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We can’t be there in person to help and support you in a moment of crisis, but there are other options available to you if you can’t turn to someone you trust. By giving us your postcode (or one nearby to where you are right now) we can let you know about services in your area. Remember: this moment will pass; you won’t always feel the way you do right now. 

If in doubt always call 999.

You can also sign up to Alumina, our online support for mental health and wellbeing here: 

https://www.selfharm.co.uk/alu...

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Dedicated to self-harm recovery, insight and support.

Roald Dahl Day

What have all these people got in common?

·     Matilda

·     Charlie

·     James 

·     Sophie

·     Danny 

Yup, they are all imaginary characters, from the imagination of Roald Dahl. None of them are real, none of their lives are real. And yet…

They are orphans, sufferers, victims of bullying, often worried, scared and voiceless, strugglers who undergo changes to become the heroes of their own destinies. 

Don’t we sometimes wish we could have that one person who encourages us, inspires us and help us, a magical person to guide us through our trials and pains?

Of course, you know that real life doesn’t have magic, Big Friendly Giants nor gigantic peaches that we can fly away on.

It does, however, hold real life catalysts: people who can help us become more of the person we want to be. These catalytic people are people who listen to us, who help us deal with the daily challenges we face. They might be a friend, a family member, a teacher, a counsellor, a CAMHS worker.

They aren’t magicians, they can’t make everything better, but, if just for 10 minutes a day, they make you feel like you can do this, then they are your BFG or Miss Honey.

Find your Miss Honey today!

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Having hope

The Hope group is a small group of young girls that meet every week to help each other encourage positive mental health and emotional wellbeing within their every day lives.

The group has been running for a few months now and we wanted to share with you some of what we've been up to. So far, we've...

Talked about our aims for the group 👍 ------>

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Shared what helps us when we're having tough days 👎 ------>

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Discussed the things we're looking forward to 👀 ------>

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And the things we're always thankful for 💝 ------>

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We've even created and designed our own positive quotes 💙 ------>

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And did some decoupage too 🦄 ------>

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If we could give you any message, that message would be to believe and to have hope that whatever you're going through, you're going to get through it and become a stronger person because of it 💪 ------>

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Love, the Hope group x

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Have a Little Patience

I don’t know about you, but having patience is something I really struggle with. A quick Google definition search brings up that the word ‘Patience’ means ‘the capacity to accept or tolerate delay, problems, or suffering without becoming annoyed or anxious’ and the example given is "You can find bargains if you have the patience to sift through the rubbish."

You know that saying ‘all good things come to those who wait’? Well that’s all well and good, but how do I know how long I should wait? 

Life can sometimes feel like a bit of a waiting game. When we’re young and at school, we wait for the Christmas holidays and then the summer holidays, and as we get older we wait for the end of school, the end of college and then the end of university. Once we start work, we wait for the pay rises, promotions and job changes; and in our personal lives we wait to buy our first car, our first flat, to meet someone, and to hopefully buy our forever home.

But not all of these things are a given and that’s where my struggle to have patience comes in. If I don’t know something is guaranteed to happen - what if I end up wasting my life waiting for it? 

When you suffer from anxiety, having patience can seem impossible. My anxiety is often caused by my constant catastrophizing and endless ‘what if…?’ questions that I allow to spin around and round in my mind… “what if I never get a promotion?”, “what if I never move out of my mum’s house?” and “what if I never meet anyone?”. These are completely irrational fears as they aren’t based on any fact! 

But irrational fears often cause us to act irrationally. So, instead of having patience, I regularly lose my temper and blame the people I love for the fact that I’m not where I want to be in life. Whilst behaving this way always feels good at the time, in the long run it actually makes me feel bad about myself and brings me no closer to answering those “what if…” questions.

Perhaps the key to finding patience and knowing how long to wait is to simply change the question. Instead of worrying ‘what if I never get a promotion?’, I should change the question to become ‘what if I don’t get a promotion in the next five years?’. By putting a realistic time frame on it, this not only helps me to feel positive about it potentially happening, but it also helps me to feel in control of how long I should wait, which then in turn, encourages me to be patient. 

Think you could give it a go? Maybe this will help…

Let’s turn that example from Google into something a bit more relatable:

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SelfharmUK Vlog | Feelings

Sophie talks to us about the importance of sharing our feelings.

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How will this ever change?

Changing yourself: not in any big way and not too much at once. Choose one area at a time and work on that. School? A friendship? Your relationship with your parents? The more in control we feel of the choices we make; the better our mental health. 

Asking for help: it is hard to ask for help as we are admitting we can’t manage on our own, but the reality is, we aren’t made to. If you think we way to the beginning of time, people have always existed in groups – none of us are meant to manage life on our own so asking for help, not only helps you but actually creates stronger relationships too. Who would you like to ask for help?

Saying no: it’s a hugely important skill. We all need to practise it more, as it means we are taking control about what we don’t want to do; who we don’t to spend to time with; what we aren’t comfortable with…. Is there anything you want to say no to?

Making small steps: don’t try and leap… one small decision a day is a big step forward. Often we want to change so fast and we want it all done now. There are many trite sayings but the fact is, they are true. Long lasting change takes a lot of time and investment. What small step would you like to make today?

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What happens after you tell someone you have self-harmed?

Telling someone is a long and hard process for many of us – it starts by choosing who, then deciding how to tell them (face to face, via text or on the phone) then we have to work out what words to use…

The overwhelming response from telling the right person is the feeling of being supported. Once they have heard you and tried to help you work out why; they should suggest telling a professional person like a teacher or Doctor.

A teacher, a parent or Doctor are good people to tell: telling your friend and only your friend puts an unfair amount of pressure on them so together telling someone else who knows how to support you, is more helpful.

If you tell your parent, they will most probably take you to the doctor;

If you tell a teacher, they may inform your parents depending on your school’s policy;

If you tell your doctor, they won’t inform your parents if you are over 14.

One way or another – you will most probably end up seeing your Doctor.

So then what happens...?

Your doctor will ask you:

  • How long you have been harming?
  • If you know why you harm?
  • Have you told anyone else?
  • Have you thought of suicide? 

If the idea of answering these questions is too overwhelming, you can write your answers before you go and just pass the doctor the piece of paper – it doesn’t matter how you communicate; just that you do.

The Doctor will almost certainly refer you to CAMHS (children and adolescent mental health services). This doesn’t mean you are mad or mentally unwell; it means they are specialists in supporting young people and their counsellors are trained to help teenagers. 

Frustratingly, there is a huge waiting list all over the country, it may be up to a year before you get an appointment L  Your school might have a counsellor you can talk to; they often have spaces quicker than CAMHS or, which is happening a lot more, young people are seeing private counsellors which their families have to pay for. If you want to look up a private counsellor in your area check out www.bacp.org.uk 

The first appointment is called an Access Appointment; it is an assessment to make sure they are the right service for you. They often get you fill in a long form called a Strength and Difficulties Questionnaire which is a multiple choice set of questions about issues such as food, sleep, moods, school, relationships…there are no right or wrong answers as you are the expert in ‘you’!  

From there, they will often give you a set of 6 sessions (to start with) with either a mental health nurse, a Community Psychiatric Nurse (a CNP it’s called for short) or a Psychiatrist. It doesn’t matter which you see and there is no real distinction between them, it’s often about who has space for you in the diary. 

It is a Consultant Psychiatrist who will over- see your case and line managers the others to make sure they are supporting you; it is also the psychiatrist who can write prescriptions if it is felt you need any medication to help you until your mood stabilises.

www.headmeds.org.uk is a great website to help you understand what medication is what and that it's your choice as to whether you want medication or not.

Each area in the country has a slightly different way of doing things, but overall, this is the process for supporting young people who are self-harming. 

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Talking To The Doctor

Here at SelfharmUK we want to help people understand their harming behaviour and explore other ways to cope with life's challenges.

If you get in touch we'll listen to your story and suggest ways to help you move forward ... but somewhere along the line we'll almost always suggest you visit your GP.  This can be a really tough thing to do, we know it can be scary, and can mean having to tell your parents too (though not always) but we believe it can be a significant step towards feeling better.

We asked GP David Roberts what you can expect when talking to your doctor about self-harm and whilst this article is only a guide - and not a definitive set of facts - we hope it will help you feel more in control, if and when, you walk into that consulting room...

Why do I have to go to the Doctor?

Self-harming is usually an indication that all is not right. People sometimes do it because it relieves internal tension and stress. It is not a very good way of doing this and like drugs, alcohol and smoking ultimately doesn't do any good. But in the short term it gives a temporary relief from emotional pain. However, it can be a symptom of a more serious mental illness and so your doctor can make sure you get the help you need.

Can I go on my own or do I have to take a parent?

You can legally go to the GP alone aged 16, but doctors can accept that you may be able to make your own decisions about your health (eg contraception) from 14 if they think you understand things and are mature enough to do so. A doctor would want you to involve your parent(s) in your care until you are 16 and are likely to encourage you. They would not give you an injection or carry out an operation, or even do an intimate (embarrassing) examination (physical check) without your parent's permission before you are 16.

How can I get ready for my appointment?

Even if you are under 16 That does not mean that you cannot talk to them about your problems or issues. It is a good idea to think about what you want to say and write the main points down. Lots of people get embarrassed at what they want to say and so don't get to the point. Doctors are busy and don't get embarrassed by what you think or say, so it is better to take a deep breath and say it right at the beginning rather than put it off. They won't mind and it will give them more time to talk to you than if you spend the first five minutes talking about a rash that no one can see because it really isn't there!  Think about what you want to get out of the appointment - do you just want to tell someone and get it off your chest, do you want help stopping it, do you want them to refer you on to someone who could give you specialist help? If you tell them what you want then they can work out how best to support you.

What will happen if I say I self harm?

Self harming is quite common and they will have seen other people who do it. So they won't be shocked, but they will be concerned. The biggest concern they would have is that you might want to kill yourself. Not many people who self harm want to do this but doctors have a professional duty to assess the risk of that happening. they are obliged to keep what you say confidential and private between you and them, unless you tell them something that they think might indicate that your health is seriously at risk (or you might be planning to do something that might endanger someone else) - see later - in which case they may be obliged to break your confidence. They should tell you this. They will want to help you, and so if you have plucked up courage to tell them, they will try to find ways to do that.

What will they ask me?

This might include asking some deep questions which you might find embarrassing: don't be though, they're only trying to work out what's making you do this. They'll ask about cutting, taking drugs, overdoses, and other ways you might be tempted to hurt yourself. They may ask you about how you feel (low, depressed, crying, worried, frightened, angry) and how things are at home or school or work.  If they feel you trust them they might ask you to come back again to see them, and they might suggest that they refer you on to see a specialist from the CAMH service (people who work most of their time with young people with similar problems). They might encourage you to speak to a counsellor at school, particularly if there is someone there you feel you can talk to. They will want to know why you have come to see them at that time and to find out what help you want them to give you. You may not be able to say this, but if you've thought about it beforehand it will help.

Do they have to tell my parents?

They are obliged in law to protect you and others from actions you might take that might harm you or others. But they need to check how likely your might be to do something you say you want to do so they will question you quite hard. If you are under 16 and they think you are suicidal (or planning a murder!) they will have to tell your parents or other authorities. They will still encourage you to involve your parents as they have legal responsibility for you, but if the risk is low in their view, they will try their best to keep what you say confidential.

Will I have to show them where I have self-harmed?

They can't and won't force you (unless they are seriously worried about you being in danger and even then they will ask for advice from someone who specialises in child protection). They will want to assess how bad your injuries are - you might need antibiotics if your cuts are infected, and you might need dressings to protect the wounds.

Remember they aren't easily shocked or embarrassed and really want to help you - showing them the extent of your cutting will help them work out how serious the problem is and how to get you the best help.

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Forgiveness

There are so many things we can achieve in life – whether it’s the first steps in walking; being able to read; working out a maths problem or getting your first job – we learn new things daily.

One thing I think is way harder than anything else to achieve in life is forgiveness.

It sounds so easy yet is so very, very hard to do. It’s a long process – we might say ‘we forgive you’ but the feelings of resentment, hurt and anger are harder too control. 

Forgiveness is a choice – it involves our brain deciding on it as it’s a choice; it involves actively putting it into practise and it involves letting go of the emotions that are so strong – even more so if we need to forgive ourselves.

We all make mistakes; perfection isn’t real and doesn’t exist (see the vlog on perfectionism); we are going to mess up – life is a learning curve. In the same way it took most of us about 18 months to walk; it takes years to forgive.

Forgiving yourself is the same process as forgiving someone else, but often harder as we are the forgiver and the forgive (the person being forgiven) so most of us go through a cycle of being kind to ourselves about the mistakes we have made; then, once we feel the resentment/anger creeping back, we are even harder on ourselves than before – and so the cycle continues……

Breaking the ‘forgiveness/self- anger’ cycle takes time; a lot of daily positive self-talking (list things you do like about yourself), often physically writing what you forgive yourself for (arguing with people, saying unkind things, not doing as well as you could…) and learning, again and again, to tell yourself ‘ I am human. I will make mistakes. I am forgiven. I choose to forgive’. 

It’s a life time mantra  - it will take forever because our life is about journeying to grow as people, so be gentle to yourself and start your self-forgiveness journey today.

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Foster Care Fortnight

Ruth talks to us about foster care.

To find out more about Foster Care Fortnight, visit:
https://www.thefosteringnetwork.org.u...

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International Women’s Day

International Women’s Day (falling on the 8th of March every year) is a global day to recognise the achievements of women, and to talk about the inequalities between the genders which still exist today. 

Though things have changed a lot since the early 1900’s, when International Women’s Day was first observed, there is still a wage gap between men and women, and women are still disproportionately represented in the media, business, and politics. In some areas of the world, women don’t have access to education or health care, and violence against women is still high.

One of the biggest struggles is the fact that some people think that there’s “nothing to complain about” anymore, and that women’s rights and feminism are things of the past. International Women’s Day is important, because it should break some of the myths around women’s equality, and shed light on startling figures.

This year, the theme of International Women’s Day is #PressforProgress. It’s all about uniting colleagues, friends, and communities to think, and be more gender inclusive, and press forwards for ground-breaking social change. 

International Women’s Day is just as significant now as it was over 100 years ago, when it began. As the International Women’s Day website says, it’s “not country, group or organisation specific. The day belongs to all groups collectively everywhere.”

So, how are you celebrating #IWD2018

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Eating Disorders and Self-harm

Self-harm is a way of harming our bodies in a variety of ways; most of them around us feeling out of control in some way.

This week is Eating Disorders Awareness Week. Eating disorders come under that category as the effects are on your body, as well as emotions and having psychological effects. For most people, they begin gradually, over a period of time: maybe skipping a meal? Taking up exercising a few times a day? Things that can appear to actually be ok and not cause anyone to notice as they slowly develop…however, what started as a way of taking control and coping, can soon become an addiction.

Addictions start small scale: one day at a time incidents “I’ll do this today because I feel like this today….”, however, it doesn’t take long for the addiction to take control of our feelings and become the master of us. Habits are formed within 30 days, so our brain rewires itself to follow our actions – both positive and negative.

Eating disorders encompass a huge variety of issues around disordered eating from bulimia (eating and then vomiting), to anorexia (self-starving) and binge eating (eating loads and loads); yet they all have some similarities:

  • They actively harm you. Sadly, the harming factor is unseen on your insides as organs become weak the longer the you don’t eat (this includes your heart). Those struggling with overeating, may find their bodies absorb the fat and develop associated issues with that. Eating disorders impact your teeth (from vomiting), your bone structure (from lack of calcium), your hair and nails from lack of nutrients… most parts of your body will be effected by disordered eating.
  • They limit your social life. Globally food centres around communities: family meals, birthday meals, getting pizza with friends… If food is causing you anxiety, then it’s highly likely you will decline these offers and feel more isolated than you felt before your eating disorder developed.
  • Help can be given, when you are able to ask for it. As with any addiction, help needs to be acknowledged before it can be taken. Having an eating disorder is an inner fight: your body needs a healthy diet to sustain itself, yet your brain is fighting that natural urge to eat well. The fight is emotional and psychological and very tiring for the sufferer.
  • There are stages in every eating disorder; the initial stages as the sufferer gradually believes they feel ‘good’ from the feeling being in control gives them, followed by the ‘maintaining’ phase where a sufferer develops a routine and possible rituals around their food issues; this is followed by a deteriorating stage. By this time friends and family will possibly have noted the change in appearance, mood, sleep patterns and demeanour – this is when Doctors are likely to become involved in order to keep your BMI and heart rate in as healthy way as can be hoped for.
  • Friends and family can find excellent support and further information at www.b-eat.co.uk who run online support sessions for young people, adults and family members.    
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Happy Valentine's Day! <3

Tiffany talks to us about Valentine's Day.

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Anxiety at Christmas

David talks to us about anxiety over Christmas.

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Happy Christmas?

The blog post below was written by Sophie, a previous Graduate Volunteer with SelfharmUK and Youthscape.

I’m not usually someone who gets really excited for Christmas Day. For as long as I can remember, I was always at my mum’s for half of the day and my dad’s for the other half. I never really had a problem with having two homes – it was quite nice sometimes! But Christmas is the time when having a broken family is highlighted. Seeing other people’s festive photos would get to me. Obviously I knew not everyone was having the perfect Christmas, but seeing friends having big, ‘perfect’ family do’s would just remind me that I didn’t have that. At one house, it was almost like people were trying to play happy families when it wasn’t the case at all. It just felt forced and awkward.

I don’t find it as much of an issue now, and I’m even prepared for the drama I know will take place this year! But around Christmastime, feelings are automatically triggered for me based on how I’ve experienced Christmas in the past. So over the years it’s become normal to not feel the best during this time, but it’s something that is changing!

A few years ago, I was out with some friends and the place where we were, happened to have a Christmas themed night (bearing in mind it was April, so I don’t know what was going on there!) They’d play a Christmas song every few songs and it got to the point where I had to take a step outside as it was just making me feel down. Of course, everyone LOVED it, and they were dancing around, singing at the top of their lungs. I thought everyone liked Christmas, until one of my friends joined me outside. I explained why I was out there, and she turned to me and shared how she didn’t really like Christmas that much either. She was just going along with it, having a sing and dance. It was SO refreshing to hear I wasn’t the only one in there pretending.

However you are feeling this Christmas, you are not alone.

Did you know that it’s okay to not be okay at Christmas?

It sometimes seems like we have to be so joyful at Christmas, so we put on fake smiles and go along with the festivities when really, for some, it’s a time of pain, anxiety, stress. Perhaps Christmas reminds you that a loved one is no longer with you, perhaps it reminds you of how broken your family is. There are many reasons why Christmas may not be the happiest time of the year for you, and that’s totally okay.

The thing is, it’s pretty hard to avoid Christmas altogether, but there are always ways you can try and make it easier for yourself.

Knowing that the urge to self harm is usually heightened at Christmas can give you the upper hand as it won’t catch you off guard. It means you can come up with a number of distractions and other ways to cope in those moments. You can find some suggestions here. Take time for yourself this Christmas – you don’t have to fake how you’re feeling.

This year I’m choosing to shift my focus from the things I don’t like about Christmas, to the things I’m thankful for, appreciating what I do have rather than what I don’t. I want to be thinking more about the real meaning of Christmas rather than being so caught up in my own circumstances. I’m going to make more time for self-care; doing things that help energise and fill me rather than drain me.

A YouTuber I’ve found to be really helpful is Kati Morton. She is a licenced therapist and creates videos on a broad range of topics surrounding mental health and answers questions from her viewers. My particular favourite this year is a video where she gives some handy tips on how you can stay mindful at Christmas...

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Expectations and dread...

Some people like this lead up to Christmas, some (like me and my family!), really don’t!

The Christmas decorations look pretty and the shops get busier and the Christmas feeling is in the air – but it doesn’t make me get the warm Christmas glow; in fact it begins to make me stressed right from the moment it starts…

The pressure for the perfect film like Christmas family gathering is unachievable – the perfect family game time; the perfect present wrapping, the perfect friends to go out with, the perfect family to share it will – perfection doesn’t exist, in any place at any time.

The media Christmas portrayal adds to our sense of dread – the pressure to smile, laugh, not row, not feel sad – can make us feel very detached from Christmas: so this year, in the lead up here are some tips:

1. Ignore TV films and adverts! We aren’t going to reach a Hollywood Christmas ideal – so let’s not bother. Watch Elf and comedies – they keep a good perspective on it!

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2. Try to imagine Christmas day now – what works for you? Do you need to communicate any of that to your family – who don’t you want to see over Christmas? How long do you have to visit relatives for? Begin to start the conversations now so they don’t come as a shock to your family – take control and be prepared to compromise.

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3. Make stuff – loads and loads of stuff! Don’t buy it, make it. Keep your hands and mind busy, the  personal stuff doesn’t need to cost much nor does it have to be perfect – enjoy the process and the result.

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4. Don’t give yourself sky high expectations of yourself over Christmas. If you need to take regular breaks from family, do it. Look after yourself now so that you have the energy for it as it gets closer; plan out the Christmas holidays so that you get a good balance of rest and play.

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Love,

The SelfharmUK Team

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