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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.

1604 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

Yes @AlwaysMyself I decided today that I would search if there is another clinic that does it around here to find out their rates. Yes it shouldn't be a range if it's one MBS item number, so I was a bit concerned it could have something to do with unilateral v bilateral, but the person who rang me should know that.

I feel like I can't go away for 6-7 weeks because I am trying to build a bit of a network of people I know here. I only moved here a few years ago, so I don't have any long standing friends here, so I am trying to build a network. I don't want anyone to know I have a MH condition esp one that requires daily treatment etc as people may disappear esp early in a friendship.

It's interesting, because when I had cancer and people found out, even though I didn't know people well, they were supportive, no one stopped contact. I didn't tell a lot of people, mainly work mates and a couple of people I knew from a bit of a hobby course I did when I first got here.

I will check out that extra info you sent

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

Hope the rest of your evening is good @AlwaysMyself and writing out the dot points is not stressful

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 @Till23 Since becoming a patient of pain management clinic its been a learning curve regarding different medications.

in weeks leading up to my first infusion I had 2 online, extensive questionnaires to complete ( one hospital, one the clinic) with specific sections relating to my MH condition, meds etc. on day of admission plus as part of regular observation there was mention of and questions about all possible side effects with verbal reminders to advise staff immediately if became or suspected any side effect. Can’t and not going into more details apart from that infusion involves med that is psychedelic, is used for treatment of chronic pain plus depression. Hospital plus my pain management Dr both fully aware I have diagnosis CPTSD.

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 @Flutterbug9 I think the issue with PAT is therapy whilst under effects of psychedelic, also the actual medication and dose will make a difference. Of course there is likely to be bias by pdoc I spoke to, as they do not do that treatment, so I am just waiting and watching the space.

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

Something I found interesting @AlwaysMyself

AI mentions there is strong belief there is connection between certain types of trauma in childhood and adults who display signs of ADHD. Makes reference to it being trauma induced ADHD (or similar wording) also referred to as CPTSD.

All about neurological damage in developing brains

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

It makes a lot of sense to me @Flutterbug9 that trauma can cause neuro-developmental delays and/or decrease/ceasing of functions/neural-networks/activation. My mother and I have suspected over time that my young age of onset has likely impacted either a lack of neural development in specific regions of my brain (related to experiencing of happiness/pleasure/etc) or not allowed for "activation" of these neural pathways and thus they have fallen dormant (use it or lose it sort of thing). This is why TMS and PAT are treatments I have been willing to try despite the cost - because it would address that issue directly. No amount of talk-therapy or anti-d's has helped beyond my first 5 years of learning how to manage thoughts, change beliefs, and cope with sitting in distress without doing harmful actions.

I don't know whether my autistic-like traits are innate or accentuated due to MH/trauma. However I do know they cause more stress when I am in distress. And my depression makes me notice more when I find the "disconnect" between society/others and myself painful.

It makes sense to me that ADHD-traits could also be developed neurologically due to trauma or other things that change how the neural pathways in the brain work.

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

Senior staff member I had good rapport with years ago used to say

”brain is an amazing intricate little machine capable of doing and controlling so many things. A machine that no one has worked out how it works or the way it works”

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

Within different branches of the medical fields it is known that stress and anxiety has a connection to crohns, IBS, IBD, colitis. As far as I’m aware, the full connections are not known.

i know my IBS likely to flare up when my stress/anxiety climbs. Lots of meds available to help deal with the aftermath. Med I take to ‘prevent’ only helps ease the impact

relatives with crohns, very similar

@AlwaysMyself

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 wrote:

i know my IBS likely to flare up when my stress/anxiety climbs.


100% @Flutterbug9 - same here! absolutely no dairy milk for me when I am stressed. And even without dairy those IBS symptoms will present their ugly head if I am stressed.

Oh, and my reflux-pain too. Finally this week my reflux pain has decreased so that I haven't actually taken the medication in 2 days - and I'm only getting mild pain after eating 😊 (not constant pain all day). I've been having to take the medication 1-2 times per day for the past 3 months and still experiencing pain ----- guess who was under a lot of psychological stress the past months? lol. 😉

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

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