Struggling with Self-Harm: Seeking Help for Depression and Pain - Psychiatry

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If you have harmed yourself again, it is important to seek help immediately. Please reach out to a mental health professional, a trusted friend, or a family member. You can also contact a crisis hotline for immediate support. Your safety and well-being are


I'm sorry to hear that you're feeling this way.
It's really important that you talk to someone who can help you, such as a mental health professional or a trusted person in your life.

Ahao, 10~19 year old female. Ask Date: 2006/03/12

Dr. Yu Xie Zhao reply Psychiatry


Ahao, I understand that kind of involuntary and uncontrollable pain.
I believe you may indeed have depression, and in addition, you might have personality issues.
Besides medication (such as SSRIs or SNRIs), I think you need to have a thorough discussion with a psychiatrist to understand if there are any personality problems and whether there are any discrepancies in your self-awareness.

Reply Date: 2006/03/12

More Info


I'm truly sorry to hear about the pain and struggles you're experiencing. It sounds like you're going through an incredibly difficult time, and it's important to acknowledge that reaching out for help is a significant step. Your feelings of despair, self-harm, and the overwhelming sense of sadness are serious and deserve attention and care.

From what you've described, it seems you may be dealing with severe depression, which can manifest in various ways, including self-harm, feelings of hopelessness, and difficulty managing emotions. It's also clear that you've had some negative experiences with healthcare providers, which can make seeking help feel even more daunting. However, it's crucial to remember that not all doctors or therapists are the same, and finding the right support can make a significant difference in your recovery journey.

Self-harm is often a coping mechanism for emotional pain. It can provide a temporary sense of relief, but it ultimately does not address the underlying issues causing your distress. It's essential to find healthier coping strategies. Activities such as journaling, engaging in creative arts, practicing mindfulness or meditation, and physical exercise can be beneficial. These methods can help you process your emotions in a way that doesn't harm your body.

You mentioned feeling numb and unable to cry, which can be a sign of emotional exhaustion or dissociation, common in individuals experiencing severe depression. It's important to find a safe space to express your feelings, whether through talking to someone you trust, writing in a journal, or even seeking out support groups where you can connect with others who understand what you're going through.

Regarding your experiences with mental health professionals, it's understandable to feel frustrated when you don't feel heard or understood. If you encounter a healthcare provider who doesn't seem to take your concerns seriously, it’s okay to seek a second opinion. A good therapist or psychiatrist should create a safe environment for you to express your thoughts and feelings without judgment. They should also work collaboratively with you to develop a treatment plan that feels right for you, which may include therapy, medication, or a combination of both.

You also mentioned having thoughts of harming others, which can be alarming. It's crucial to address these feelings with a mental health professional. They can help you explore these thoughts safely and develop strategies to manage anger and frustration in healthier ways.

In terms of your question about recovery, many people with depression can and do recover with the right support and treatment. It may take time, and the journey can be challenging, but improvement is possible. Recovery often involves a combination of therapy, medication, lifestyle changes, and support from friends and family.

Lastly, I encourage you to reach out to someone who can help you navigate this difficult time. Whether it's a trusted friend, family member, or a mental health professional, having support is vital. You don't have to go through this alone, and there are people who want to help you find a way through the pain.

Please take care of yourself, and remember that seeking help is a sign of strength. You deserve support and healing.

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