What to Do If You Have a Psychiatric Emergency

Posted by Natasha Tracy | Mar 21, 2023

It’s important to know what to do in the case of a psychiatric emergency. Sure, you could float along with treatment righting every issue before things get really bad. You could catch everything early. You might have a proactive psychiatrist. Or, then again, this may not be your experience. I would argue that people with serious mental illnesses like bipolar disorder are just crises waiting to happen. That’s not anyone’s fault; it’s just the nature of the disease. Thus, knowing what to do when a psychiatric emergency arises is critical. Here are some psychiatric emergency tips and things to think about.

Self-Harm Myth: People Who Self-Harm Like Pain

Posted by Natasha Tracy | Oct 13, 2022

It sounds true, but it’s actually a myth that people who self-harm like pain. I’ve done it; I should know. That’s right — I’ve purposefully caused pain, and yet, I hate pain. Believe me, you can want to self-injure and hate pain — both of those things can be true at the same time. Read on to learn about the myth that those who self-mutilate like pain.

Why Saying “Just Stop Cutting” Doesn’t Work for Self-Harmers

Posted by Natasha Tracy | May 25, 2015

One of the least helpful things you can say to someone who self-harms is, “well, just stop cutting.” Believe me, for most people who cut, if it were that easy, they would have done it already. People struggle with ending self-harm not because they don’t want to but because they use self-harm as a coping skill and you can’t just take away someone’s only or best coping skill. They won’t know what else to do without it. So saying, “just stop cutting” to a self-harmer is like saying, “just stop crying” or “just stop talking to your friends” or “just stop drinking” – if that’s the coping skill the person uses to deal with pain, telling them to “just stop it” doesn’t work.

If You Just Loved Yourself, You Wouldn’t Want to Self-Harm

Posted by Natasha Tracy | Jun 9, 2014

Last week I wrote about my urge to self-harm. I talked about how after many years, I still have the urge to self-harm but that I don’t actually follow-through and do it.

And one commenter left a comment to the effect of,

. . . surely if you loved and accepted yourself, you wouldn’t want to self-harm.

Yeah, that’s bullshit.

Or, more politely, that’s a myth. Just because I have the desire to self-harm doesn’t mean I don’t like, love or accept myself.

I Really Want to Self-Harm But Here’s Why I Don’t

Posted by Natasha Tracy | Jun 5, 2014

(Yes, this gets a trigger warning.)

My History with Self-Harm

I used to self-harm, sometimes known as self-injury, self-mutilation or nonsuicidal self-injury. It started when I was 13. I remember the first time. I remember thinking that the point on a compass (used for geometry glass) was very, very sharp. And then I remember thinking what a bad daughter I was. And then I remember using the very sharp compass point over and over on my flesh until I had dug a line extending about two inches on my ankle.

After that, it happened again and again. I remember thinking I deserved it.

And when I got older, it became more apparent that I was using that behavior as a way of dealing with pain that I couldn’t control. At 13, I didn’t get this, but at 17, I did. At 17, I was aware of the acute, painful, depressed (although I didn’t know it was depression), suicidal feelings I was having but I had no way of dealing with them so out would come the Exacto knife (I had graduated to actual blades when I was quite young).

But things got better when I graduated from high school and got away from my very sick family. Over time, I stopped self-harming without really trying. I knew I didn’t want to do it so eliminating the behavior was simple once the pain lessened.

The Pain of Depression Returned, and So Did the Self-Harm

Unfortunately, the pain came back a couple of years later. When I was 19 or so, the depression really hit, like being bludgeoned with a 2×4 with nails hammered into the end of it. The pain, in all its infinite darkness, had returned.

And so did the self-harming behaviors. Self-harm was being driven by the pain.

Access to Weapons for the Mentally Ill Who May be Suicidal

Posted by Natasha Tracy | Jan 29, 2013

Recently I wrote about why people with a mental illness shouldn’t be denied access to guns. My argument is, essentially, that it is a violation of their rights to judge the mentally ill based on a medical diagnosis and, in this society, we judge people based on what they do and not their medical conditions.

Some of the commenters on this post brought up the fact that with access to weapons, a person with a mental illness may be more likely to commit suicide. For example, about half of all people with bipolar disorder attempt suicide and certainly, an attempted suicide with a gun is very likely to be a completed suicide.

However, this doesn’t change my opinion one bit. While I have written and written about suicide and suicide attempts and I have said that, as a society, we should aim for zero suicides, that does not mean that we should violate people’s rights to do it.

The Desperation of Mental Illness and Depression

Posted by Natasha Tracy | May 16, 2012

I woke up one morning in 1994 crushed with depression. The first thing I thought of that morning was how much I wanted to kill myself, and if I couldn’t do that, then how much I wanted to hurt myself. I kept cutting implements and bandages near my bed just in case the feelings were too much to bear.

Of course, this was like every morning of my 16-year-old life. I was depressed, but I didn’t know it. I only knew that I wanted to die. I needed to die. I needed it like most people needed breath. And I knew that no one understood.

Home Life, Suicide and Depression

My home life was one of the things driving me to depression and granting me the leanings of suicide. Things there were a hellish nightmare of screaming and hate. And the people related to me and forced to love me gave me no consolation whatsoever as I was sure that they didn’t. These people hated me and wanted me gone every bit as much as I did.

This was, at least partially, my depression talking, but I didn’t know it then. I didn’t know what depression was and I didn’t know how loudly it spoke.

The Only Place That Would Have a Depressed Me

So I found myself in my car trying to drive anywhere away from there. Away from the nexus of crazy. So I drove to the only place that I knew would have me – to the house of my rapist.

As is most often the case my sexual abuse was complicated. And while I hated what this man in his 40s did to me the one thing I couldn’t live without was his love. He would tell me he loved me. This was undoubtedly a lie but convinced as I was that no one else did, that my life was worthless and that I should die, that one sliver of love offered by a minion of Satan made me keep breathing.

I arrived at his house to find him not home – away, undoubtedly grooming other little lovelies for his nest. So I did the only thing I could think to do, I curled up on a square of cement near his front steps and went to sleep weeping – an attempt to escape the world that was trying to kill me.

A Picture of Mental Illness in Crisis

This is a picture of a girl in crisis. A girl so tightly wound in the grasp of depression that she can see no way of dealing with it at all. A girl so desperate to feel anything but the pain of mental illness she was prepared to put her body and her soul in harm’s way just to not feel like death was upon her for one brief moment in time.

Stopping Self-Harm Urges Using Dialectical Behavior Therapy (DBT)

Posted by Natasha Tracy | Feb 1, 2012

If you feel you may harm yourself, get help now.

I talked about dialectical behavior therapy (DBT) in the last post. Dialectical behavior therapy is designed to work specifically with borderline personality disorder and part of this disorder is often self-harm so DBT uses specific techniques to try to stop self-harm urges and prevent self-harm.

What is Self-Harm?

Self-harm is a huge problem for many people. It is typically a sign of borderline personality disorder but it can occur with any disorder (or no diagnosis at all). Self-harm, also known as self-mutilation or self-injury, can be any form of self-abuse including cutting, burning, hitting and statistics often include those with eating disorders as well. Millions of people in the US practice some form of self-harm.

Self-harm is often practiced by teens and is more common in women than in men, but make no mistake about it, many adults self-harm and men do as well. It is a behavior to be taken seriously. Here are some techniques to stop self-harm urges.

Self-Harm: Stabbing Yourself is Bad

Posted by Natasha Tracy | May 28, 2010

Stabbing is bad. It just is. If you have to pick self-harm options between cutting, hitting, and stabbing, don’t pick stabbing.

Unless you’re trying to kill someone, in which case I think stabbing would be pretty good. And satisfying. I’m surprised more murderers don’t pick stabbing.

Anxiety, Impulse Control Self-Harm and Stabbing

I’m having anxiety issues. And impulse control issues. And stabbing issues. Well, that last one is really a function of the other two, but it’s an issue nonetheless.

I’ve always been attracted to stabbing. I think that’s because when you start wielding a blade with force, you can’t change your mind. And it’s so easy to did deep. And draw a lot of blood.