Tag Archives: relapse

I Want To Die

This is a personal piece. Please be aware some content may be triggering. I have sought professional help.

I want to die. That is my overbearing thought at the moment. Its there when I wake up until I go to bed. My thoughts go to how I could do it. The voice tells me how much better for everyone it would be and how useless I am that I am still alive.

My body is something I’ve lost respect for again. I feel its failing me again. It’s not doing what it should. It’s a constant trigger at the moment. I hate that I can’t fully get the help I need with it because of what has happened in the past stopping me managing the tests I need. I hate that where I have tried to sort things they are not going to plan. Why should I care about something that has let me down in the past by reacting when I didn’t want it to react? I hate it. I want it gone.

The memories at the moment are overwhelming. I always try to push them down but sometimes they just rise again and again. I hate that they effect me when I know they shouldn’t. I should be over it all. I try and believe people that it’s not my fault but then the logical side kicks in and shows the evidence of why it is my fault. I know people are just trying to be kind to me but I don’t deserve it. I’m a horrible person.

Stress at the moment is also high. Home life is hard. I feel that whatever I do isn’t good enough. Nothing I say is right. If I try to help I’m wrong. If I don’t I’m wrong. I feel guilty constantly and like I’m letting them down. I’m trying to help but it’s getting on top of me and I don’t know how to respond without upsetting people. Noone cares how it effects me. But then I know I’m not worth anything. I’m just a burden.

I feel guilty for asking for support. I feel I take too much. I don’t want to take away from other people but I fail at that. Again a lack of control makes this worse. I don’t want to cry or get emotional in front of others. It’s not me. I don’t want to make them worry. I’m not worth worrying about. Therefore if I’m gone it would be for the best.

My life is pointless. I have no potential. I fail at everything. I try and then things get in the way. I suck. I’m a burden to those around me. Why would they want this useless mess in their lives? They are too kind to say otherwise but I know I shouldn’t be here as it would make their lives easier. They could focus on the important people who deserve help.

I should die. I need to die. I want to die.

If you are feeling suicidal the Samaritans are there to listen or if you are from another country you can find a list of crisis lines around the world in the menu. Feel free to use the comments or Twitter, Facebook or Instagram to share your thoughts.

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Rock Bottom And Below

This is a personal piece. Please be aware some of the content may be triggering.

Things feel rubbish. I’m struggling. Heading downwards yet again. I’m highly stressed at the moment which isn’t helping. Whoever said keeping busy is good for your mental health doesn’t have a mental illness. It makes me worse. And it doesn’t stop the thoughts or the voice. All the time I’m doing things I’m thinking about how useless I am or hearing the voice telling me to die or hurt myself.

The thought of socialising at the moment is just hard to contemplate. I don’t want to talk to people but at the same time I do. I guess its more I don’t want to talk about banal things and want to discuss what is going on. I don’t want to be selfish though.

I feel so alone with everything. There is no easy solution to what is going on and I know that frustrates people. I’m just being a burden. I don’t want people to feel sorry for me, I don’t want to be that person.

I’ve been crying a lot as well. I’m not a big crier but it has all been overwhelming and it has got to me. Self harm has been my coping mechanism. It’s not ideal but it makes me feel more in control and gives me some relief from what’s going on in my head (I’m not advocating self harm at all here, it’s just how things are for me at the moment).

I had a message from the DBT peer support group that I’m attending’s facilitator where I shared some of what I’m going through and she said she was proud of me. I keep listening to the message. I can’t believe it though. I don’t deserve people to be proud of me. I’ve done nothing to be proud of. In fact I feel I was such a pain to everyone there and so unfair to all of them. I hate myself.

The suicidal thoughts are also strong. I have no plans and I’m safe but my mind keeps going over how much better for everyone it would be if I was gone. People would be better off. I’m just a useless waste of space. Noone needs or wants me. What is the point of my existence? There isn’t one.

I’m really sorry for this negative post. This is my reality. It’s also the reality for many people battling mental illness. Rock bottom is a scary place to be.

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Shut Up

This is my response to some comments I’ve had and seen other people have. It is my personal opinion. Please be aware some content may be triggering.

“Shut up!” are the words I wanted to say. Someone tried to tell me what I could do even when I expressed how difficult it would be. They totally invalidated my feelings. They totally disregarded my illness. It was like they thought I had a choice over how I felt.

The thing is this is common for people with mental illnesses (and I’m aware it’s the same for those with chronic physical illnesses, especially if they’re invisible, but I don’t really have much experience of this so would not like to comment further on this). People seem to think you are just being difficult. They seem to think it’s a choice. They can’t see how much of a battle these so called “simple” things are to do.

Mental illness can create barriers to doing certain tasks. Getting through these barriers takes a lot of work. Just because you put it in simple terms does not make it any easier. It does not take away the mental, and sometimes physical, blocks. It does not change my feelings. It does not take away my anxiety (or depression, BPD, bipolar, schizophrenia, etc). All it does is frustrate me as I feel misunderstood.

What can be worse is when it is someone who has experienced their own mental illness. You kind of expect some understanding (and most are) but instead you are met with their own standards of what you “should” be able to do with a mental illness. This is so wrong. Everyone with a mental illness is different. It effects people in different ways. What might be an easy task for me, might be the hardest thing for someone else and vice versa. Please don’t hold us all to the same standards.

In short before you voice that someone can do something (and not in a “you’ve got this” way but in a “you will do this as you are capable” forceful way) think. Why are they saying they can’t do it? What can you do that is a practical way to help? Are they ready to tackle this right now? Maybe ask them these questions. Please don’t invalidate what they are feeling.

If you’ve got any thoughts on this feel free to share in the comments or on Twitter, Facebook or Instagram.

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Self Harm Etiquette For The Medical Profession

This is a blog post for anyone working in the medical profession. This includes Doctors, GPs, Nurses, Healthcare Assistants, Paramedics, Support Workers, Psychiatrists, Care Coordinators, Psychologists, Pharmacists, Admin staff and Receptionists. Basically anyone who comes into contact with a person who may have self harmed (therefore could also be useful for police officers too).

It has come to my attention that some of the people we want to help us deal with self harm can be some of the least useful with their comments and actions regarding dealing with self harm. Therefore I thought I’d put some tips together specifically for them and any professional that needs to help with self harm.

1. Don’t comment on it in front of other patients

This may sound really obvious. Patient confidentiality is key. Bringing it up in front of other patients without permission is wrong and can cause harm to the person who is self harming, the relationship between patient and professional and possibly even the other patient/s who could hear about it. You never know where this information will go. Unfortunately I know it happens. I’ve seen it happen.

2. Don’t guilt trip us

I’ve had this happen with a former GP. I was told I obviously didn’t love my parents over my self harm. It was awful. I didn’t return for treatment until two years later after a suicide attempt. This isn’t the only impact it can have. Self harm is not a selfish act. It’s a way of trying to keep going. It’s a way of coping. Most people who self harm probably already think about the perceived damage they do to others. To be guilt tripped by a professional is more likely to make the situation worse and even cause the patient to withdraw from seeking help, maybe until it is too late.

3. Don’t mimick self harm behaviour

Again this is something I have encountered and not just with one professional but many. It seems some can’t bear to say the words “self harm” and so use actions like using their hand to mimick cutting across an arm. Not only is this not clear communication, it can be triggering. It is a difficult topic but it is one that needs to be dealt with sensitively and professionally. Yes you do need to ask, but please use words rather than miming actions.

4. Be careful with what you say

Most professionals are careful with what they say. They think before they speak and take into account the individuals situation. That’s great if they know the patient. However without continuity of care, which is heavily missing in places, you may not know details or you may just be someone that only encounters someone briefly so has no background information to draw on. This means being careful with what you say. I’ve heard things that concern me. They may be useful for some but I can also see them as potentially inflammatory to the wrong person. I’ve heard “you’re scars look cool”, “just use your faith” and “what would your family think?” as common phrases among others. Let’s work backwards, the last comment can easily be seen as a possible guilt trip but it can also cause some negative emotions to surface, particularly if there is friction within the family. The middle comment is also dangerous as some people don’t have a faith and this may be because of trauma or abuse. It can also suggest unless you have a relationship with a god, you can’t be helped. The first statement may be the most troubling though. You’re reinforcing the behaviour. Yes self harm shouldn’t be something people feel ashamed of, but it shouldn’t be highly celebrated either.

5. Don’t judge or use stereotypes

Some professionals have a preexisting picture of what a person who self harms is. They may see them as frustrating and a drain on resources. They may see it as attention seeking. These stereotypes tend to grow over time within a staff member. I can see how hard it must be to treat someone who seems to be causing their own suffering. But it is a symptom of an illness. It is like an addiction. It is hard once you have started to stop. It can feel like all you have in the world at that time. It is a sign of distress. Being compassionate, non judgemental and just kind to the patient goes a long way. It can help the person to keep accessing help. Doing the opposite could push people away and leave them in dangerous situations.

6. Don’t compare us to other patients who have self harmed

Every person is going through their own unique experience with mental illness and self harm. Self harm is self harm. So it may not be as deep or as “bad” as someone else you have treated, but to that person the pain they feel inside is probably just as intense and unbearable. Hearing that we aren’t as serious as someone else because it doesn’t reach a certain level is heartbreaking and can have a negative impact. It can cause us to try and do more damage. It makes us think we aren’t good enough or that we don’t deserve help. Everyone, whatever level of self harm they present with, deserves support and compassion.

7. Don’t use the terms “superficial” or “attention seeking”

I hate the term superficial when it’s used to describe my self harm. It makes me feel like a rubbish self harmer and that I need to harm worse or more. It can encourage the behaviour and make things worse. The same can be said about the term attention seeking as it can drive the behaviour underground and prevent people getting help.

Those are just a few helpful hints for medical professionals. It might not be a regular thing you encounter but it is always useful to know how to help someone who self harms.

If you have any tips you wish professionals knew then feel free to use the comments or Twitter, Facebook or Instagram.

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Self Harm Scar Etiquette

As it’s summer the weather is warmer and people are starting to reveal more of their body. This brings an anxiety to people who have self harmed, past or present, as they are faced with the choice of covering up (and boiling) or revealing their scars and self harm to the world. Therefore I thought I’d come up with some things that will make it easier for the person with the scars or self harm if you encounter them. Obviously this is just my opinion and others may feel differently.

1. Don’t point it out

This seems obvious to some but not to others. Pointing out scars adds to the self consciousness. We’re already worried what people are thinking without it being obvious that they’re looking at the scars. Also if we are starting to forget about them and enjoy what we’re doing then pointing them out takes away from our enjoyment.

2. Don’t ask us why we did it

Again, this adds to self consciousness. We become aware that you’re really looking and thinking about our self harm or scars. It can make us feel awkward and like we’re being judged. Quite often we don’t know why we self harm or don’t want to discuss it as its obviously something that has caused us great pain. We can easily be taken back to that dark place.

3. Don’t tell us to cover up

First of all why should we cover up? This makes me a little annoyed. I’ve been made to feel ashamed of my scars a long time and this shouldn’t be the case. It’s part of an illness. I have every right to not boil in summer. I don’t want to make people uncomfortable but I also shouldn’t have to feel uncomfortable. People who self harm feel enough shame and it takes guts to show your scars, we shouldn’t have that shame added to.

4. Please don’t stare

This can feel awful. I already feel self conscious enough without people staring at me. I had this once on the train and it really fed in to my paranoia. I know it can be hard to look away sometimes but please think of the person you’re staring at.

It takes real bravery to overcome the barriers to have your scars on show. It is revealing yourself to many people, including strangers. It can take a long time to accept your scars are part of you. Shame is a really strong emotion that people who self harm feel and can be added to by other people making ill thought out comments. Please think before you speak.

If you have any other things you feel people should do or not do help you feel comfortable showing scars feel free to share in the comments or on Twitter, Facebook or Instagram.

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Come Outside

If you’re an adult of a certain age in the UK you will remember a programme called Come Outside, which had a lady going on adventures in an aeroplane with her dog Pippin (not an animation, a real woman, plane and dog!). It was prime viewing if you were off school sick. You may be wondering why I bring this up but I’ve realised something lately: being outside is good for my mental health and so I should of taken Auntie Mabel’s advice a long time ago and gone outside.

There are a number of reasons I found going outside difficult. Sometimes even my own back garden felt off limits. My anxiety around being in public places was the worst part. I found going out alone difficult and things got gradually worse until I couldn’t use public transport (my only means of transport at the time) or be alone outside the house apart from attending my medical appointments and even then I needed music to cope. The idea of going for a walk was horrifying. At one point agoraphobia was added to my diagnosis.

The thing is, with some changes that have enabled me to get outside more often, I have realised that being outside actually aids my mental health. I’m very lucky to live in a house with a back garden. Although at times it has been hard to get into it, I’m glad I managed to work through it to get out there. I now hate it when it rains as it doesn’t feel pleasant going into the garden and I can’t sit out there. I’m no gardener but I do find mowing the grass therapeutic. I put my music on and enjoy seeing the finished lawn with its lines (is it even a lawn if it doesn’t have lines?).

So what got me into the garden? The answer: Guinea Pigs. I got myself two Guinea Pigs. And due to my mum’s stance that she wasn’t having them in the house they lived in the garden (in the shed or garage in the winter). This meant I had to go outside every day to them. At first it was really tough. I’m not the greatest with dirt and it was an adjustment to dealing with it every day. But I loved my boys so much that the challenges were fighting through.

The problem was though that they didn’t get me away from home on my own. This was something that got harder and harder. Things went even further back when my Guinea Pigs passed away. Going outside got harder again. Then I started slowly in the summer trying to sit and read out in the garden. This slowly got easier, especially without the dirt aspect and having my cats sit with me helped. But again I wasn’t really leaving home alone apart from attending medical appointments and I had started to go to a group at my local Mind which had been recommended by my psychiatrist. Public transport was a definite no and walking alone was also something I didn’t feel I could do.

The biggest change for me came with another new addition to the family: a puppy. Suddenly I had a little thing that needed me to go out. To begin with it was a case of going out with someone else to walk him, but this was still progress, I was out walking. As he got older I felt more confident taking him out on my own. I didn’t feel alone as he was with me and he’d shown he was protective of me. He made my confidence grow. We also took him to puppy school. Again, to begin with, I couldn’t go on my own. It was hard coping with new people but he was my focus in the classes so that helped.

Now I walk him regularly on my own and enjoy it instead of constantly being anxious. Don’t get me wrong I still get anxious at times going out with him. Also in puppy school I now take him inside alone (my dad waits outside). I’ve also started doing some voluntary work which involves going into new situations on my own regularly. Without my puppy I couldn’t of done it. Without going outside I couldn’t of done it. Not everything is perfect. I still can’t use public transport or go to busy places alone but I’m making progress.

So what are the benefits of going outside? There are many benefits to mental health as well as physical health. These include:

  • Stress relief
  • Increased concenteation
  • Better short term memory
  • Restored mental energy
  • Sharper thinking and creativity

Getting outside makes me feel more able to deal with things and to even escape my thoughts for a while.

So even if it’s just sitting outside for 5 minutes or standing in your doorway, getting outside can help. Take slow steps to get there. Don’t over do it. And don’t punish yourself if you can’t do it straight away. For more information on going outside check out these links on the Mind website which detail different aspects on getting outside.

If you have any advice please feel free to use the comments or Twitter, Facebook or Instagram.

Shutting Out The World

This is a personal piece. Please be aware some of the content may be triggering.

Things at the moment aren’t great. I’m not in the best place. My head is a mess and I’m not tolerating the world very well. Therefore I’ve been shutting it out.

I know this is not the best course of action but at the moment it’s what I can cope with. The world feels overwhelming. People feel overwhelming. Life feels overwhelming.

I don’t know what has caused this decline. I have theories. It could just be a depressive episode. It could be the disjointed care. It could be turning 30. It could be a number of individual things or all of them combined. I don’t know. And I guess it doesn’t really matter.

Shutting out the world means avoiding Facebook interaction. It means not messaging friends. It means not asking for help. Instead I have replaced it with self harm and thinking of suicide. I have spent my time dwelling on the fact that everyone would be better if I was no longer here and have been on a mission to prove it to everyone.

I’ve also been experiencing physical symptoms. My body aches. My head is thumping. And I feel sick. I either sleep too little or too much. I either have no appetite or binge on food. It adds to the mental difficulties.

I hate myself for the way I’m coping. I hate myself for doing what I logically know is the wrong thing. I see it as protecting myself but realistically I need people and I need help. What help they can offer I don’t know. I guess I won’t if I don’t ask. The thing is I’m put off asking at the moment by the fact I have no stable care. I feel a burden to everyone, including those paid to care for me. I know I’m just another caseload that they could do without.

So what would my advice be for anyone else feeling this way? I guess it would be to do what feels like the hardest thing, ask for help. You deserve it. You are worth it. Now I just have to try and believe it for myself.

If you are struggling the Samaritans are available 24/7 in the UK. If you are outside the UK then please check out the crisis help page which can be accessed via the menu. To follow my experiences you can do so on Twitter, Facebook or Instagram.

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