FORUMS

Connect with people who understand what you are going through, seek advice and surround yourself with support. We're free, anonymous, and professionally moderated 24/7.

  • 47,612Members
  • 1,358,869Posts
  • 1,400,000Visitors
Managing thoughts of suicide & self-harm

TW: The 'real' me inside - I come with an SI warning

TW: The 'real' me inside - I come with an SI warning

I figure it's better to introduce my challenges here than in a welcome. Hopefully only people willing to hear about SI will venture here.

TW: Suicidal Ideation

Content/trigger warning

I've had thoughts of suicide since I was 12. I don't remember much of life before this time. I'm aware there are times that I haven't though as much about suicide as others, but it's always been a "yes please, that would be my preference" even during the better times.

Why am I still alive then? For two reasons:

- the emotional pain it would cause to very close family.

- the physical pain of accessible methods, and the risks of non-fatal attempts causing lifelong physical impairments.

How do I keep myself going all these years?

By focusing on how I can benefit other people's lives instead. If I'm going to put up with life, it may as well be beneficial to someone.

And to help me keep life less monotonous I look for 'interesting' things - quirky people, exploring foreign countries/cultures, trying new foods (even if i dont think I'll like them). I've never been a status-quo person.

I explain to MH supports that when life is not distressing I can carry on without seriously considering suicide as a possible option. I can say "hello there thought, I hear you but I have chosen not to act on it, things are OK". But when something sets things off kilter, its a pretty quick track back to "why am I still doing this? Do I really still have the same commitment to living? And why, for whom? Why can't I be permitted to die if that's what I want for myself?"

With decades of this under my belt, I have the ability to sit with feelings of extreme distress. And the courage to text or call someone if I need to - and I'm getting a little better at doing this *before* it gets too extreme, but I still hesitate because I don't want to burden others and the frequency of it happening during those unbalanced times is too often. I've persuaded myself a few times recently to instead call a crisis line, but waiting 30-45min in a queue can sometimes exacerbate the thoughts, and sometimes the calls might help dissipate the feelings (if i called early enough) but other times I feel worse after because of course they're going to try to give some positive outlook for the future, but it grates on me because deep down I dont want a future at all. Its actually refreshing when someone acknowledges that not liking/wanting life is OK - and instead just tries to look at how to rebalance the scales to help me cope with continuing to live despite not wanting to.

I'm not sure how un/common my way of thinking is. So much about suicide prevention is focused on short-term distress tolerance or "fixable" problems (eg situations).

What do I need from the community here...?

To be heard? To know if anyone else out there has a long enduring preference to die even when they aren't feeling active distress? And if so, has anything helped them longterm to shift that thinking?

If anyone knows of any practitioners who *specialise* in chronic SI since a young age, I'd really love to know who (if there is a way someone is allowed to??). I've tried Google searching and using online psych directories and reading bio's. I've seen many psychologists and psychiatrists in the past who haven't been able to help me shift this (even if theyve helped in other ways).

I do wonder if my neural networks for positive emotional may not have fully developed or may have atrophied due to the young age and length of time. I genuinely do not know what being happy feels like, I do not have any memory that I recall as being "happy" or joy, and I suspect this makes recovery much harder.

Im ok at the moment. Im safe. But it is exhausting.

Apologies this post is quite a bit too long.

1604 replies

1,191 - 1,200 of 1,604

In response to: TW: The 'real' me inside - I come with an SI warning

Re: TW: The 'real' me inside - I come with an SI warning

@creative_writer i usually have no anxiety. Last time i felt anxious (except when due to an adverse medical treatment that triggered panic attacks for 2 months) was when i realised a university exam (40% weighting of subject marks) was the previous day and not next week.

I think its a funny and very human story. Have a laugh too if you like! 🥰🤭 i hope it helps other forgive themselves too when they make a mistake.

@Flutterbug9 @Cuddlebear

I was anxious because i did not yet have my marks for the 60% assessment-based component, to know if i had already met the 50% pass requirements lol. That was... 5 years ago maybe? 😅 and a very normal reason to be uncomfortable/anxious about whether i would pass or fail my subject - and if i needed to get an explanatory letter from my doctor to allow me to resit in 6mths without having to re-do the whole subject (but if i did this, then even if i had over 50% from assessments i would still have to resit the exam in 6 months, rather than just get a Pass instead of a High Distinction). On the informal advice of my lecturer that i could "see if i pass on my 60%-weighted assessments" i decided to do that instead of resit exam in 6mths regardless.

I got 52/60 for those assessments in the end (both had been submitted, but i was pending marks for the second one), and so i got a Pass mark for the subject. I was very happy! I did not care that i only scraped through and not my usual GPA-grade. How to pass a uni subject without even sitting the exam worth 40% 🤣🤣🤣. I am so lucky I was a HD-grade student. I would have been soo angry with myself if i didnt pass the subject because of the memory mistake in the date of the exam 🤣🤣.

I think this incident was when i started to put EVERYTHING in a phone calendar lol.

Normally i do not get anxious by assessments/exams/interviews. I am abnormally *not* anxious. Im too rational lol.

In response to: TW: The 'real' me inside - I come with an SI warning

Re: TW: The 'real' me inside - I come with an SI warnng

@Flutterbug9 🥰

@Cuddlebear

Still been very busy every day. Today and tomorrow are minimal plan days but i am sooo exhausted i dont know if i will get online beyond these posts just now. I slept only 4 hours i think? I have a headache.

But i think of you and i care 🥰🤗. I wish i could just relay my thoughts without having to expend energy to cohenantly construct them and type them!! Which is why i cant come on forum when i am too tired. Brain doesnt work to make sense to others 😅.

I am looking forward to getting to talk to the pdoc and secondary therapist in the research trial. I dont know yet how the 8 hour treatment days are structured - i guess i learn more at the "preparation" sessions in 3-4 weeks. I have no idea if i will be more introverted-reflective/experiencing or extraverted-talking during those dosage days. All i know if they are stuck with me during the whole day the poor souls 🤣🤭. But given they are both involved in psychiatric research i assume they are probably interested in the topic too if i am chatty. Maybe for their sake i will be lost in my own legally-medicated-mental-world for 5+ hours??

@Flutterbug9 the trial is double-blind, so i may not receive active drug-treatment. But i will have psychotherapy either way in it. If i deteriorate or have an adverse/intolerable experience then yes I can always pull out of the study; patient-first. However participation in the study is the "protective factor" for me because i have made a promise to do it. I can't discuss on-forum what would likely happen if i pullled out of the study. But i can say that with the understanding that i'm mostly likely autistic and that accounts for my life challenges, that does give me some optimism that maybe there is a way to reduce my exhausting coping mechanisms and find a "better way" to live that doesnt have to fit the neurotypical model? I am feeling more open to this idea, but i also have 10 months to make these adaptations and see if it helps too. But then if i make changes, that could also interfere with research data if my improvement is due to alleviating stress??

Different topic: autism assessment.

Did the first block of the assessment (more in 2 weeks time). Haha oh yes. It does seem i have a lot of traits that i mask/manage that are not neurotypical. That is validating to hear - psychologist said she can see why I have been referred, as well as why i have not been picked up when not specifically asked because of my internalisation and very high levels of coping/observing strategies 😅. The question i think is to ensure if it is autism or ND due to trauma. But since we havent touched on those topics yet, she doesnt yet know what trauma looked like for me. I doubt it is trauma-based ND unless due to a lack of neural-formation/activation due to traumatic during developmental years.

Medication tapering: completely off antidepressant meds now for 5 days. Havent been without antidepressants for at least 18 years, possibly 22 years but i dont recall if i had a few years off after my first one tried.

Anyhow. Definitely a change in being able to *feel* emotions more; presumably medication emotional blunting. Feel it more in my body too ( @AuntGlow will find that interesting i think) - the anxiety, the "anticipation-anxiety", the heightened physical reactions to noise (muscle spasms & jumping, for example), more difficulty to not cry when overwhelmed even though i dont feel/think upset/depressed/hurt. <-- realising this is linked to autistic sensory traits with overwhelm. Feeling higher energy and *actual motivation* (not resigned apathy) when thinking/researching/talking about a special interest topic. Definitely feel less "blanketed" in the past few weeks. Perhaps also why i feel so much more exhausted and busy too though?? Even *more* always-on than i used to be @Jynx . I now remember why i have at times wondered on a good day if i could be bipolar or adhd due to energy-brain-thinking-speed. I dont think bipolar because i dont have any other mania symptoms except related to racing thoughts (which can affect insomnia too of course) and higher motivation for special-interest. Will be curious (but no longer anxious?) about what the psychologist will make of it re: "normal level" or AuDHD. But i do suspect AuDHD after reading about it the past week since the pdoc encouraged a screener for it. It makes sense of my internal conflicts.

@AuntGlow @Jynx (for interest; but let me know if its NOT interesting and I will not tag).

In response to: Re: TW: The 'real' me inside - I come with an SI warnng

Re: TW: The 'real' me inside - I come with an SI warnng

no urgency to reply to any of my recent posts

@AlwaysMyself I was trying to be careful with my wording and not mentioning SI.

all good.

hoping you get a lot of positive benefits from the trial

In response to: Re: TW: The 'real' me inside - I come with an SI warning

Re: TW: The 'real' me inside - I come with an SI warning

@AlwaysMyself we can place enormous amount of stress on ourselves. Sometimes we do need to embrace imperfections 💖

In response to: Re: TW: The 'real' me inside - I come with an SI warning

Re: TW: The 'real' me inside - I come with an SI warning

@AlwaysMyself Hello lovely how are you? I know you’re away and have been feeling really tired. Are you resting a bit to help?

It sounds like the mental health study is all falling into place and you’ve been doing a lot to get through the initial intake appointments. Well done. You’re doing so well with it and I’m really happy to hear there’s a really good team involved.

Despite the mark if 52 to be honest you’ve been going through so much and all things being considered it is a really good mark. I’m glad you spoke to the teacher and can sort out getting the 69% so you don’t have to resist the exam.

I hear you on the anxiety. I have severe anxiety at the moment it is constant and really hard to live with. It is a very difficult thing to live with. I’ve had anxiety all my life but this is really severe right now.

im also glad the autism assessment is on the go and will be able to give you some really meaningful insights. It can help with recovery. Gives you another piece of the puzzle.

In response to: Re: TW: The 'real' me inside - I come with an SI warning

Re: TW: The 'real' me inside - I come with an SI warning

Hey @Cuddlebear 🥰 the story about my exam was from about 5 years ago i think. But yes i had also been going through a lot then, which was affecting my short-term memory and thus the confusion of the exam date 😅🤣. I mean, 52/60 was a darn good mark eh! 😅 which is why its a funny story because i still managed to pass the subject despite not sitting the final exam 🤭.

Yes, the trial seems like it is on-track and i am glad i like the treatment team i will have. Its been a long road to finally get to finalised enrolment. And treatment doesnt start for nearly 2 more months, but hopefully will have a first prep meeting in a month.

Next big thing will be applying for DSP and NDIS. 😰😓. But i will need the Functional Capacity Assessment from the psychology assessment to be able to submit it i think. I'm not sure if GP can do the DSP evidence of it they need it to be a psych/pdoc - i think i will need to call to ask. But i have another month really before i feel i need to get the application for DSP in. I dont know how long they typciall take to process & review applications? 🤔

@Flutterbug9

In response to: Re: TW: The 'real' me inside - I come with an SI warning

Re: TW: The 'real' me inside - I come with an SI warning

Found by searching on Centrelink website, these might help with some of your questions @AlwaysMyself

Medical checklist form giving info about letters etc to provide

This Page gives information about qualification for DSP plus what happens if do and don’t meet criteria

apparently if don’t qualify as manifest and have not completed recent 18mths with an employment agency, it is very, difficult to get DSP. Personally, I don’t know. Only have info mentioned by an acquaintance. Apparently criteria about treated, stabilised can be quite challenging to meet. https://www.servicesaustralia.gov.au/diagnosed-reasonably-treated-and-stabilised-for-disability-support-pension?context=22276

In response to: Re: TW: The 'real' me inside - I come with an SI warning

Re: TW: The 'real' me inside - I come with an SI warning

@Flutterbug9 thanks, appreciated 😊

I have drafted my part of the DSP application and just need to get/do the supporting evidence portions. I have 13 weeks to submit it from when i did the first bit a few weeks ago.

I hope that my GP or an assessor would be able to clearly see that an employment service (i read they have a new name for them now) wpuld not be suitable for me, given my strong work history and current situation. Its that my MH has become too severe to work, and whilst i can plan to retrain into a better-suited-for-variable-hours role i still won't be able to work more than 15 hours a week (which is the DSP eligibility). Honestly i might be able to do 5-10 hours at most, but it would vary so much every week. And thats when i am *not stressed* by comorbid health or other life events exacerbating things. Thats why i need a job now that doesnt need set/reliable hours. Doing 22 hours/week longterm has driven me to where i am now.

In response to: Re: TW: The 'real' me inside - I come with an SI warning

Re: TW: The 'real' me inside - I come with an SI warning

@AlwaysMyself I’m happy to do Google searches using knowledge I have plus share bits of info when I choose to. As various people have found out over the years, I don’t respond well to people choosing to tap into that knowledge whenever they choose to

In response to: Re: TW: The 'real' me inside - I come with an SI warning

Re: TW: The 'real' me inside - I come with an SI warning

@AlwaysMyself Hello lovely how are you doing? How is your trip?

Oh dear I thought it was a recent exam. You can tell how jelly my brain is!

Im really glad the trial is in track and I am hoping it has some solid outcomes too. Coupled with the autism assessment this could bring good positive change for you and your recovery.

Yes you’ll need the functional capacity assessment for both plus GP. The more evidence you have the better. I’m not sure how long it can take for processing but it can be a bit of a wait so don’t feel anxious if the response takes a bit of time. They are under staffed.

1,191 - 1,200 of 1,604