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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

371 - 380 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 aww that is very sweet 😊 I really value the value of a good, meaty conversation (pun intended, heh); I also like going deep and sharing in marvelling at the absurdity of existence, so it's no wonder we get along 😋

I adore the fact that I get to have these spontaneous moments of authentic connection with people whenever I'm floating through the forums. Truly magical.

I feel like there's enough people around who like D&D for us to start a little club about it haha.

OMG okay that question has opened up a whole bunch of queries right? Like does it revert to mimic form? Does it take on the flavour of the thing it last mimicked? Does its powers of mimicry continue after it perishes?

👀🤔🤣 I can imagine a 2.5 hour conversation ensuing

Spend the first 30 min doing the small talk, then even if not fully set up, switch into character mode, help you remind yourselves of where you were up to and help settle into the roleplay? IDK guess that depends how heavy the role play element features in your group!

I have read what you shared about your relationship breakdown and want you to know that your anger is so valid, sounds like a response to a lot of confusion and now having to question a lot of things - that would send anyone spinning. Our anger is our fight - it's the part of us that wants to stand up for ourselves. Sometimes for me I need to just let myself feel it, be angry, breathe (or scream) through it, and then (only once the anger has settled) decide what comes next, i.e. whether I confront, or let go.

I hope you're presently deep into your session and having a grand ole time 💜

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. How are you? I wanted to send you a lot of love and hugs. I’m sorry that the relationship has ended.

Your feelings of anger are very normal in this situation. You’ve done all the work and have put a lot into him for the years you’ve been together. He’s not put in the effort for you which you absolutely deserve. You are a very giving person and you deserved a partner who also supported you and spent time with you doing things together.

You have had to tip toe around his emotions and actions and the decision to live separately to see how things go I know was hard however you made the right decision. You are likely very right that he’s depressed and consuming himself with video games and YouTube instead of seeking help and working on his relationship with a loving and caring person.

Im glad you feel a sense of freedom now and not living in limbo. You know you deserve someone thwt adores you and that is willing to be supportive and loving in the same way that you are.

He probably does love you but he is not the type to fight for love to make the changes he needs to make. You are worthy of love.

I’ve not met you f2f but I love you in a real way. I can see that you are one of those people who really stick by those you care about and thwts so rare in this world.

Thinking of you and wish I could do more than just post of forum. I just want you to know I’m here for you. I care.

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. How are you feeling today? Are your fur babies back with you?

I am honestly in such an awful situation. I have complex medical conditions coupled with chronic disease. The current GP has been the only one I’ve seen for many years. If I see a different GP for the tapering they will also need access to all my files from the other GP and it could cause issues with my other medical conditions as new GP won’t have that solid knowledge and history for me.

I’ve had a look too for new GP who state mental health as a speciality and none do anywhere near me. I checked the cost of compounding pharmacy and the cost for this particular anti depressant is over $150 per script at the cheapest option… I can’t afford it. So the compounding option isn’t available to me.

The MH service have tried to advocate and said they would write to him too. The psychiatrist at MH service doesn’t see patients but they can advise the GP on medication and tapering. The MH psychiatrist spoke to GP but before they went on leave forgot to put it in writing to him. They did send an email to the psychologist going over their view re taper. The MH service is a public service and are not on the ball with this ie they takes ages to act and can be sloppy depending on which worker allocated. The MH psychiatrist has never met me and relied on info from psychologist and social worker. I saw the email MH psychiatrist wrote to the psychologist re right way for me to taper safely.

My GP should not have said if I don’t follow their taper plan I can only see them once a fortnight. He said he’s sick of listening to me complain about how awful I feel re symptoms and that by doing the taper quickly I feel better quicker. I said to him that I could not taper right now as my body is exhausted and not ready. That I have no support at home and that I am alone. That if he could only see me once a fortnight due to not lowering the medicine then that’s what we would have to do. He asked that the MH service psychiatrist write to him but they are on leave until early January.

I did say to him I feel like the meat in a sandwich. With one service saying one thing and GP saying something else. He said as the patient I should not feel that way and that the MH psychiatrist and himself are responsible and I should not feel like

I feel it’s coercive and I’m shocked it even happened. It’s caused me significant distress which is not what I need right now. I need to be able to trust the GP and he has never been like this. Mind you I’ve followed his advice in the past and I am now I just need some more time. At the end of appointment he offered me a lolly pop for being strong throughout the taper.


All I’m asking is to let my body adjust before the next drop and the next drop is the final drop required and I’ll be off the medicine. Then new medicine needs to be increased. Then hopefully it works cause honestly I’m exhausted from this and can’t deal with another taper to try something else. If I could afford a compounding pharmacy I’d change GP but I can’t.


@tyme made an excellent contribution. I can totally relate to taking it slowly and all current research literally says it should take years.

If I could afford a private psychiatrist and choose one with expertise on tapering I would but I can’t afford.

I see GP on Tuesday and I’m absolutely terrified … It’s been a hard hard weekend.

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

Thank you @Cuddlebear , they are words that are good for me to hear. Thank you. I, too, care for you as if you were a face-to-face friend. I wish I could do more for you also during your house move and tapering challenges. I think of you when I see teddy bears at shops - because of your username of course. 😊

My dogs just got dropped back at my place for the week. We do 'shared custody' of the dogs since he moved out, he takes them on weekends when he is home. This coming weekend he will be away though, so I will have them for the next 2 weeks I guess.

Multiple complex health conditions can make it harder to change GPs, especially when things impact on each other and they can't just treat one condition independently. Shame there is none who list MH interest in your area 😢. I had a look at all the GPs at the same practice where the one I see is, and only 1 lists MH as an interest area - and she had a 3 week wait for the first available appointment! Which for me isn't usually suitable because I don't often need to see a GP (except for 6mthly script repeats) but when I do I often need to see them within a few days. I wonder if the local MH service workers know of any GPs who are good with MH even if they don't advertise it as a special interest area? (which reminds me, I've been meaning to ask the same of someone I know that works in MH in my area...)

$150 per script is wow a lot! I didn't realise they were not on the PBS covered list - did a google and wow they aren't usually. 😲. Still though, I think it would have been good/fair of your GP to at least give YOU the option if you wanted to pay fullprice for it, that would then give you the autonomy for choice in your care.

Ack it is a shame that the MH Psychiatrist didn't send the email to the GP before they went on leave - but at least they did make a call to the GP and write an email to the psychologist outlining thier view -- that is evidence that can be shown in support for you. Will the psychologist forward the email with the Psychiatrists perspective on to the GP in the mean time until the psychiatrist returns?

I am horrified and empathetic to you for your GPs absolute lack of empathy and care regarding your emotional state whilst tapering medications. I suspect they have never personally experienced anything like it. But still, they should be able to listen and show concern and be willing to see a (paying! even if medicare) patient when the patient needs it to support them through what can be one of the most difficult times they will experience! "Feel better quicker" might be true in a sense -- but it does not mean you ignore how bad things will get in the meantime! That time in-between when things get so much worse temporarily is the exact time they need the most support. And you don't do something so fast/severe that it could threaten their life (as is the case with severe MH and SI).

I am glad the GP at least validated that you have been put in a very unfair position with him and the psychiatrist disagreing and you being the "meat in the sandwich". But I wonder if he is able to connect that to his unwillingness to listen to you and your needs and the advice from the other psychiatrist, and for him to back down on his idea of "best for you" so that you are not the meat in the sandwich. From what I have read, there would be no need for the sandwich if he listened to you and responded to your level of coping / not coping. 😢

How did you feel when he offered you a lollipop as consolation for how you are feeling with the taper? 🤔

Next drop is the final drop to be off the medication completely?? Wow that is amazing!! And even more reason to not need to rush it right?! Since you can already start the cross-taper. I wonder what he thinks are the negative effects if you stayed on your current dose for the next 4-6 weeks whilst the new one kicks in a little? (unless tapering upwards on the new one, in which case I guess the similar chemicals could build up too much combined - but then you body is getting enough so tapering down the old medication would have less impact maybe??) I don't know, I'm not a doc. but my mind asks me these questions!

Absolutely let me know how Tuesday goes with the GP. But if I don't respond on Tuesday it will be that I am just tired & recovering from the sedation anaesthetic for a day procedure (nothing major - just endoscopy to see if they can see anything wrong / damaged). I can understand feeling terrified of the appointment, not knowing if the GP will listen to you, and that he will usually try to pressure you to decrease the dosage even if you don't feel you are stable enough to.

I wonder if there is anything you can try to focus on for yourself tomorrow (Monday) to help you feel more rested in your body and mind? Is there some type of other medication he could co-prescribe whilst doing the taper that would help you to relax, or better sleep or whatever you need to be calm and at peace more so your body and mind can cope better? Even just a temporary low dose for 1 week until doing the final taper?

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 @Cuddlebear hope both your Monday's off to a nice start! how are you both going?

@AlwaysMyself i just read your post about your partner - sounds quite disappointing that he waited for you to bring it up. from what you mentioned, it seems like he often followed your lead and waited for you to take initiative with communication, which i imagine would be very draining and unfair on you.

so fair that you're tired of feeling angry! it's exhausting holding onto it, and it's tricky releasing it too - what a fun emotion 🙃 i find that forgiving myself helps a lot with releasing that anger. i know it can feel like a waste of 3 years, but hopefully reframing it as a period of growth can help release it for you? i know it's easier said than done!

it's so valid that you'd have all those questions and doubts! i think it's a tough combo when one person is very self-aware and the other follows the lead... it's hard to feel like you can trust their words hey. i am glad that you feel a bit of relief too, and hopefully that relief feeling overpowers the anger over time.

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 think thats quite accurate re: partner not taking the lead - even in their own life I'd say, without a lot of prompting/encouraging, when i reflect on work and driving license. They did say they are grateful for the 5 years together because they have grown a lot and would not have changed into a professional career (which they are glad they did) without my encouragement and support and help.

I'm not sure I can say that *I* have grown much through/from/during the relationship. Of course i can look back and see where i would in hindsight have raised issues more strongly at the time (not have let them go to see if they would pass). But overall I think I did put in a lot of my learnings from previous relationships around how I respond to situations and address problems constructively and supportingly (not yell / fight / blame). However i guess it takes two people to want to address a problem. And i tried to be considerate when i felt they were depressed (but not seeking help, although i did suggest, encourage, and normalise help seeking) and hoped it would resolve itself - which it didnt. I left it too long in that state, 2 years waiting for their depression to improve where they would not engage in counselling. Next time I would put my foot down earlier and protect myself within the relationship by saying if they dont try to resolve the issue (or even acknowledge there is one) that we need a time-out. Thats a lesson i should have learnt from a previous relationship too but i didnt i guess. Im too empathetic lol. But sometimes empathy requires hard love too.

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

Hello lovely! @AlwaysMyself

I am so glad to hear that even if you take time off, they will consider you for a future position. It sounds like many people really believe in you and your abilities (as they should!).

I think offering to work during the transition is a really good idea too - it shows inititative and that you care about them being supported as well. It strikes a really lovely balance between providing and receiving.

I completely understand the financial stressors component, it's truly so much to manage on top of mental health. It seems like you are in a really wonderful position to at least have a break and feel into what could be next for you, sustainably.

And crafts/hobbies/peer support to tie you over financially and meaningfully is a perfect way to commodify the things you are good at without it being too much - you have really thought all of this out! 🤩

I totally get how different it is showing up for things when you have the space vs because you have to - it feels rejuvenating rather than exhausting.

I just finished reading your update about your ex, Always! I am SO sorry, this made feel upset on your behalf... to not communicate is unfair, especially about something so big.

It sounds like this is something he does find really hard and I definitely have empathy for him around this, but my gosh, of course you are angry! I would be too. 😣

What do you need from us right now?

Also, I like that you mentioned an aspect of feeling 'free'. And although this is painful, I am curious to see how things will shift for you with these changes. Rest assured, we will be here along the way. 🥰

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

Thanks @AuntGlow .

I have been careful to not show my bits of anger to him, as it would not be productive and would instead make him less likely to be confident/truthful in future conversations. Something i have been very careful of during our relationship was to always stay calm and open to listening when raising a recurring problem.

Whilst the final outcome is disappointing, at least it isnt a surprise or shock. I feel like i did a lot of the greiving a few months ago when he moved out to decide what he wanted.

I do dislike that it will realistically be up to me to pack away his remaining things around the house for him to take (things he didnt need in the interim, but now hes not going to return he can take also). I know i could ask him to, but packing or organising is not his forte and he would forget/miss soo many items as well as take a long time and be irritable whilst doing it. Plus he would just leave anything he "doesnt want" for me to get rid of, rather than taking that responsibility himself

There's no rush for me to do it - an upside of the dog shared custody is drop off and pick ups when he can take extra things back home with him. So it doesnt feel like pressure.

I don't think there is much support that can be given re: relationship on forum, other than listening and empathy, and if I'm really annoyed by something then space to process it and people to challenge any unreasonable expectations or assumptions i may make.

The upcoming 4 months will be a real mix of things i expect. On one hand, hopefully the time off work will reduce burnout and over time be able to reengage with activities (positives), but when i start to taper off medication for the trial who knows how that will go (both physical and mentally).

I did some reading after chats with CB and T on T's thread, around the 2024 deprescribing recommendations. I think it would be wise for me to start tapering even before the clinical trial formal enrolment in order to be able to take an extra month of doing it slower. Looking at the risk chart for severity of withdrawal symptoms i had all except 1 risk factor (length of time on medication, type of medication, pre-medication conditions..). If I dont get into the trial for some reason we can just increase the meds again, or i may still want to come off them to see if they make any difference. Reading some of the research about the downsides of the medication and I can relate to most of them - but never considered whether they could be due to the medication rather than just "my brain"/MI.

I will add it to the discussion for my GP just before christmas with the idea of beginning tapering in the new year once i return from a visit to my father - then wont be as much issue if i cant drive due to withdrawal effects. 🤔

I've been wondering for a year or two whether or not meds are helping or not because its been over 10 years on them.

I read you have done your last assessment for the trimester @AuntGlow ! Congrats!! 🥰

How much longer of the degree do you have?

@Cuddlebear in case you are interested also... i put in an application for assessment of my sign language level, so that i can then just do the theory subjects up to the level I am graded at to get that level of TAFE certificate. I don't know yet where I will be graded as (between the 3 levels). I'm very confident it will be one of the 2 higher ones, and I am OK with either one because I wouldnt mind doing the practical class at that level either as a way to meet people and improve/practice my grammar. 😊

I dont find sign language difficult, and i find the theory interesting, so its not stressful for me to study it.

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 my friend. How are you?

I just wanted to wish you well for today’s procedure. I have not been able to respond on forums. But I want you to know I am thinking of you today.

I’ll go over messages later and respond properly. Sending you lots of love and hugs.

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

Thank you @Cuddlebear . All went well today 😊. Mostly healthy with no concerns seen.

Hope you are doing OK. I think today may have been your GP visit day? If so, I hope it went well.

No pressure on response. In your own time; put yourself first. Ive been behind in posts too and that OK. 😊🥰

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