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Urge To Cut

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Thanks all for the support it really helps, I knew recovery was going to be hard, but this hard!, I was not expecting!. I guess thinking and doing are very different. One gives you a hint of what you gonna face, the other hits you right in the face ( metaphorically speaking).
 
I am in so much pain right now, if I was out walking I am afraid I might try to end my pain in a very bad way. Not S/I, I wish I just had relief, in such a case impulse might take over. Good thing I am at home, on this forum, listening to music to occupy my mind, and waiting for me night meds to kick in. (Seroquel I take for sleep makes me drowsy and sleep eventually).
 
@Gia1019 I maintaining, shut down every once in a while. Try to distract a lot (a dbt skill), when I think about it I just lay on the bed, and not move, until the feeling wans. Doing everything I can to not act on the urge when it happens.
 
@Gia1019 yes, but group was cancelled due to the snow. As for determination, it's not that, its more that I have boxed myself into a corner so old coping is not an option, it was the only way I could get outside of my comfort zone which this process requires. If I cut I lose the chance to get better in all likelihood, as on the abuse side I am being seen by people where that's all they work with. It's the same people who accompany victims to court, etc. If they feel I can't do this safely they won't work with me. I have been honest with them about the urges, and why. And everyone understands, no one has suggested restrictive options, it really comes down to whether I can control the urges. I am expected to control them, or reach out when I no longer can.
 
@Gia1019 yes, but group was cancelled due to the snow. As for determinat...
Earlier today I felt like bloodying my hands on the wall but didn't do it. I'm at the gym now and trying to beat it out of myself that way. Can you cut some paper? Tear some sheets? Something else? I still have the urge but it's passing.
 
@Gia1019 I just realized I should probably explain why I say I boxed myself into a corner.

When I first went into therapy again prior to being triggered and the flashbacks returning, I made it clear to my therapist that I could no longer live with things as they are, which was a life of struggle, unfulfilling, and chaos. That I either wanted to change things or not exist at all. So right of the bat, if I give up, my therapist will likely call mobile crisis or the sheriff. She has done it before.

Everyone who works with me as clinicians knows this, and on top of it the abuse therapist I see would not see me before I went to SP TDU, due to safety, and if I get unsafe from her working with me now, it's possible and likely she won't work with me anymore due to safety concerns. And if that happens I am back to never getting better on the abuse issues and how they have so corrupted my thinking. And that puts me back to where I started, where if I can't overcome this I don't want to exist at all.

So if I give up and the would include acting on urges, I am essentially sabotaging my own chances, and thus I am back to where I started, which likely will lead to be committed due to my already stated position on life.

So when I say boxed in a corner, I am, I have no choice but to endure, and not give up or give in. It hurts like hell, and I would rather die than feel all this, but I am stuck with having to endure, as hard as it is.

Now there is another side of this, I tend to look at this or deal with this in a binary way, good or bad, safe or unsafe, etc. And my particular hypervigilance prevents me from allowing things outside of my comfort zone. So a lot of what I am doing now in therapy I could not do because it all falls outside of my comfort zone, so the only way I can do it is that I made it so I have no choice, and that puts me outside of my comfort zone, and that's scary, hard, and painful, I feel very vulnerable, and with all this I am having to draw on my DBT skills to maintain and not cut to relieve my pain. Distress Tolerance is what I am having to draw on, something I could not do until I was at SP and was forced to.

So to some degree its like a double edge sword, I could do this therapy without making it where I had no choice, I can't get better without hurting, and I can't engage in S/H to relieve the hurt without risking never getting better and possibly being committed before I got to S/I in response to that. So I am locked trying to cope and drawing on my own DBT skills as well as the support I have gotten from everyone on this forum. In one aspect, this is sort of something I have done before, in the past when I had S/I I would sabotage my opportunity to act on my S/I so I could not act on it without someone stopping me. The difference here is I have sabotaged my chances to revert back to old destructive behaviors which I am more comfortable with, and locked myself into moving forward regardless of how hard it is, as I have closed the door backwards and sealed it shut. There is only one path to take and its the hardest, but the rewards are that future life won't be the life that is not worth living that I have had so far.
 
Earlier today I felt like bloodying my hands on the wall but didn't do it. I'm at the gym now and trying...

I shutdown on my bed when I feel to much, and I am constantly thinking about DBT to offset the constant Flashback processing that I am dealing with now. I don't have anything identified to hurt myself, and if I started thinking at that level it would be time for me to call for help. While the s/h aspect may have a bad affect on my abuse therapist continuing to seeing me, if I do s/h that would definitely kill my chances to continue and get better, so getting help is a middle ground that I at least have a chance of continuing with her, as she might recognize I called for help instead.
 
I am considering dropping out of DBT, I am finding thoughts and images of my abuse persist, even when I am doing things to distract me. It's like the therapy has brought it all to the surface. The DBT is killing us financially as it costs me $200-300 a month. And what I am getting from DBT is slow and not in the time frame where I really need it. I am considering asking my therapist about going into PHP. Where I can get the support on a daily basis as I work on this abuse stuff with my abuse counselor. And get an intense refresher of the DBT material, with twice as many hours in a month of it that the DBT does in a year.
 
@recoveringfromptsd I think I understand what you're saying, but I still believe you had and have a choice and are continuing to choose to keep yourself safe. I think that's determination. I also think the parts of you that most want to be safe are louder than the parts that want to give up and I think the safe parts are stronger because otherwise the give up parts wouldn't have allowed you to 'box yourself in a corner'.

I'm basing this from my viewpoint. I realize I don't know you other than from stuff you have posted, but I believe in YOU and I believe you can overcome this...and even if your forcing yourself to do this, I think that is courageous determination!!
 
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