Talking About Self Harm
Posted on March 1, 2019
Self harm (also described as self injury) is still a topic that people struggle with. That’s understandable. It’s a hard thing to think about. But that doesn’t mean we shouldn’t. So, since it’s Self Injury Awareness Day, I thought I would write down some of things that I’ve learned, things I’ve found useful, things that I wish other people had known during my ‘self harm journey…’ So, without further ado, here are some dos and don’ts for talking about self harm, from my experience at least…
DOs
- Try to stay calm – Simply put, don’t freak out and say something you might regret. It’s a hard thing to find out about anyone, let alone someone you really care about. You’re allowed to feel your feelings but try to control any outbursts of upset or frustration.
- Ask – If you don’t know what to say, ask them. It’s okay not to know and asking, ‘how can I help you?’ or ‘what response do you want/need to hear?’ is better than anxious rambling or silence.
- Offer what you can – Even if it’s only being a person to call, assure the person that you are there for them and that you will support them through whatever it is they’re going through. But don’t make promises you can’t keep by overcommitting.
- Remember that it’s not about you – A person doesn’t self harm because their parents nag or because their friend said they couldn’t hang out. Yes, negative interactions and experiences can trigger it but a person wouldn’t do it if there wasn’t something really serious going on internally. It’s not about you, it’s about them and what they’re going through.
DON’Ts
- Grab the area that’s injured or scarred and demand an explanation – A confrontational or accusing attitude won’t help either of you and it’s NOT okay to touch someone without their consent even if you think you’re trying to help. Try to stay calm, and allow them to direct the conversation if possible.
- Judge – Unless you’ve struggled with self harm, you can’t know what it’s like. That’s okay. You’re not expected to understand it but that doesn’t mean you can’t be compassionate and supportive. Try to keep an open mind while having these conversations.
- Simply ask them to give it up – If it were that simple, no one would self harm. If someone is hurting themselves – going against their body’s survival instinct – there’s something seriously intense going on and so just stopping isn’t possible. And that inability to stop can turn into a lot of guilt and self blame so it’s a sensitive subject in itself.
- Ask them to give up for you – I know it can seem like positive motivation (and maybe it works for some people) but it actually just creates more pressure and more pressure is exactly what they don’t need right at that moment. I’m not an expert but from my own experience, pressure leads to feeling even more guilty and all the negative emotion just builds and builds and makes the whole thing worse.
I hope these things have been helpful and I’d love to know what else you would add to this. Awareness and understanding are so important and every conversation matters. And if you’re someone that struggles with self harm, I hope you remember that you’re doing the best you can. Obviously everyone wants you to be in a place where you don’t feel you need self harm but that’s a really big thing. It’s not a place you can necessarily get to over night but every day that you get through – every hard moment – is a success, however you get through it. It’s a process and whatever speed you travel through it is okay. Living is hard. You’re doing fine.
More information here.
365 Days of Kittens
Posted on February 26, 2019
In the afternoon of the 26th February 2018, my gorgeous cat Lucy had her second litter of kittens. As with her first litter, she made a nest on one of the levels in my wardrobe and that’s where she headed when she went into labour, after checking that I was right behind her. For both labours, she came in search of me and yowled until I followed her up to my room. She was very insistent. So I went and sat with her; every time I tried to leave, she yowled. So I sat there all day and saw far more than I needed to… But it resulted in these two handfuls of fur: we nicknamed the older, grey one ‘Mouse’ and the younger, tabby one ‘Tiger.’

(Day 1 – 27th February 2018)
They were gorgeous. Utterly gorgeous. They were soft and warm and just so cute. I loved every minute with them and as you can imagine, I spent most of their kittenhood with them in my bedroom. Watching them grow and explore and experience the world around them was enchanting: they are so completely and fully engaged with everything they do, from eating to playing to getting into trouble. Your whole world shrinks down to the room you’re sitting in. It’s very mindful to watch. And I found their innocence very healing. Then (and now) they look at me with such trust that it takes my breath away.

When they were two months old, we moved house. Of all of us, the cats were the least traumatised: they continued to eat, sleep, and play. They even ventured outside and fell in love with the garden. I don’t think there’s anything as cute as kittens pouncing on long grass.
I was very distressed by the move (and still am to some extent) and it really exacerbated both my depression and my anxiety. So I found it very difficult to know how I felt about anything, let alone something as significant as whether or not we should keep the kittens. I was also repeatedly weaning myself on and off different medications, which did a number on my emotions. It was a mess. I was a mess. A very sad mess.

Eventually we decided to keep them. I still felt very unsettled but I figured that since there had been so much change, a little more wouldn’t make much difference (in the context of my anxiety). We’d thought about it a lot: before they were born, we’d entertained the idea of keeping one but after getting to know them and watching how bonded they were right from the start, I knew that I couldn’t keep one and give away the other. We couldn’t keep two out of the little family of three.
Not long after we made that decision, Lucy started getting really irritated with them, hissing and swiping at them as they approached and even going out of her way to have a go at them. And when that showed no signs of stopping, I started to get really upset. That coincided with a medication change that made me so anxious all I could do was cry. I was terrified I’d made a huge mistake, that I shouldn’t have kept them but now I loved them too much to let them go, keeping us trapped in this very stressful situation. It was excruciating.
Fortunately, things have been better recently. They’ve all started to bond again and I often find them all snuggled in a bed together, legs and tails everywhere. It’s completely adorable. We even bought them a cat tree that has both a nest and a mouse on an elastic string; they absolutely love it and I get such joy from watching them play.
Now, I’m not just writing this because I love talking about my cats. Today is the kittens’ birthday and that seemed like a good opportunity to reflect on the choices, the anxiety, and all the emotion that has gone into this experience so far. I haven’t got it all figured out yet. I still don’t know if I made the right decision and maybe I never will. Maybe it’s just a case of learning to live this life that I’ve chosen, just as we learn to live with every choice we make, sometimes quickly and sometimes slowly. But regardless of all of that, I love my animals and I’m grateful to have them in my life. Hopefully that’s enough.
Some ‘Interesting’ Medication Experiences
Posted on February 23, 2019
I’ve now been taking various medications for four and a half years. It’s been a very mixed experience but through it all, I’m an advocate of medication because when we get it right, it’s incredible. A whole new person emerges, a person you’d forgotten you could be and that is the most amazing experience. It’s the closest thing to freedom that I’ve ever felt. But during that time, there have been a number of interesting and strange experiences. I don’t know if reading about them will be helpful to anybody but all of this stuff can be so scary if you think you’re going through it alone. So I’m putting it out there, just in case.
Venlafaxine withdrawal
I’ve written about this before but it makes sense to include it here as well. Because of several very busy days, I forgot to take my Venlafaxine and accidentally went into withdrawal. It started with an almost debilitating headache and on day four I woke up unable to think clearly. I couldn’t hold on to a thought: they were moving so fast that it made me feel dizzy and sick. On my Psychiatrist’s advice, I resumed the medication and I started to feel better pretty quickly although it took about a week before I felt like myself again.
Too much Pregabalin
At one point, I picked up my prescription and didn’t realise that the pills were at different doses than the previous prescription had been. So when I thought I was taking 150mg, I was actually taking 450mg. I woke up the next morning feeling shocking: I felt like my head was filled with cotton wool, the ground was moving under my feet like ocean waves, and my legs and hands kept twitching. It was awful and because I wasn’t aware that I’d changed my dosage, I was really freaked out. I ended up at the out of hours doctors because both me and my family were so worried. They didn’t find anything serious so we were left to wait and see but then my Mum realised what had happened. So that was a scary experience that I have no desire to repeat; I’m much more diligent about checking these things now.
Obsessive eating with Amitriptyline
Almost from the moment I started taking Amitriptyline, I was obsessed with eating, constantly thinking about what I could eat next, what it would taste like, what it would feel like. It was very much about the sensation of eating rather than being hungry. And the higher the dose, the more I wanted to eat. It was all I could think about. Seriously. I couldn’t think about anything else; I couldn’t function. It eventually caused me so much anxiety that I had to stop taking the Amitriptyline and try a different medication. I’d lost a lot of weight while on previous medications but I gained it all back while taking Amitriptyline and I found that very stressful and upsetting.
Taking Diazepam with Redbull
During a period of particularly high anxiety, I was taking Diazepam regularly throughout the day. The anxiety lifted but what was left was this overwhelming tiredness and sleepiness that had me falling asleep in the middle of the day, sometimes mid sentence. So I started drinking Redbull to keep myself awake and functioning. It wasn’t until a few weeks later – when I used Redbull to wash down the Diazepam – that I realised that it was the Diazepam that was making me so sleepy and that this was not something I could continue to do (not that Diazepam had ever been a long term strategy). I’d been taking it to ease the transition between medications and fortunately my anxiety started to go down and I didn’t feel the need to keep taking it.
Running out of Pregabalin
At one point, I ran out of the 225mg capsules, which didn’t seem like a problem because it was less than a week until my next appointment and we still had a load of Pregablin pills from earlier prescriptions, when we were still trying to get the dosage right. But then we realised they were 50mg capsules that you couldn’t split in half so I wasn’t going to be able to take my full dose of 225mg. I’d have to take 250mg or 200mg and the safer course was the latter. So I did several days on 200mg with pulsing headaches to remind me exactly why you take the exact amount you’re prescribed.
Too Much Magnesium?
This is speculation but not long after I started taking a Magnesium supplement, my mood seemed to nosedive. I’d been doing pretty well and was actually having bursts of what I think was happiness and so I’d felt able to add the (nutritionist) suggested supplement into my system. Nothing happened straight away and taking it became a habit but then depression started to creep in again. The only thing we could attribute it to – the only change – was the addition of the Magnesium. I’ve always been incredibly sensitive to stuff like this (I once threw up moments after taking a different supplement because it had too much copper in it) so I stopped taking it and within a couple of weeks, I felt more like myself.
Twitching on Pregabalin
The one real side effect of taking Pregabalin – in my experience, at least – is that it causes twitching, mostly in my legs but sometimes in my hands and arms too. It’s very disconcerting to not feel in control of my body and I really, really don’t like it. But as of now, Pregabalin is something I need to get through the day. It helps me manage my anxiety but if another option became available, I would jump at the chance to change, even with all the potential problems of switching medications.
I hope I haven’t put any of you off medication. These experiences weren’t fun but as I said, getting it right is worth it. At least I hope so.

Finding Hope
