Today is Self Injury Awareness Day. Therefore, I’m using today as an impetus to share with you my own experience with self-injury (aka self-harm=s/h). Please do not read this if it will trigger you. Also, I want to make it explicitly clear that I do not condone self-harm as a coping skill, however do not judge myself or others for resorting to it when we feel as though nothing else will assuage our pain (or whatever other things trigger an urge to self-harm).

My first incident of s/h was when I was 7. I had no idea why I was doing what I was doing. All I recall is that I explained (and lied) to my step-mother and told her I was trying to shave just like she did. Needless to say, when it did come time to shave in my early adolescence I was not permitted to do so. I have no idea why. Especially since I was apparently very convincing when I told her it wasn’t on purpose.

I then began sneaking hard liquor (and refilling what I had consumed in the most brilliant way an elementary-aged child could) from the liquor cabinet until my parents gave up drinking quite as much. Then, since their liquor required less space, they relocated it to a cabinet that was well out of my reach (then and almost now).

As I look back on these experiences I can recognize that they were ways for me to drown out something, what? At the time I had NO idea.

I achieved my first degree black belt when I was 16. I used these skills to s/h in a way that I was pretty sure no one would know about and no one would question. I continued this from middle school through college. I was in an incredible amount of emotional pain; that I couldn’t get rid of. All I knew is that my parents didn’t love me and it made me feel like my heart was slowly dying. Nothing I did won their approval. No amount of good deeds at home, the meticulous attention to my chores (which included EVERYTHING while my brother, of course, had none), my excellent grades, my involvement in the community in various ways… nothing. So my Catholic school girl self abused herself in the only way I knew how without getting caught. I had such enormous pain, and severely repressed anger, hostility, shame; I could go all day with what I had stuffed in my “little box”. I was a breakdown waiting to happen. I believed I had to be perfect in every aspect of my life, stuff all the pain away, and put on my (apparently slightly scary) fake-smile.

The year before I started medical school I had an extremely abusive relationship with my first girlfriend. I had previously been treated like gold by my boyfriend of 5 years. We had some major PTSD-related issues in our relationship now that I can look at it in hindsight, but he was the least abusive partner I’ve dated.

I slowly descended into madness during and after this relationship. I ended it, I simply couldn’t take the tumultuousness of our relationship anymore–I knew I was about to snap. And I did. But, I apparently was still able to put on a fascade that I was “just fine”. I did well in medical school while the symptoms of complex-PTSD continued to ravage my life. I was finally diagnosed with C-PTSD in medical school after a litany of misdiagnoses. I continued in the s/h behaviors I had long used, and introduced more. These new ones I was terrified by, these new ones had to be so minor that no one could see them or “everyone would know”. Que dira de la gente… what will people say? That was my only concern and the only reason why I kept my s/h superficial.

I took three weeks after the summer of my first year to seek out trauma-specific treatment. Every summer since I was a sophomore in college I had spent doing research to bolster my resume. I took a little bit of time from this for my treatment. I figured three weeks was plenty of time to figure out what the hell was really wrong and how to quickly fix it. I was adept at most everything else I did, therefore I approached intensive trauma tx with the same tenacity.

Apparently, my PTSD didn’t give a crap about my timeframe. Beginning trauma tx was like ripping off a bandaid on my fullbodied wound. My flashbacks got worse, my s/h urges became totally unmanageable. I tried using some of the skills I had learned and they were ineffective. I resorted to the only thing I knew would help alleviate some of my pain.

I used to (and still do) restrict access to certain rooms in my apartment in order to avoid s/h and to see if I could tolerate the pain until it ended. Sometimes, some days I was successful. Others I was not. Going to the ER with a self-inflicted wound got me nowhere. I did a good enough job tending to my wound that it was not necessary for the ER to intervene medically. And since I was no longer suicidal, my psychiatrist who happened to be on call that night, told me to “step up the individual tx and step up the DBT (Dialectical Behavioral Therapy)”; and I was sent home. That was the first time I had actually scared myself by what I had done to my body.

After almost two years of therapy programs, I have come to realize that I no longer need to physically abuse myself. However, that did not stop my s/h. I would do it in the same place so that no one would question it should they see. I was in so much pain that I couldn’t rock my skills which I knew and practiced like it was my job. As I explained to my mother yesterday, the pain of my flashbacks or other PTSD-related pain is about a million times worse than any physical pain I’ve ever had. The other day she saw me, and I was barely able to walk because of undiagnosed rheumatological problems (I have been to the doctor several times to try to pin down why one day I can run a mile and others I have to army crawl to the bathroom).

I have used s/h when I saw no other options to reduce my pain/suicidality, or when after going through the most effective coping skills (for me), several times, I was still in intolerable pain. I am in no way glorifying my s/h behaviors, but as I said before, nor do I judge them. It was all I had at times when I was emotionally grasping at straws and knew that I didn’t want to permanently terminate my existence (even if it hurt so bad that I obsessed about it). Everyone who s/h’s does it for their own personal reason. This was mine.

I have not purposely taken any action against my body in 50 days as of today. It has not been easy or pretty as I have said several times elsewhere today. Am I proud? Yes. Has it been hell not resorting to self-abusive behaviors? Absolutely. I will gladly share some of my favorite coping skills in the next few days. But for today, I wanted to share a part of my journey to recovering from child abuse. And I also want a keychain, coin, or gold star to recognize my efforts to end my addiction to s/h. 😉 I cannot for certain say I will be able to continue to abstain from s/h as I continue in my recovery. But, I never thought I’d be able to abstain for a significant amount of time any time in the near future, and the 50 day mark is a pretty damned promising start.

Wishing you peace and safety this evening,