ADVICE FOR SELF INJURY- FROM AN ANONOMOUS SELF INJURER (SI) When I feel I need to cut I ask myself the following questions: 1. Why do I feel I need to hurt myself? What has brought me to this point? 2. Have I been here before? What did I do to deal with it? How did I feel then? 3. What I have done to ease this discomfort so far? What else can I do that won't hurt me? 4. How do I feel right now? 5. How will I feel when I am hurting myself? 6. How will I feel after hurting myself? How will I feel tomorrow morning? 7. Can I avoid this stressor, or deal with it better in the future? 8. Do I need to hurt myself? The questions differ a little bit every time, but I will not cut if I cannot answer them. At first I would write them down, but now I run through them in my head. The most important questions on the list are #'s 4 to 6. In the beginning I would give myself little half-assed answers, but as each month passed my answers to myself became more detailed and I began to learn things about myself. I also found out that I can lessen or avoid stress, rather than running blindly into it. It also used to be that #8's answer was always 'yes', but now it is way more often a 'no'. What this exercise is doing is helping me learn how to identify my emotions and stressors, which is a very important part for me, because those are the things that drive me to SI. Realistic Acceptance I did two things that ended up being VERY important. First, I accepted cutting as a good thing. It helped me deal with things I otherwise could not deal with. It gave me a fast and easy release valve anytime that I needed one. It allowed me to swim where I would have once drowned. (I primarily did this because SI is a never-ending circle. I would cut and then I would feel like I was bad. The guilt and shame was incredible, and I would cut again to ease the guilt - I was continuing the circle.) Second, I acknowledged it as a harmful behavior. I do not say "I want to cut" anymore. I say "I want to hurt myself". Understand the difference? I sometimes want to cut, but I don't ever want to hurt. By replacing the rather impersonal word "cut" with "hurt" my mind was forced to acknowledge this as a harmful behavior. We say "cut the Turkey", not "hurt the Turkey", and I was implying that I was an unfeeling thing to be carved up. I AM NOT JUST CUTTING MY FLESH - I AM HURTING MYSELF. A letter to SI I wrote a letter that went something like this.... (I'll write another because I have found that it helps me to write these occasionally): Dear Cutting, Thank you for being such a great friend. Thank you for always being there for me. Thank you for helping me out when I couldn't continue on my own... I'm sorry, though, because I don't need you anymore, Cutting. I don't want this type of help that you give me. I don't want to hide in a dark bathroom anymore while people are outside laughing. I want to be one of the ones who laugh. I don't have the time to give to you anymore, and you are too greedy, you keep wanting more and more time. I am all grown up now, and yet you make me feel like a frightened little child. Swimming through tidal waves isn't good enough for me anymore, I want to learn how to fly. See, I have discovered that you're not just an anti-anxiety pill...I have discovered that you are also a very dangerous one. You are eating away my insides, taking away what little control that I have, and I can't afford to lose anything more that belongs to me. I don't need what you give me, because what you are taking away from me is even more important to me. Things that help me to avoid hurting myself I jump on the computer and find someone to email. We talk about everything and anything, and I try to avoid mentioning self-injury. I do productive things that keep me busy and active. I clean the back porch, a closet, or mop the floors. I walk a lot, and think. I write about self-injury. (Like now.) I write about my failures and successes both and it helps, if anything, just to keep me busy. A great tip a friend gave me: TREAT YOURSELF NICE, EVEN IF YOU FEEL YOU DON'T DESERVE IT! Once someone told me that her therp had suggested doing something nice for herself after SI'ing. So I tried it. I cut one night, and then afterwards I took a bubble bath, and took a cup of hot chocolate and a good book to bed early. It really did help. And then one day.....I thought......If doing something nice for myself after self-injuring makes me feel better, then maybe it would help if I did something nice as a treat for NOT cutting. It makes sense to baby ourselves when we feel bad after hurting ourselves, so doesn't it also make sense that it would help to do it before we cut when we are feeling our worst? So when the cutting urge is strong, I try doing something I like. Visiting my mom, painting, reading, bubble bath in the dark with music playing. My gift to myself for not cutting. It doesn't work all the time, but it does work a lot. Make an emergency box. Suggestions on what to include: o Crayons, or paint, and paper. o Little toys (happy meal toys) that you like. o A puzzle. o A word game book. o Your favorite book. o A tape of your favorite songs. o Pictures of friends. o Letters that are special to you (or cards). o A book or tape of inspirational messages. o A list of phone numbers and addresses of friends. (Make phone calls, or write letters.) o Stories about your special memories. Only open your emergency box in an emergency, or it loses it special-ness. About once every two or three months entirely change the contents. Have a friend, or your child pick something special to put into the box while you're not looking so that there will be a surprise for you when you do have to open it. Are you sure you're going to self-injure? Has it taken over your thoughts like it does with so many of us? Can you picture it in your mind? Can you see yourself self-injuring? Imagine every step of the way? When I want to cut I can see it all in my mind. Many of us can. You have to get it OUT!!!! So start writing!!!! Write it all out. Be very descriptive, describe every little step. Only do this when you feel you are SURE you will be hurting yourself, otherwise you may trigger yourself into doing it when you don't want to. Go back and read it again. Get another piece of paper, and write it all over again, only this time leave out the vivid physical description, and instead write only about emotions. Begins sentences with: "I feel....", "I want to feel.....", "I don't feel.....", "when I _____, I feel...". This may release the tension (having someone else actually read it sometimes helps, if you need to you can take it into your therapist's office). It may just emotionally exhaust you so that you don't have the energy to hurt yourself. And if it doesn't work you have a written record of your emotions that you can look back on later that really could help you get a better insight into your self-injury. The key is to learn how to identify your emotions, triggers, and stressors, so that you can learn how to better deal with them in the future, or how to avoid or lessen them. Allow yourself to hurt and to be angry and to feel guilt, but also remember that you have to learn how to deal with these things and how to ease them. Important: Every one of us is different. We all SI for different reasons and in different ways. If none of these suggestions work for you, then don't give up. Change them. Try something totally different, or do the same things in unusual ways. Individualize your coping methods. Tailor them so they fit you snuggly and comfortable. Maybe instead of writing you can use a tape recorder. Or instead of doing something nice for yourself, do something for someone else. There are many ways for us to heal, and not everything that works for someone else works for us. Don't give up. Keep trying, and remember to try each thing you think of more than once, because it takes time to get used to new habits and get rid of the old. And no one is perfect, but if you can go three days, or eight, or thirty without SI'ing, then remember that you may have SI'ed, but you went without it for a time. Every bit of progress is great, but too often we don't recognize it as a forward motion. The fact that you went 8 days without SI'ing is much more important than the fact that you did end up hurting yourself. The three things that help me not to cut the most: 1. Wearing long sleeves. See, I rub at my scars a lot, and sometimes looking at them makes me want to cut. I have problems bathing when I am in a cutting mood, because it means I have to see the cuts. I have found that keeping them covered, even at night, helps me avoid cutting. 2. Writing about self injury helps me. Either writing about it, or writing out coping methods (like now). It doesn't really bring any special awareness, but it does keep me busy, especially mentally. 3. Working with my therapist.