Also have an action plan when you feel the need to SI. Firstly you could try something that different that produces and intense sensation. Squeezing ice, taking a hot or cold bath or shower, biting into something strong flavoured - chillies, lemons, ginger. At least these methods don't have long lasting effects. If you want to stop completely, you need to come up with alternative coping mechanisms for you. Even if you have tried this in the past, I would urge you to try again, because we all change a bit over time. To find an alternative coping mechanism, you need to identify what causes the urges. For example
Anger, frustration - Punch pillows, rip up old blankets, or T-shits, turn up some energetic music and dance, go for a run, or other exercise, clean a room, or the house.
Sad, depressed, unhappy - listen to soothing music, curl up on the sofa under a blanket and watch a nice film, make yourself a hot chocolate, curl up in bed with a good book.
Dissociating, needing to feel - log off the internet, squeeze ice, snap a rubber band on your wrist, stomp your feet and feel the ground beneath your feet.
Other - use a red maker pen to draw where you want to cut, distract yourself with computer games. Tell yourself if you still feel the same in 10 minutes, then you can. When the 10 minutes are up, see if you can go another 10 minutes etc.
Answer these questions honestly
- Why do I feel I need to hurt myself? What has brought me to this point?
- Have I been here before? What did I do to deal with it? How did I feel then?
- What I have done to ease this discomfort so far? What else can I do that won't hurt me?
- How do I feel right now?
- How will I feel when I am hurting myself?
- How will I feel after hurting myself? How will I feel tomorrow morning?
- Can I avoid this stressor, or deal with it better in the future?
- Do I need to hurt myself
If, in all honesty, you see no other answer to #8 but yes, then give yourself permission, but set definite limits. Do not allow the urge to control you; if you choose to give in to it, then choose it. Decide beforehand exactly what you will allow yourself to do and how much is enough, and stick to those limits. Keep yourself as safe as you can while injuring yourself, and take responsibility for the injury.
A few things to keep in mind should you decide that you do need to hurt yourself:
- Don't share cutting implements with anyone; you can get the same diseases (hepatitis, AIDS, etc) addicts get from sharing needles.
- Try to keep cuts shallow. Keep first aid supplies on hand and know what to do in the case of emergencies.
- Do only the minimum required to ease your distress. Set limits. Decide how much you are going to allow yourself to do (how many cuts/burns/bruises, how deep/severe, how long you will allow yourself to engage in SI), keep within those boundaries, and clean up and bandage yourself later. If you can manage that much, then at least you will be exerting some control over your SI.
Information taken from [DLMURL]http://selfharm.net/fself.html[/DLMURL]