Before You Self-Harm
write down the shadow that's hiding behind the urge. look at it. ask yourself:
I don't know what's hiding behind the urge this time.
- how will this situation or feeling change if i hurt myself?
If I hurt myself, I will feel more stable and I might be able to cry.
- what will hurting myself bring to the situation? what will it take away from the situation?
It might allow me to cry. It will take away the panic and edginess I am feeling.
- how do i want to feel about this in the long run? is hurting myself likely to get me closer to or farther from feeling that way?
I just want to feel better. Grounded. Not panicked. I'm not sure about the long run. Hurting myself will get me closer to how I want to feel right now.
- if hurting myself seems like my best option right now, how long will the relief it brings last? what will i do then?
I don't know how long relief will last. If it can bring me out of my panicked feeling, the relief might last a while.
- what is something i could do now instead of hurting myself? how will it change the situation i'm in? how long will that change last, and what will i do then?
I don't know what else I can do. Yes, I have read lists of coping skills and I put a lot of them to use. I just don't think I can do any type of activity right now. Maybe I can wrap myself up in my blankets. I could use ice, or rubber bands. It might offer some temporary relief. I don't think it will last very long. I don't know what I will do then.
- how will i feel tomorrow if i hurt myself? how will i feel tomorrow if i do the other thing i came up with?
If I hurt myself I will feel guilty and worthless tomorrow. If I snuggle down in bed or use ice or rubber bands, I will be pleased that I fought through my urges.
- what do i really want to do right now? how can i best honor the self-protective instinct that has me wanting to self-injure right now?
What I really want to do is cry an be held. But I can't. I can look for comfort that I can give myself.
urges aren't necessarily the enemy. they happen for reasons, and they're an expression of a desire to stay alive and stay sane and keep coping. remember that.
More Before Questions To Answer
- Why do I feel I need to hurt myself? What has brought me to this point?
I feel I need to hurt myself because I am feeling panicky and I feel like it will focus me and calm me down. I don't know why I feel this way; my day in general was ok.
- Have I been here before? What did I do to deal with it? How did I feel then?
I have been in similar situations, but not quite where I am right now. I went to a friend's and slept on her living room floor, where I felt safe.
- What I have done to ease this discomfort so far? What else can I do that won't hurt me?
I have read and posted on BUS. I have played a number of silly games. I have checked my email, watched TV, and tried to eat dinner. I have watched my cat play and allowed myself to curl up into a ball. I don't feel up to any activities right now so I don't know what else I can do that won't hurt me.
- How do I feel right now?
So scared that I am sick to my stomach
- How will I feel when I am hurting myself?
Relieved, I think.
- How will I feel after hurting myself? How will I feel tomorrow morning?
I will feel guilty, very very guilty
- Can I avoid this stressor, or deal with it better in the future?
I don't know what the stressor is, so how can I avoid it?
- Do I need to hurt myself?
I feel like I do need to, but I am telling myself that I don't.
Remember you don't have to answer all the questions if you don't feel up to it.