, and brings us up-to-date on treatment options and the latest research into self-injury. If nothing else, it helps bring this behavior out into the open more, helping people understand that it is not something that one should be ashamed of and that it can be treated.

As the article notes, self-injury isn’t recognized as a mental disorder by itself. But that doesn’t mean it can’t be treated. Treatment usually is done through psychotherapy, and focuses on helping the person identify their own triggers for self-injurious behavior, and find alternative methods for helping them deal with the emotional pain in their life.

Read the full article: Why She Cuts (Potentially Triggering)

Friday, March 6, 2009

What Depression Feels Like


The following is a description of how I feel when I'm going through a depressed period. It is not how I feel most of the time.

Useless: When I get depressed, I feel useless. I have this feeling that everything I've ever done is worthless, and that anything I'll ever do will be equally worthless. I feel like nothing I do matters. When I do try to accomplish something, I feel like it isn't good enough no matter how hard I work on it. Even worse, I feel like everybody is aware of my failure, and I feel incredibly guilty for being a failure. I look at my lazy housekeeping and feel like a failure as a homemaker. I mentally replay all of the mistakes I've made with my kids, and I feel like a failure as a mother. I look at my body and feel like a failure as a wife because I'm not as attractive as I'd like to be. My self-esteem plummets, and I feel like a burden on my poor husband.

Tired: When I get depressed, I'm too tired to do anything. Everything feels like an overwhelming task, even getting dressed or brushing my teeth. If somebody tries to convince me to do anything, I feel guilty for not wanting to comply and resentful at the idea that they would ask me to do anything when I'm feeling so tired. Along with my physical fatigue I feel mentally fatigued. I have to force myself to do everything I do.

Irrational: When I get depressed, I have a hard time thinking. Problem solving is difficult, even for little things like adding two numbers or figuring out which tool to use to complete a task. I react to situation emotionally rather than logically, so I end up making mistakes I regret. I lose my temper with my kids and pets when they don't follow the family rules, and I start yelling at them rather than logically disciplining them. In extreme cases of depression, I may even think about running away or suicide even though I don't plan on doing either.

Unsocial: When I get depressed, I don't want to socialize even though I realize that it probably would be good for me to get around other people and lift my spirits.

Stuck: When I get depressed, I feel like I'm trapped, stuck in this pit of worthlessness. While I'm trapped, I feel like life is passing me by. I sometimes think that things will never get better.

Source

Friday, February 20, 2009

Friday Readers Story

Dear Abbey,


Wow, from the little entry it started as, well, it's grown.


I think that you are an amazing being, just from the wisdom that you share, the advice that you offer and the fact that you care. Something, in this day and age is rare. As a "cutter" of 6 years myself, I can empathasise with so many of these people.

It's hard, recently things have been getting worse, but my biggest help and safety is my partner. He will encorage me to talk it all through, even if I don't want to, my god, is he determined.

But I didn't comment to talk about me, I just wanted to say thank you Abbey, for giving some people a place to voice their thoughts, feelings and emotions without fear. Just providing a safe place.

As posted by "tiarra" earlier"Just Listen, Listen with not just your ears, Listen with your eyes, your mind, your emotions but most importantly LISTEN WITH YOUR HEART to the silent cries of those who need you the most."



Love SR



Posted April 4, 2008

Thursday, February 19, 2009

Self Harm & Suicide



  • The relationship between self-harm and suicide is complex. Most commonly the motivation for self-harming behaviour is to cope with, or to gain a sense of relief from painful emotions and distressing personal experiences, not to result in death.

  • Any action that is deliberately intended to cause death is best regarded as a suicide attempt.vii Any deliberate attempt on one’s life that results in death is best understood to be a suicide.

  • Since most self-harm experts agree that self-harm and suicide are distinct and separate acts, some have suggested that self-harm should be established as an independent clinical syndromeviii.

  • According to published research, more than half of individuals who self-harm do not have suicidal thoughts at the time of self-harm and self-harm has been described as a way to avoid suicideix. In one studyx a participant reported that her self-harming behaviours helped her to feel more ‘in control’ whereas her suicidal behaviour occurred when she felt out of control.

  • This being said, acts of self-harm need to be taken seriously. Individuals who self-harm may be considered at higher risk of further, more severe self-harm and later suicidexi. Self-harm and suicide attempts can be performed by the same individual – and in some cases the intent may not be completely clear. A British studyxii observed that 16% of people who self-harm repeat their self-harm within one year and 7% suicide within nine years.

  • Regardless of the specific intent in any single instance, acts of self-harm or attempted suicide reflect a degree of emotional distress by an individual that requires skilled assessment and support.

[taken from: Mind Frame]

Wednesday, February 18, 2009

Wordless Wednesday


Tuesday, February 17, 2009

Who are the kids who self-harm?



An Australian self-report school survey


Authors: Diego De Leo and Travis S Heller



Monday, February 16, 2009

A Life You'll Never Know

I have to see my blood
I have to know my heart
I have to feel the flood
That flows to keep us apart

I have to taste the salt
I have to cry the tears
I have to know its my fault
I have to face my fears

I have to feel the pain
I have to see the colour
I have to hid the stain
For it must remain undercover

I have to blame myself
I have to use the blade
I know I need no help
Sooner or later the cuts will fade

I have to deal with things in my way
I have no choice
Look at them and hear what I say
These cuts are my voice

I have to tell you go get away from me
I have to tell you to go
I have to make you see
A life you'll never know.
[Poem: Anon, Icet]

Sunday, February 15, 2009

Listen

Saturday, February 14, 2009

She's back!

Hey everyone,

Im back after 8 weeks. . . not sure how healthy I am but I want to try and write through it, so will start working on my blog again . . .

Sorry about the delay in writing . . .

may take me a week or so to get up to speed but I'll do my best to get around and visit after that... Ive missed whats happening and saying Hi, hope your all safe and healthy...

Love to all