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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

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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

Thanks @rav3n 😊 - I'm always interested in other people's perspectives and experiences, so feel free to always post, and I'm totally OK will essay posts too. (Guilty as charged myself!)

"Somatic therapy" isn't a term I am very familiar with (beyond googling to find out!), but I can see I am familiar / have done some of the google-search-listed techniques, although it in itself has never been a focal point of treatment for me. I have learnt about different breathing techniques and mindfulness practices through both early psychologists and more recent workplace trainings (I think it's great some workplaces are starting to give training to office-based staff in emotional regulation & also psychological first aid).

I think I am fairly in-touch with my body in terms of understanding & noticing how it experiences feelings (and physical reactions to). The one I am least-aware in the moment of is holding my breath 😅 but holding my breath is a side-effect of me processing mentally the emotional restraint not to react in the moment (which is something I notice). I was taught quite early on to do a 'body scan' mentally of what I am feeling and how to relax my tense muscles progressively. Was also taught the mindfulness techniques of both 'letting thoughts flow' (and in combo with a physically tapping technique) and of 'observing' in-the-moment (distress tolerance / distraction). I assume these would be classified as Somatic?

As a teenager I read 'Waking the Tiger' which I found very interesting (parent is a psychologist, it was on their bookshelf), and always kept in mind with regard to emotional storage in muscles and the value of physical expression of them. Google tells me that book is based on somatic therapy concepts, so I guess I have "known without knowing a name for it" for two decades. 😅

If there are specific somatic therapy techniques you would recommend may be useful, I'd be interested to look into them more - especially if they are no-cost / at-home (nothing to lose by trying).

Admittedly, I often have to try to block out my physical sensation awareness (or "acknowledge and move on") because of chronic pain from joint degeneration. But these poor joints can then cause muscles to tighten - and the muscle relaxation techniques come in handy there during acute spasms/seizures. 😎

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 Good morning my friend. How are you today? Soubds to me like you’ve got a big day head with work and stuff you have on.

im really glad your mum is home Friday. Having someone who loves and cares just there is a huge help isnt it. You’ll be able to learn all about her travels too!

Im sure the dogs will be just fine. They have each other for company which means they won’t be lonely. Hopefully they won’t get into a toilet paper tug of war lol. They can be very cheeky sometimes.

Breaking down tasks for each day is an excellent plan. It’s a really good way to get things done without overloading. You’ve had a lot to do since moving and doing all the garage sale stuff plus you are working too. Have you been seeing your counsellor? If so how is it going?

Is there any way I can help you to help keep thoughts at bay and to make you feel you’ve got me there when you need?

I love how you’ve been able to find solutions to problems at work and help work folk have a better work experience. You’re an excellent problem solver.

CATT came yesterday. They will keep in touch every second day while I go through this cross taper. They’re coming today again just to check in but we’re going to local park for that. Then I’ll be home. Feeling a bit overwhelmed and anxious by it all. Hopefully I’ll be able to hear them ok at park which is noisy plus lots of background traffic.

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

@Cuddlebear So glad to hear the CAT team will be che king in on how you are every second day during the taper process. 😊 I hope you get some consistency with who the people are and maybe even some social benefit from the contact too if they're people you click with

Know that you care and that I can debrief at the end of the day and tell you how things have been means a lot @Cuddlebear 😊.

Work went well today - productive again with more problem-solving. Came home and my girl dog had stolen 2 things during the day... she stolen a shoe off the dining table! But thankfully didnt chew it - just carried it across the room as far as I can tell?? However she did steal a cloth-cardboard armresr-caddy and chew it up around the edges. I think its still functional though...

I'm so exhausted. Fed dogs early and ate early dinner, so that I can just rest for the rest of the evening. But I can feel my mood is quite low - pretty sure its due to feeling exhausted. I think i will lay down in bed (due to back pain; its been almost constant this week) and watch tv (to distract myself so my mood doesnt decline).

No plan for tomorrow yet other than housework. Maybe take dogs to a cafe in the afternoon if others are meeting there. Waiting to hear from cleaner if they are able to come, and waiting to hear from dog walker if/when they can come this week too.

Time for me to curl up in bed for a while. 🥱😴

1/3 dogs have joined me (my mum's small dog). My girl dog was here but she just left to play with toys from the sound of it... hope she isnt destroying anything 😅. Putting up the security camera is another task yet to be done since the move! Once it is setup again I would be able to check on my phone to see what she is up to 😅 (this is why we have security cameras - dog cam!)

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 Good morning lovely. How are you? Did you get some decent rest? You’ve had a super busy week this week and I’m glad you’ve got days off now. How is the back pain? Try to take it easy and not over do it to give your body a rest.

Hopefully you’re able to go to cafeteria later today with the dogs and enjoy some chill time. Did you hear from cleaner? Mine is coming today at around 11. It’s a good thing.

Yes CAT came again yesterday. They said they reviewed my file and thwt the CAT psychiatrist disagrees with the psychiatrist I’ve been seeing and wants to make changes. The acAT psychiatrist has never met me btw. This really threw me off as I’m in the midst of a taper and I’m not keen to be stuffing about with different psychiatric opinions and changing meds again. I’ve asked CAT to just discharge me so they’re coming tomorrow to do that. It has unsettled me too much and the visits are just 10 minutes or so asking how I am. I’m needing things to do and to socialise rather than a check in. I’m getting check in from the local wrllbeing mental health hub and my GP plus my support worker. Not sure if I’m making right decision but I really don’t want to be a Guinea pig between psychiatrists.

I have my social worker coming today so that’s good.

It’s hot in Melbourne today which affects me so I’m hoping the air conditioner works lol.

It’s going to be a long day.

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 good to know, appreciate your openness 😊

wow, looks like you've done a lot of work around the mind-body connection! i don't have any suggestions as i've only recently started looking into somatic practices for myself! i'm the same with holding my breath at times - i've been trying to be more conscious of my breathing patterns but it is tricky trying to paying attention to an automatic function especially when i'm heightened. a work in progress!

ahh yep, makes sense why you'd want to acknowledge it and move on in terms of physical sensations, sounds like that works better for you.

i also have a quick question for ya, do you experience anhedonia?

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

Good afternoon lovely! @AlwaysMyself

I am just reflecting on all of the things you shared with me last time we chatted (thank you for being so open with me by the way), and I was thinking, what if this week you simply noticed when things feel more connected in your body? No pressure to change or be anything other than what and who you are, but simply listening in to what feels aligned? Let me know your thoughts. *You can always tell me if an idea is not for you!

What do you have planned for the rest of your week? 💛

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

That would frustrate me to have 2 psychiatrists disagreeing about the medication @Cuddlebear, especially when you have had just a rough time with the first psychiatrists rapid taperings! I'm sorry that it hasn't been a great experience with the CAT psychiatrist.

I just had a thought and realised I have no idea... Does NDIS help with funding for you for transport (I'm thinking like a taxi service, if it was somewhere you were confident to go yourself without a support worker) to places? 🤔

How do you go with meeting new people socially face-to-face? (It's ok not to answer, just wondering about if you're able to meet new people to expand your social activity circle; e.g. through community groups or 'meet up' groups, etc).

My cleaner ended up needing to cancel, and the dog walker didn't get back to me until too late today (I'd already taken the dogs out myself instead) and they're not able to do the times I was available tomorrow. The dogs enjoyed their outing though 🙂 and now they are happy sleeping quietly afterwards.

Did your aircon work?

I was tempted to put the aircon on today too! First really warm day I've had. Got up to 28 degrees. 💦. I prefer the cold.

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

@rav3n I guess it would be fair to say I have anhedonia, although I do not remember a time not having it so the comparison point for "things I used to like doing" isn't really possible to know.

@AuntGlow @rav3n

You know how you think about something (like a burger or something) and in your mind you imagine it to be positive and good (tasty, for the burger example). But then when you actually do/have it, it just doesn't give any of that experience (e.g. if the burger didn't taste at all, and was just tiring to chew).

I realised that's what a lot of social activities are for me. I think "it would be nice to go see xxx (or do yyy)", so I make the plans and do so. But then when I do it, I don't enjoy it and I just feel tired after.

I figure this would fit the concept of 'anhedonia' even if I don't have a pre-depression comparison point for a time when I did enjoy things (I assume I did as a child, but I don't remember).

@AuntGlow What do you mean by 'feel connected in my body'?

Do you mean in relation to how/where I feel things in relation to emotional reactions? (If not, I don't know what you are referring to, sorry! But I know you will explain if so 😊).

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 Good morning lovely. How are you? It’s the big day with your mum returning home. I’m really happy for you.

Yes it was a shock hearing that CAT psychiatrist has a different view. The too quick tapering had really thrown my body into distress. My GP has agreed it was too fast and that slowing it down is a good idea. I’ve got CAT coming this morning I’ve asked them to discharge me from their service. I’m not getting any benefit really and the staff member the other day said I walk too slow with my guide dog and he couldn’t wait for me to walk back home so he rushed off on his own. I don’t think CAT have treated me well as a disabled women. I spoke to my social worker who agreed that giving this taper and new medicine a chance is a good plan and she feels with the support of the mental health and well being hub, GP, my support worker that I have support in place and CAT are not necessary. My support worker will be with me when CAT comes to make sure they do the right thing.

I don’t have a taxi budget re ndis because I have my guide dog. I can occasionally use a taxi when it’s too hot for Wilbur’s paws on ground or if it’s raining and bad weather. I’m a bit shy to just go to new social groups mainly due to hearing and sight. It’s hard to hear even when it’s hearing aids on in groups of people. Having said that my social worker has referred me to Link program where they can take me to groups and support me to participate. I’ll also be joining in some groups at mental health well being hub. It’s a shame it’s coming into summer as the heat affects me due to medications but I’m going to put a plan together so I can attend things.

my air con worked! Was good it helped as it got to 30 yesterday with warm too.

It’s a shame cleaner couldn’t make it for you yesterday. I’m hoping that you’ve booked them in to come soon. It’s awesome thwt you took dogs out. I know you’ve been buggered through been so busy so that’s awesome you did get them out and about.

What are your plans today? Are you running errands etc? Any fun stuff on for you? I’ve got CAT, psychologist and GP today plus will take Wilbur for a run. Lucky my support worker is on so we have the car makes it so much easier!

Did you get a good rest last night? How is the back pain?

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

Hey @AlwaysMyself how's your week been?


@AlwaysMyself wrote:

One thing is certain - i am not neuro "typical" 😆. Whether or not I fit any of the defined ND diagnosis groups may be a different matter and unknown lol. But along that neural spectrum I'm quite sure im further down to the diverse end than the typical end 😆.


Me personally I believe everyone lies somewhere on the ND spectrum, like we all have traits - what makes it a diagnosis is about how much it impacts your ability to function (e.g. everyone has the capacity to be forgetful, not everyone is going to be impacted by being forgetful every single day).

I think also cos like.... ND isn't its own diagnosis, there can be variance in what folks will actually say falls under the umbrella. This is how I see it:

So...yeah you're probably ND - and there's no diagnosis of 'neurodiverse', so if it feels like it fits as a label, it's totally valid for you to use it 😋

Hahaha you and I use alarms the same way!! I have alarms to remind me to take meds, get set up for work, to log in and sign on for work, to sign off/log out too, then yeah literally any time I need to be somewhere by a certain time it's an alarm to prepare to leave and an alarm to say it's time to leave within 10 minutes.... 😅

I got a question for you - what does it feel like when you have a good, hearty, belly-laugh? Do you notice any differences in your body, during or after?

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