Dealing With Self Harm

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ABOUT Dealing with selfharm

Self-harm and self-injury
Self-harm might be part of your experience now, but it doesn’t have to be in the future. You can learn to care for yourself emotionally and physically. Changing your self-harming habits is about learning to cope with your urges to self-harm, finding new ways to express how you feel, having the right support, and improving your general health and wellbeing.

Self-harm refers to people deliberately hurting their bodies. It is usually done in secret and on places of the body that may not be seen by others. The most common type of self-harm is cutting, but there are many other types of self-harm, including burning or punching the body, or picking skin or sores.

Why do people self-harm?
In general, people self-harm as a way of coping. People often talk about harming themselves as a way to relieve, control, or express distressing feelings, thoughts, or memories. Some people harm themselves because they feel alone, while others do so to punish themselves due to feelings of guilt or shame. However, the relief they experience after self-harming is only short-term, and at some point, the difficult feelings usually return. With the return of these feelings often comes an urge to self-harm again. This cycle of self-harm is often difficult to break.

Most people who self-harm are not trying to kill themselves, but there’s a chance that they may hurt themselves more than they intended to; this increases their risk of accidental suicide. People who repeatedly self-harm may also become suicidal and feel hopeless and trapped.

Finding other ways to cope
It is possible to learn to manage really intense feelings in ways that don’t cause harm, and many of these alternatives can also offer you long-term relief. It can be hard and at times confronting to break free from your self-harming habits, but just take it one step at a time.

Some people can begin this process on their own but many need the support of their friends and family. If your self-harming is particularly intense or long term, then the support of a health professional will be essential.

Learn about ways to cope in our Self-harm and self-injury fact sheet
Get support
Having supportive people around you is always important. Surround yourself with people that you trust, who will listen to you without judgment and who you enjoy being with. It’s good to work on some things that you can do for yourself, but you don’t to have to face this challenge alone. It’s important to let others know how you feel when things don’t go to plan. Don’t build up worries, anger or disappointments  talk about them.

A counsellor, psychologist or doctor can help you to work out what is triggering your self-harm, and begin to work with you on managing your difficult thoughts and feelings.

How family and friends can help
If you’re worried about someone who is self-harming, it’s important to talk with them about it. It can be a hard conversation at first so approach it with care, respect and without judgment. Let them know that you’re there for them and encourage them to seek help.

It can be overwhelming and at times distressing to know someone you care about is self-harming. To look after others you need to also look after yourself. Try to get enough sleep, keep fit and healthy, and seek your own support from friends or professionals.

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Selfharm Clinic in numbers

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Expert Q & A: Bipolar Disorder

What can family members do to support a person with bipolar disorder?
Outcomes are always better when there is a strong family support network. Think of bipolar disorder as any other severe medical condition. However, also note that in many severe psychiatric conditions, patients may not be aware that they are ill. They may minimize the severity of their condition. The result of these factors may be that patients will not follow through on their treatment. In very severe cases, there may be instances of a lack of behavioral control where family members may not be able to look after their loved ones. In those cases, assistance from providers or even law enforcement agents may be necessary.
It is possible for children to have bipolar disorder. This mental illness occurs in approximately 1 to 3 percent of the general population, and studies have shown that bipolar disorder has a genetic component. However it is also possible for bipolar disorder to appear in someone who has no family history of the disease.

The term mixed episode was changed to mixed features in the last edition of the Diagnostic and Statistical Manual (DSM-5) published by the American Psychiatric Association in 2013. The new term may apply to either episodes of mania with additional symptoms of depression or the opposite, episodes of depression with additional symptoms of mania. The overall idea is that the presence of both mania and depression can exist at the same time. Symptoms of mania include elated mood, decreased need to sleep or racing thoughts. Symptoms of depression can include depressed mood, and feelings of hopelessness or worthlessness.

Although it is possible that during the natural course of the illness individual patients may get well without any medication, the challenge is that it is impossible to identify or determine beforehand who those fortunate patients are. Although some patients dont get well or just have partial response to the best available treatments, on average and for the vast majority of patients the benefits of medications outweigh the risks.

Not necessarily. Studies have shown that approximately 10 percent of patients have a single episode only. However, the majority of patients have more than one. The number of episodes within a patients lifetime varies. Some individuals may have only two or three within their lifetime while others may have the same number within a single year. Frequency of episodes depends on many factors including the natural course of the condition as well as on appropriate treatment. Not taking medication or taking it incorrectly are frequent causes of episode recurrence.
It depends. Mood shift frequency varies from person to person. A small number of patients may have many episodes within one day, shifting from mania (an episode where a person is very high-spirited or irritable) to depression. This has been described as ultra-rapid cycling.
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