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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.

1603 replies

1,571 - 1,580 of 1,603

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

@AlwaysMyself Hello my friend. I’ve been thinking of you and wanted to drop by and say hello. You’ve not been forgotten. Hopefully we will all hear from you soon. Lots of love and hugs from me.

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

Wow its so nice to see that even in my prolonged absence some of you were thinking of me 🥹. I thought of you guys also, but hadn't really had capacity to come and post - and didnt have email notifications turned on or else I have them automatically filtering to an email folder (I need to review this now! 😅 so I will get your tags again 😊).

@Chasingsunsets @cuddlebear @auntglow

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

@Chasingsunsets 

I do not know an Australian Hobby bird. Interesting! I just googled it. Amazing wow with the cocktoo?!

I was watching a bird a few weeks ago and wondered what it was; it scratched like a chicken on the ground, and looked like a raven or crow with red eyes but a bit of white on it wings. Some googling later and I learned about White-Winged Choughs.

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

@Cuddlebear @AuntGlow @Chasingsunsets @Flutterbug9 @MissGremlin 

I hope this is an encouraging update from me.

I'd also love to hear how you all are if you'd like to share, and summary of any news you'd like to share if any.

The past 4 months have been rough. But the last month rough in a very different way - which is a positive thing for my overall progress.

I was in the control group for my clinical trial (dont know if my last updates were before or after this confirmation?). And I had my *real treatment* a bit over a month ago.

I was in a very severe state leading up to it (hence total absence from here i guess after the software issues) - honestly the worst I have ever been in my life. And I didnt really think or hope the treatment would do much - and was concerned at times that if it partially-helped it might make things harder/conflicted for me.

Well, turns out it works even if someone doesnt think it will or want it to - which is pretty amazing, as that is the opposite of placebo and nocebo effects.

Literally overnight my brain switched from "i don't plan to live after xxx-future-time" to "yeah, ok, i'm willing to give life a second chance. Even though I dont know why or have a *reason* to." I still find this mindblowing. And whilst I understand the possible science of it, experientially it is unreal. In the following week my mood felt lighter, things didnt feel as effortful to do, my adhd symptoms felt less (for about 2-3 weeks i think?), I could appreciate small-things (like nature)...

However the flip side is that its also awakened my whole nervous system. Brought me out of a collapse-state. And that means that when I feel sick or tired or stress/pressure i feel overwhelmed easily and have at times had very bad anxiety. And this has been really hard because I'm used to depression, but I'm not used to anxiety. And every time I feel overwhelmed my mind still wishes I wasnt giving life a second chance -- but now I can counter that by knowing that when I dont feel overwhelmed acutely that actually I do feel able to cope and quite OK. Its a matter of waves.

I've also started on adhd medication within the past week, and i notice when the meds are in effect that as well as adhd-symptom relief, my feeling of overhwelm and anxiety is reduced.

Another hard part for me has been not feeling able to share my story (esp fully share it) with people. Coupled with my deep need for meaningful connection with people - two-way support connections. I can often feel a mix of being alone and lonely in my grief from what I've been through esp the past 6 months, and at other times just wanting to tell people how radical this treatment has been and how I wish it could be offered (free/affordable) to others who might benefit from it. People won't really understand if i say "it saved my life" and will think i'm being dramatic/overstating. But I know you all know this is not an overstatement at all.

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

@AlwaysMyself this is an amazing update to read, I'm so happy that things are feeling ok and that you're willing to give life a second chance. I know how hard anxiety is to manage and it takes time to learn skills to manage it, but you're already doing so well to counteract those feelings with knowing that when you're not overwhelmed that things are ok.

I'm glad you've started on an ADHD medication and that you can notice when it's working.

I truly understand that need for deep and meaningful connection, I hope that sometime in the future you're able to find that.

I'm so proud of you sweetheart for continuing to push through even when things felt impossible, I'm just so glad that this has helped you and I hope things continue to get better every day ❤️.

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

Thank you @MissGremlin . It's a shame things had to get so bad before they got better though, eh. And it grieves me that it could have gone the other way if not for some of my own personal traits and the wisdom of some of my supports (and their supportive actions).

I wish you were able to access the support and treatments you need. :'( .

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

@AlwaysMyself it's horrible that things had to get so bad before something changed, but let's just celebrate the fact that you're here and things are looking better ❤️.

I can't get any support whatsoever, I've tried so hard, my fate is sealed unfortunately (I'm safe).

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

I'll hold hope for you @MissGremlin even while you can't - like my supports did for me. But I know how it can feel pointless and hopeless, and until actually seeing something change (or a logical reason to believe it will) I can absolutely understand the absence of hope. I just hope that something can be found that makes the difference for you. It's taken 24 years for me, and only because someone else mentioned this novel treatment that isn't widely known or considered yet.

In reflecting on the years, I settled for subpar GPs and a subpar pdoc prior to that. I wonder what it might have been like if I'd known (and felt socially allowed) to find doctors who showed genuine interest and care to help me (not just in & out). I can't change the past for me, but I've learned for the future and also can now encourage my friends/family that if their doctor isnt engaged or listening to them that its worth the risks of trying out different ones.

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

@AlwaysMyself thankyou sweet ❤️. 24 years is such a long time, I wish it had happened sooner for you but I'm go so glad that it has happened now, you deserve nothing but the best in life ❤️.

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

@AlwaysMyself the last post I remember reading from you was around the time you started back at work. I know I haven’t posted anything to you since then, please know I have thought about you at different times and wondered how things were travelling.

since the change in computer program I’ve hardly been on the forums, at the moment I don’t see that changing.

last few months have been physical and emotional roller coaster for me. In May test results showed I have small rotator cuff tear in both shoulders. Due to issues with my back and spine I now own a walker plus electric scooter. RFA couple months has semi helped. I say semi helped as I’m also dealing with pain higher in my spine than area treated by RFA.

I’ve terminated the connection to psychologist I was seeing next end of last year, too many red flags that I kept going ignoring until recently. In February I told the psychologist 5 specific areas I wanted help with. In July I asked if I was going to get help with these or not. I also asked for outcome and interpretation of 5 online assessments I did in June. I got tired of waiting. Tired of being given assurances focus of the next appointment would be these items. Tired of feeling like these items had been put either into “too hard basket” or “lowest priority basket”.

my psychiatrist has been quite good so far. Has changed my meds plus has provided me with some links to somethings to read. A week ago I emailed her with lots of info about my early childhood (including things I’ve never shared with anyone). As yet I haven’t heard back from her and my nervous system has gone into panic (possible RSD).

It’s great to read about the treatment you have recently received and the huge positive impact it has had. Do the changes feel real to you or feel like a dream? Ie like you are seeing life through some one else’s eyes?

how have things been with work the last few months? Are you still working?

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