This is maybe a little weird, I haven't seen anything written about it (except me posting about it

Now that I'm conciously trying to stop SI, I take more notice of when and how urges appear. What is easily the most difficult for me to deal with are thoughts that are not articulated. Not like "I am bad I need to be punished" or "I might as well go cut since I'm such a failure anyway" - I have those too, but I can talk back to them. But especially when I'm stressed up, very upset or tired, I get quick but strong visuals of myself getting hurt in various gruesome ways. There is no story line, just odd scenes like very short excerpts of a movie. I don't quite want to call it hallucinations, since I am aware that it's just thoughts in my head. But they are incredibly upsetting. It's very tempting to resort to SI, since the numbness it brings temporarily stops these thoughts.
One pdoc said she had encountered something like this in other PTSD cases, where she said she thought the scary thoughts could be things that you had not actually experienced, but that you had feared or imagined happen during a traumatic event. I can't quite evaluate how relevant this idea is. It's at least obvious that a lot of what I "see" are not things that ever happened.
Sometimes I clearly envision a new SI wound, and then it becomes very hard for me to not go ahead and make it real.
I don't have a psychosis dx, but I'm on a low dosage of an atypical antipsychotic now (Geodon/Zeldox) which is helping quite a bit with mood swings and calming me down, but obviously not stopping these thoughts.
Even if people can't totally relate, I would appreciate any thoughts.
(I'm not bad off at the moment, but this stuff doesn't seem to completely go away...)
Nina