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Managing thoughts of suicide & self-harm

TW: The 'real' me inside - I come with an SI warning

TW: The 'real' me inside - I come with an SI warning

I figure it's better to introduce my challenges here than in a welcome. Hopefully only people willing to hear about SI will venture here.

TW: Suicidal Ideation

Content/trigger warning

I've had thoughts of suicide since I was 12. I don't remember much of life before this time. I'm aware there are times that I haven't though as much about suicide as others, but it's always been a "yes please, that would be my preference" even during the better times.

Why am I still alive then? For two reasons:

- the emotional pain it would cause to very close family.

- the physical pain of accessible methods, and the risks of non-fatal attempts causing lifelong physical impairments.

How do I keep myself going all these years?

By focusing on how I can benefit other people's lives instead. If I'm going to put up with life, it may as well be beneficial to someone.

And to help me keep life less monotonous I look for 'interesting' things - quirky people, exploring foreign countries/cultures, trying new foods (even if i dont think I'll like them). I've never been a status-quo person.

I explain to MH supports that when life is not distressing I can carry on without seriously considering suicide as a possible option. I can say "hello there thought, I hear you but I have chosen not to act on it, things are OK". But when something sets things off kilter, its a pretty quick track back to "why am I still doing this? Do I really still have the same commitment to living? And why, for whom? Why can't I be permitted to die if that's what I want for myself?"

With decades of this under my belt, I have the ability to sit with feelings of extreme distress. And the courage to text or call someone if I need to - and I'm getting a little better at doing this *before* it gets too extreme, but I still hesitate because I don't want to burden others and the frequency of it happening during those unbalanced times is too often. I've persuaded myself a few times recently to instead call a crisis line, but waiting 30-45min in a queue can sometimes exacerbate the thoughts, and sometimes the calls might help dissipate the feelings (if i called early enough) but other times I feel worse after because of course they're going to try to give some positive outlook for the future, but it grates on me because deep down I dont want a future at all. Its actually refreshing when someone acknowledges that not liking/wanting life is OK - and instead just tries to look at how to rebalance the scales to help me cope with continuing to live despite not wanting to.

I'm not sure how un/common my way of thinking is. So much about suicide prevention is focused on short-term distress tolerance or "fixable" problems (eg situations).

What do I need from the community here...?

To be heard? To know if anyone else out there has a long enduring preference to die even when they aren't feeling active distress? And if so, has anything helped them longterm to shift that thinking?

If anyone knows of any practitioners who *specialise* in chronic SI since a young age, I'd really love to know who (if there is a way someone is allowed to??). I've tried Google searching and using online psych directories and reading bio's. I've seen many psychologists and psychiatrists in the past who haven't been able to help me shift this (even if theyve helped in other ways).

I do wonder if my neural networks for positive emotional may not have fully developed or may have atrophied due to the young age and length of time. I genuinely do not know what being happy feels like, I do not have any memory that I recall as being "happy" or joy, and I suspect this makes recovery much harder.

Im ok at the moment. Im safe. But it is exhausting.

Apologies this post is quite a bit too long.

1569 replies

1,551 - 1,560 of 1,569

In response to: TW: The 'real' me inside - I come with an SI warning

Re: TW: The 'real' me inside - I come with an SI warning

@Flutterbug9

only just now seen the post about the air-fryer - was posted whilst I was typing my last post, and I haven’t been back since that post.

Awww, I can relate to the struggle of buying items and then finding it hard to bring them home/inside/upstairs. I struggle with my ice cream machine sometimes; I can do it short distances - but it will hurt my back and arms. But sometimes it’s worth it eh!

Have you used the air-fryer much yet? If so, how is it? Favourite things cooked so far?

In response to: TW: The 'real' me inside - I come with an SI warning

Re: TW: The 'real' me inside - I come with an SI warning

@Flutterbug9

only just now seen the post about the air-fryer - was posted whilst I was typing my last post, and I haven’t been back since that post.

Awww, I can relate to the struggle of buying items and then finding it hard to bring them home/inside/upstairs. I struggle with my ice cream machine sometimes; I can do it short distances - but it will hurt my back and arms. But sometimes it’s worth it eh!

Have you used the air-fryer much yet? If so, how is it? Favourite things cooked so far?

In response to: TW: The 'real' me inside - I come with an SI warning

Re: TW: The 'real' me inside - I come with an SI warning

@Flutterbug9

I know a diagnosis of ptsd doesn’t negatively ‘change’ anything, and could open doors to better treatment. I think I’m now mentally in a better place to accept it. However whether or not a formal diagnosis will make my medical file, I don’t know. Since the treatment with him is not for the purpose of diagnosis/assessment or letter back to GP. However he did write a referral to the hospital today, so I don’t know if that might have it listed if he put diagnosis list; I’m not sure. But I guess if I go to the hospital then on discharge my GP would get a letter and it might have it. Shall we place fun-bets, make a game of it? (Sorry, my sense of humour about unknowns.)

There is a validation to some degree that comes with him recognising that even though I don’t display many/any overt symptoms of ptsd anymore that the emotional ones are there and run deep.

I read on the other thread your scores came out with suspecting autism & adhd, and that your new psychiatrist does adhd assessments. Do you think you will persue assessment of either with them?

I am currently on a waitlist for an appointment for adhd meds (post-diagnosis), but unless there is a cancellation I am looking at waiting until next year for it.

In response to: TW: The 'real' me inside - I come with an SI warning

Re: TW: The 'real' me inside - I come with an SI warning

@Flutterbug9

I know a diagnosis of ptsd doesn’t negatively ‘change’ anything, and could open doors to better treatment. I think I’m now mentally in a better place to accept it. However whether or not a formal diagnosis will make my medical file, I don’t know. Since the treatment with him is not for the purpose of diagnosis/assessment or letter back to GP. However he did write a referral to the hospital today, so I don’t know if that might have it listed if he put diagnosis list; I’m not sure. But I guess if I go to the hospital then on discharge my GP would get a letter and it might have it. Shall we place fun-bets, make a game of it? (Sorry, my sense of humour about unknowns.)

There is a validation to some degree that comes with him recognising that even though I don’t display many/any overt symptoms of ptsd anymore that the emotional ones are there and run deep.

I read on the other thread your scores came out with suspecting autism & adhd, and that your new psychiatrist does adhd assessments. Do you think you will persue assessment of either with them?

I am currently on a waitlist for an appointment for adhd meds (post-diagnosis), but unless there is a cancellation I am looking at waiting until next year for it.

In response to: TW: The 'real' me inside - I come with an SI warning

Re: TW: The 'real' me inside - I come with an SI warning

@Flutterbug9

I know a diagnosis of ptsd doesn’t negatively ‘change’ anything, and could open doors to better treatment. I think I’m now mentally in a better place to accept it. However whether or not a formal diagnosis will make my medical file, I don’t know. Since the treatment with him is not for the purpose of diagnosis/assessment or letter back to GP. However he did write a referral to the hospital, so I don’t know if that might have it listed if he put diagnosis list; I’m not sure. But I guess if I go to the hospital then on discharge my GP would get a letter and it might have it. Shall we place fun-bets, make a game of it? (Sorry, my sense of humour about unknowns.)

There is a validation to some degree that comes with him recognising that even though I don’t display many/any overt symptoms of ptsd anymore that the emotional ones are there and run deep.

I read on the other thread your scores came out with suspecting autism & adhd, and that your new psychiatrist does adhd assessments. Do you think you will persue assessment of either with them?

I am currently on a waitlist for an appointment for adhd meds (post-diagnosis), but unless there is a cancellation I am looking at waiting until next year for it.

In response to: Re: TW: The 'real' me inside - I come with an SI warning

Re: TW: The 'real' me inside - I come with an SI warning

@AlwaysMyself I wish I could easily find the last few posts I send you on this thread prior to today.

eventually I will get formally assessed for autism and adhd. atm my heads not in right place to start to think about them.

when I think of PTSD I’m reminded of something one of my managers used to say - the brain is an amazing organ that current medical knowledge has only started to scratch the surface of its working

In response to: TW: The 'real' me inside - I come with an SI warning

Re: TW: The 'real' me inside - I come with an SI warning

@Flutterbug9 @Cuddlebear @MissGremlin @Chasingsunsets

Some small updates, hot off the press.

Some form of NDIS support has been approved for 12 months, and will be contacted for a Planning appointment within a few weeks. Not sure what their proposed plan will include though - a bit nervous about that as I don’t know if they will be covering my physical disability impacts, or only my psychosocial ones. Once the plan is in place though a few of my existing supports will be cut as they are only for non-NDIS or whilst awaiting NDIS (regardless of whether or not the NDIS plan provides for those supports?).

I’m set to start work again (in my mention very limited capacity) tomorrow morning. This is a good thing. I just hope I don’t feel overwhelmed from the extra hours per week (in addition to medical appointments), and I hope that I don’t find it re-triggering of the emotions around what happened with work for me last year and the years leading up to that. It’s in a related team (that I’ve worked with before), but should not be interacting directly with the people who contributed to the problems for me over the past 3 years. The manager is aware of what types of things caused my deterioration and is on-board with running any interference if I have problems with similar behaviours or if I do need to interact with some people from my former role/environment. However there is a lot of pain with how things were (or were not) handled by my workplace, and its taken a bit of processing earlier this year (and ongoing) around that and what it’s resulted in for me.

I am curious how I will go with focus/attention to reading long documents, given I currently have to re-read anything more than 3 sentences long. It’s the first time in 15 years I will be trying to work without a medication treating the ADHD (even though I didn’t know it was before I came off the meds lol). 15 years ago I had a more short-focus and mixed admin + physical role. Now I will be working on reading policies/legislation, researching, and writing/editing policies or proposals — lots of mental focus required. But I will be able to take as many breaks as I need, and on from-home days can break it up into smaller time-chunks scattered through the day if I can’t focus. I purchased a subscription to a text-to-speaking app a few months ago - that might come in handy, but I am not sure if I can use it on my work laptop due to security restrictions. If it has a website version though, I could use it for any publicly-available documents even if not internal-work ones.

In response to: TW: The 'real' me inside - I come with an SI warning

Re: TW: The 'real' me inside - I come with an SI warning

@AlwaysMyself that’s great news about NDIS. Totally understandable to be feeling uncertain about the planning meeting plus returning to the same work place. You are lot braver than me.

about a year after I retired from work I returned to the same work place, that time as a customer though. Due to updates that were done that day there should be no reason for me to have to go back there which suits me.

many, many years ago I met a person whose computer was setup that she spoke to the computer and it did all the typing using a program that had been provided for her. Wondering if there is something that exists that could be provided as part of a return to work.

do you have the option to work from home if needed? If yes, how do you feel about that? Ie would it be viable?

btw thank goodness I checked this thread as the system never sent me notification of the tag

In response to: TW: The 'real' me inside - I come with an SI warning

Re: TW: The 'real' me inside - I come with an SI warning

@Flutterbug9 i wonder if my post tags didnt work because they were copy-pasted rather than freshly-selected. I forgot that quirk sometimes happens! That could have been my fault. I can edit and test.

I'm sorry you had a similar experience with the emotional "residue" after leaving that workplace. 😓. Lets hope you don't need to go visit there again! 🤞

I can work from home as-needed, although our current plan is for one day at home and one in the office. However the in-office day will not be on the same floor as my former work environment and I have been clear that unless its just for a meeting-room booking that its a no-go zone for me on that floor currently.

The new role i am in sits under a different Executive structure and culture, but our work is so interdepedent that it would make things simpler if it wasn't. But i am glad it is otherwise i would not have had a safe place to transfer to! 😅. I worked from home this morning (got an overview of whats on the agenda and priorities), but next week i will have the first in-office day and i havent stepped foot in that building for nearly 12 months. Thankfully i have good memories of coworkers there too though, and i will be looking forward to seeing some of them that day - including maybe my mentor/friend who i very rarely see in-person.

Our workplace does have speech-to-text software, but it needs special approval due to costs. And it wouldnt be suitable for in-office work because we have open-plan desk layout so it would be noisy to others. Im also much better at typing than i am at speaking my thoughts, as i often forget what i am saying when verbalising 😅. But i can use CoPilot for free to transcribe from voice, as we have an Enterprise version that is secure for information purposes -- that is a good thought for when i'm fatigued or have a sore back and need to not hunch over a keyboard! Good thinking! 😊🥰

In response to: TW: The 'real' me inside - I come with an SI warning

Re: TW: The 'real' me inside - I come with an SI warning

I prefer written communication, one aspect of my autism. Open plan layout brings back memories @AlwaysMyself. The last desk I sat at was diagonally behind office manager, not a good place to sit for variety of reasons.

if I need to attend the business in person in the future I’ll most likely go to different location, same as I’ve had to do in the past.

as part of return to work plans I had a variety of different items purchased for me. Mine were all listed with return to work pland and/or by an approved workplace assessor.

working from home can have positives and negatives. Interested to hear how you find the process, differences between working from home versus in the workplace. Hoping you get a chance to catch up in person with your friend. Are other staff in your workplace able to message you? (Thinking of option for staff you had good rapport with to easily contact you)

only speech-to-type program I have knowledge about is Dragon

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