HOW TO COPE WHEN YOU’RE TRIGGERED TO SELF-INJURE

Last week I shared healthy coping techniques to use instead of self-injuring, but there are still things that will trigger you. Everyone has triggers that cause them extra stress or anxiety. Self-injurers have things that trigger their need to hurt themselves. In order to completely quit self-harming you have to know your triggers and how to cope with them. It’s a process to stop hurting yourself and it’s not an easy one. Take each day step by step.

When I was self-injuring, a lot of things triggered me to injure like stresses of life, a bad relationship, feelings of worthlessness, feeling alone when with others, and angry outbursts. When I started to replace my self-injuring with healthy coping techniques, I found myself struggling with my triggers. To control those triggers, I had to learn new techniques. It wasn’t easy. A few times I slid backwards, but in time the need to harm myself went away.

Here are some coping techniques to cope with your triggers:

  • Reach out to someone you trust or someone on your support team. In last week’s post I mentioned starting a support team. This team should be a group of people you trust and know will be supportive. If you don’t have a team, talk to someone you feel comfortable with and trust. This is not a fight you can do alone.
  • Go somewhere different. Self-injurers are known to hurt themselves in the same room or area. Leave that place. Go where there are other people like to a restaurant or to the movies. Go for a walk in the park or ride a bike to your favorite spot in nature. Find something fun to do like going hiking, going out with friends, going to a fair, or anything else you consider fun.
  • Practice breathing exercises or relaxation techniques. Breathe in slowly and slowly exhale several times. Do relaxation techniques like listening to soft music or nature sounds, visualization or guided imagery, or muscle relaxation. Some people do yoga and meditation. This helps relax the body and refocus the mind.
  • Express your feelings. Express your feelings the best way you know how to like with journaling, art, dance, crafts, or some other kind of art. Find whatever way you can to release your feelings and emotions. Keeping them inside only makes the triggers stronger.
  • Punch a punching bag or pillow. Use a punching bag or pillow to let out your pent-up feelings. Punch until everything inside you is released. Keep from punching anything that will lead to more harm. Keep it safe. It defeats the purpose if you hurt yourself while letting out your feelings.
  • Use something cold. Hold an ice cube until the sting replaces the need to self-harm. Put an ice pack on your chest to get your adrenaline pumping. These will take the place of hurting yourself without causing you injury.
  • Join a support group. A support group gives you other individuals who are struggling with the same problems. Together you’re on the same journey, and through the group you will learn more about self-injury and other coping techniques. Your support group can also become like a support system. You support each other.
  • Seek professional help. When nothing else works, turn to a professional for help. Get a therapist and psychiatrist. A psychiatrist can try different medications to treat your mental illness to minimize the symptoms that make you want to hurt yourself. A therapist can help you work through your mental illness and self-injury. You must be willing to do the work.

Try these techniques when you feel triggered to injure. Putting an end to self-injury is not an easy task. It takes a lot of hard work and dedication. You may slip up a few times, but don’t give up. Keep fighting the urge and in time it becomes easier. Once you learn to cope using healthy techniques, you will no longer have the need to hurt yourself.

Once in a great while I think of injuring, but instead I use my coping techniques. With my healthy coping techniques, I stand in the light harm free and happy.

COPING TECHNIQUES FOR THOSE WHO SELF-HARM

Recently I was asked to write a keynote speech for One Life Project’s online conference in August. When Alex Kavarovic asked me to write it, the subject of the speech came to me instantly: self-harm. Self-injuring happens frequently among teens and college students, and it’s a bad coping technique that is very hard to change. To stop injuring oneself, a struggler must find new and healthy coping techniques.

I was once a self-injurer. I had a lot of painful emotions inside me, and the only way I knew how to release them was to hurt myself. It wasn’t until I found the right therapist that I learned healthier ways to cope with my emotions. It was a challenge to give up self-injury; I was addicted to it as if it were a drug, but with new coping techniques I soon found I no longer needed it.

Below are some coping techniques to replace self-harming.

  • Express your feelings in a creative way. Find some way that you can release your feelings using different kinds of art like drawing, journaling, or dancing.
  • Keep a self-harm journal. In a self-harm journal write how you are feeling before you hurt yourself. List your emotions. Then after you injure write how you are feeling once the rush of the injury has gone away. Do you feel shame, anger at yourself, more depressed, or anxious? Look at your entry and ask yourself, “Was hurting myself worth it?” Then list healthy coping techniques you can try next time.
  • Change negative thoughts into positive ones. If you think, “I am a worthless person who ruins everyone’s lives,” change that to “I’m a good person who is important to many people.” You can take a piece of paper and fold it in half and put negative thoughts at the top of one side and on the other side write positive thoughts.
  • Talk to someone you trust. It’s important to build a supportive system of friends and family you can talk to when you feel the need to injure yourself. It’s very helpful to talk out your feelings and have someone help you find different ways to cope.
  • Go for a walk or do exercises. Walking and exercising are very good for your mental health. They give you something physical to do to release your pain. Ride a bike, do jumping jacks, lift weights, go for a run, and so on. When you walk, go briskly. Work out those emotions with each exercise or step.
  • Set a goal to stop injuring. Set a small goal at first, like going one week without harming yourself. When you make it to that one week, celebrate by having dinner with friends, treating yourself to something special, or buying a cake. After completing a week keep adding to your goal, two weeks, a month, or a year. Celebrate each time you reach your goal. In time you will go years without hurting yourself.
  • Write affirmations. Write positive things about yourself and your life. Put positive things about yourself on notecards, and put them where you’ll see and read them each day. Start a journal just for affirmations.
  • Seek help. Therapists can teach you different ways to cope with self-injury, give you someone to talk with, and guide you in putting an end to self-harm. It may be hard to find a good therapist who makes you feel comfortable. Don’t give up. Make sure you ask your therapist if he or she has experience helping others who self-injure.

Learning healthy coping techniques will help you overcome self-harm. You can break away from the shame, silent struggle, hiding your wounds, and the endless cycle of agony. Try these coping techniques. Practice them regularly until you no longer need to hurt yourself. You can reach recovery.

Because I practice these techniques and incorporate them in my life, I have gone 23 years without self-harm. I stand in the light of recovery with pride.

ALL-OR-NOTHING THINKING

This week I’m posting an old post because I have been struggling with a sinus infection. I hope to write a new post next week.

Last week I wrote about the cognitive distortion called catastrophizing, and this week I would like to write about another many struggle with, including me. It’s called All-Or-Nothing Thinking. It is seeing your personal qualities such as your success or mistakes in black and white. Like if a student in school got two questions on a test wrong, that student would automatically see himself or herself as a failure. The student wouldn’t be able to celebrate his or her got a passing grade. Instead, the person would only see the situation in extreme black and white or in a negative viewpoint.

I developed all-or-nothing thinking in high school. In school I became obsessed with passing and proving to everyone I wasn’t stupid. I pushed myself to succeed at all costs. I spent hours finding ways around my learning disability to study for tests. I had a hard time remembering what I read, I was a slow reader, and I couldn’t keep up with the notes in class. So, I had to make notes from my textbook and put them on index cards. I read them over and over for hours to remember them. I had to pass all my classes no matter what. A low grade was unacceptable to me.

If I didn’t get an A on a test, I saw myself as a failure. I pushed myself hard. I gave up time with my family and had fits of anger when I couldn’t remember things well enough. If I didn’t pass with high grades, then everyone would be right about me. I would be the stupid, loser they all said I was.

This type of thinking followed me into my adult years. I had my future planned when I started college. I was going attend a two-year college to get a degree in journalism, then go on to a four-year college and become a journalist. College was much harder than I thought. Because of my disability, I couldn’t meet the requirements for a journalism degree and instead I got a humanities degree. Then mental illness and my disability made completing college difficult. It took me four years to graduate from a two-year college. My plans were destroyed.

For years I viewed myself as a failure for not being able to go on to a four-year college. I became a cashier, not a journalist. I was a worthless loser who proved that I was good for nothing. I didn’t succeed at my dreams. I let myself down. I dwelled on what I didn’t accomplish instead of what I did succeed at.

For years and even now I tell people I have a journalism degree when I have a humanities degree. I’m ashamed of myself for not getting the degree I wanted. A humanities degree is a basic degree that doesn’t really amount to much. I wasn’t good enough to get a journalism degree. I failed. I was and am a looser. I can’t admit to peoples’ faces that I am a worthless failure. If I tell people the truth, they will look down on me like they did in school. I’m just a cashier not a journalist like I planned.

Repeatedly I tell people I have a journalism degree and I am working as a cashier because I couldn’t get a job as a journalist. I couldn’t see past what I couldn’t do to what I have done. Right now, while I write this, I see myself in another light. For so long I have viewed my life as black and white, but now there is color in my life.

I didn’t fail when I got a humanities degree and became a cashier. I worked around my learning disability to be a cashier, I have written a book, I have a small woodburning business, and I have kept the same job for 26 years despite many illnesses. I didn’t get the degree I wanted, but I continued to pursue my writing. I didn’t go on to a four-year college, but I have touched many lives as a cashier. I have customers who have been coming to me for years. I advocate against bullying and for mental illness awareness through my writing. For so long I felt I had failed when I have succeeded.

It’s so easy to strive for perfection and when you don’t quite make it you look at yourself as a failure. It’s hard to see the small things we do in our lives as successes. We want to be on top, but often the best we have done is distorted into all-or-nothing thinking. We fail to see and celebrate the small accomplishments we make in our life. Instead, we see ourselves as losers when we are winners. All-or-nothing thinking clouds our minds and keeps us from celebrating the positive.

When you think you have failed or are a loser, take another look at the situation. Even though you didn’t get that promotion, look at how far you have come to get to where you are now, and celebrate that. Look for the positive. Write it down and celebrate it. Rejoice that you got a B on a test instead of seeing yourself as a failure. Be proud of that speech you gave, even though you stumbled over a few words. Stand with pride for the job you are working even though it’s not the one you wanted.

I’m standing in the light of recovery admitting I have a humanities degree and rejoicing in the success I am today.

BORDERLINE PERSONALITY DISORDER IS A TRAUMA BASED ILLNESS

Borderline Personality Disorder or BPD is often confused with multiple personality disorder, but they are not the same. BPD is an illness that disrupts a person’s life and it can be categorized with PTSD as a trauma-based disorder. It fits a lot of the criteria as a disorder caused by trauma. Many who suffer with this illness faced some form of trauma at a young age.

When I was first diagnosed with BPD, a psychiatrist I was seeing was confused on how I got it. I had and have very loving parents. They never abused me in any way. My psychiatrist insisted that those with this illness were abused by their parents. He was wrong. BPD doesn’t just come from parental abuse; it comes from any kind of abuse. The abuse I suffered was from the bullying I faced as a kid.

You may ask what is Borderline Personality Disorder?  “Borderline personality disorder (BPD) is a psychiatric disorder featured by intense fears of abandonment, difficulties in emotion regulation, feelings of emptiness, unstable interpersonal relationships, impulsivity, and heightened risk-taking behaviors, as well as high levels of interpersonal aggression,” states the authors of the research, led by Benjamin Otto of Ruhr-University Bochum in Germany. (Found on Psychology Today website  in an article called How Childhood Trauma Can Trigger Borderline Personality Disorder | Psychology Today.) Symptoms of this illness are rapid mood changes, fear of abandonment, impulsive behavior, unstable relationships, self-harm, explosive anger, and unclear or changing self-image.

If you look at the definition and symptoms, you can see how it can relate to trauma. I can see it in the symptoms of my own illness. I feared and still fear abandonment. When I was bullied, many of my friends or people I thought were my friends, hurt me, turned their backs on me, or moved away. A girl at school did her best to make sure others would not become my friends and she convinced those I thought were my friends to turn their backs on me or they would be picked on. After facing that, how could I not be afraid of abandonment? Repeatedly as a child I felt abandoned.

After being tormented day after day at school, my emotions became out of my control. It didn’t take long from me being sad to suddenly in the middle of an out-of-control episode of anger and rage. I threw things, I fought with my siblings, I called my parents’ names, and I screamed from the top of my lungs. It was like a small flame suddenly turning into an inferno. It was hard to control my emotions. I went from being fine to being a mess in minutes. I had so many emotions from what was happening to me in school that I just couldn’t control them.

I didn’t get caught up in risky behaviors, but I self-injured. In school I pulled my hair and punched hard surfaces. In college I began cutting myself. I felt so many emotions that I had no control over and the emotions hurt worse than the wounds I inflicted on my body. Each nasty thing a fellow classmate or teacher said to me caused an emotional wound. Each day that wound was being dug at and widend. The pain was excruciating and the only way to escape it was to pull my hair or punch something. This allowed me to escape from the hurt even if it was for a few minutes.

The unstable relationships started with friends leaving or turning their backs on me. In high school I became friends with a girl who abused me when I was at my lowest. No matter how badly she hurt me, I couldn’t let her go because I was afraid of being alone. As a young adult, I became friends with people who used me and took advantage of me. I even got into an abusive relationship with a man. I wasn’t sure what a good friendship or relationship was because throughout school I didn’t have too many decent friendships. I had one very good friendship in high school and into my college years and I messed it up because I was afraid she’d hurt me. I wrote her a not so nice letter.

As for my self-image, well, that was a mess. I didn’t know who I was or why I was even alive. Was I the retard my teachers and classmates called me or the smart girl who just learned differently that my mom said I was? I saw myself as a worthless person that God made a mistake in making. I hated myself. Self-hate was basically beaten into me by the names I was called and how I was treated.

As you can see, my BPD was caused by the abuse I faced in school. For those with BPD the trauma can be caused by physical, verbal, or sexual abuse, from neglect, having unstable parents, or parents addicted to drugs and alcohol. The abuse doesn’t have to happen by a parent; it can be from anyone who harms you.

If you think someone in your life is suffering from BPD, get him or her help. Be very selective in finding a therapist or psychiatrist. Not all know how to treat this illness. Research BPD and write down questions for the therapist and psychiatrist. Most importantly, ask them if they have experience in dealing with BPD. Also look into group therapies that are centered around BPD. When I was diagnosed, I participated in a group therapy that taught me a lot of coping techniques.

It took me years of hard work to take control of BPD. With therapy, support and hard work I now have the symptoms of BPD under control, and I stand happily in the light of recovery.