this one is from last night
⦁ have you taken care of your physical wounds? if not, go do that now. we'll wait.
yes, this was last night
⦁ what had happened just before?
i binged on peanut butter and marshmallow fluff and cheese and etc etc... and i felt fat
⦁ what were you thinking and feeling?
i thought that my diet was screwed and i'm a failure and i felt disappointed, ashamed, angry
⦁ why did you end up hurting yourself then instead of some other time? was there an event that was the final straw? what was it?
because it was impulsive, it was right after i had binged
⦁ how did the situation get to the final straw stage? trace it back through the events that led up to the last event. look for some point at which you could have made a different decision and not arrived at the final straw.
i could have told someone, reached out before self harming
⦁ were there outside factors like drugs, alcohol, being off your meds, lack of sleep, etc? can you address those in the future? how?
lack of sleep, unbalanced eating, intense emotions. i will go ot bed on time and eat more healthfully
⦁ what other ways of coping did you try besides self-harm? how well did they work?
i did not try anything
⦁ in retrospect, are there coping methods that you now realize might have helped? what were they?
i could have done crafts or tended to my plants
⦁ name at least two things you will do to help yourself remember those coping methods if you end up in this situation again.
i will snap a rubber band on my wrist and i will post my coping skills on my bulletin board
⦁ how do you feel about the situation that led to self-harm now? is it resolved? if not, what are some steps you might take toward resolution?
i still feel fat, so it has not been resolved. i will eat less and exercise from now on
⦁ are you likely to be in that emotional place again? how will you recognize it when you're in that situation?
yes, idk how i will handle it
⦁ what will you try before you resort to self-harm if you're in that situation again? list three specific things you will commit to trying.
reaching out
journaling
drawing
⦁ What made that opportunity more appealing than any other?
because i just got home and it's been so long since i've self harmed with my own tools
⦁ Did you make an opportunity or was it there for the taking?
it was there for the taking, everybody was asleep and i was quiet
⦁ What would you have done if there was no opportunity, how would you have handled your urge?
i probably would have made an opportunity
⦁ If there had been no opportunity would your urge to self-harm have increased or decreased?
increased
⦁ What consitutes opportunity for you? Being alone? having new tools? waiting for the right feeling?
being alone, access to tools, right feeling
⦁ If your opportunties were taken away, how would you feel?
probably "some type of way"