Self-Harm: A Journey Through Emotional Turmoil - Psychiatry

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I want to know what is wrong with me?


Hello, doctor: I would like to ask for your advice.
I am someone who tends to bottle up my feelings and emotions.
In the past, when I felt down and my mood was low, I would watch television or listen to music to distract myself.
Gradually, I found myself turning up the volume, yet my emotions remained uncontrollable.
I started to suppress my feelings, and eventually, I began to harm myself—first by hitting walls, then by biting myself, and later by hitting myself with an ashtray.
Eventually, it escalated to cutting myself with a knife, starting with one or two cuts and increasing to twenty or thirty.
After some time, today, I again resorted to cutting my left arm and hitting my left calf with a baseball bat (resulting in bruising and swelling).
Over this period, I have noticed that my self-harm has become increasingly severe.
Additionally, when I cry, I experience episodes that feel almost like a mental breakdown, where I alternate between crying and laughing, talking to myself, and then suddenly stopping—this cycle repeats itself.
I am concerned about what I might become in the future.

ct1977, 20~29 year old female. Ask Date: 2001/06/11

Dr. Lin Yanhong reply Psychiatry


Hello, due to a recent business trip, I apologize for the delayed response.
After reading your description regarding self-harm and self-destructive behaviors stemming from emotional issues, wouldn't it be better to discuss potential solutions with a physician rather than exploring the consequences? Dr.
Lin.

Reply Date: 2001/06/11

More Info


Self-harm is a complex and often misunderstood behavior that can stem from various emotional and psychological issues. It is crucial to understand that self-harm is not merely a cry for help; it is often a coping mechanism for individuals who feel overwhelmed by their emotions. In your case, it seems that you have been using self-harm as a way to manage intense feelings of sadness, frustration, and emotional turmoil.

From your description, it appears that you have been experiencing a significant amount of emotional distress. Initially, you attempted to distract yourself with music and television, which is a common strategy for coping with negative emotions. However, as your emotional state worsened, these distractions became less effective, leading you to engage in self-harming behaviors. This progression—from hitting walls and biting yourself to using more severe methods like cutting—indicates an escalation in your emotional pain and a desperate need for relief.

Self-harm often serves multiple functions. For some, it provides a temporary sense of control or release from overwhelming feelings. The physical pain can sometimes feel more manageable than the emotional pain, creating a paradox where individuals harm themselves to feel something, even if it is pain. Additionally, the act of self-harm can create a momentary distraction from emotional distress, leading to a cycle where the individual feels compelled to harm themselves repeatedly.

The behaviors you described, such as crying, laughing, and talking to yourself, may indicate a dissociative response to emotional pain. This can be a way for your mind to cope with feelings that are too intense to process all at once. It is essential to recognize that these behaviors are signals of deeper emotional struggles that need to be addressed.

Moving forward, it is crucial to seek professional help. A mental health professional can provide you with the support and guidance necessary to explore the underlying issues contributing to your self-harm. Therapy can help you develop healthier coping mechanisms, improve emotional regulation, and address any trauma or unresolved feelings that may be influencing your behavior. Cognitive-behavioral therapy (CBT) is particularly effective for individuals struggling with self-harm, as it focuses on changing negative thought patterns and behaviors.

In addition to therapy, consider incorporating self-care practices into your daily routine. Engaging in activities that promote relaxation and emotional expression, such as journaling, art, or physical exercise, can be beneficial. Mindfulness and meditation techniques can also help you become more aware of your emotions and develop healthier responses to stress.

It is important to remember that you are not alone in this struggle, and there is hope for healing and recovery. By reaching out for help and committing to the process, you can learn to navigate your emotions in a healthier way and ultimately reduce the urge to self-harm. Your journey may be challenging, but with the right support, you can find a path toward emotional well-being and self-acceptance.

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