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Emergency Help

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.

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Dedicated to self-harm recovery, insight and support.

SelfharmUK Vlog | CAMHS

Jo talks to us about how to prepare for a CAMHS appointment.

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How to prepare for a CAMHS appointment

  • Write down all the questions you have or would like to ask: do they tell your parents stuff? Do they contact school? What will happen if you tell them you self-harm? 
  • Write down as much as you can about what has been happening to you recently
  • Write down anything you feel is important about things that happened to you when you were little – they might impact your wellbeing now.
  • Write a list of people that are important to you – it will help CAMHS know about your key relationships
  • Think about how you prefer to communicate and let CAMHS know: talking might be hard, writing might be good? Or drawing?
  • Download the assessment they will probably give you (if it’s not this one it will be one like it): 

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Download
  • Spend a few days thinking through how you might answer as we all change depending on situations; so give a good overview of what you are feeling the majority of the time.
  •  Take anything to the session you would like – a teddy, something to fiddle with, your favourite book to read while you are waiting. It’s about you, so you need to feel comfortable. 

It is important to realise, whoever you see wants to help you. Their job is to find out as much as they can about you so they can put support in place for you.  

If you had a broken leg you would go to the Doctor; if you aren’t doing so well mentally, it's ok for you to need a doctor too. No one is judging you.

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How to get control over your self-harm

Self-harming is more common than many people want to admit. It can affect people of all ages and is unique to each person. Because no two cases of self-harming are ever the same, it can be difficult to pin down what triggers it. But, generally speaking, self-harming happens when a person cannot handle emotional pain, so they convert it into a physical one which provides temporary emotional release. Left untreated, this can quickly develop into an automatic reaction to cope with stress. But whether you begin healing straight away, or whether you have been a self-harmer for years, it can be beaten. Here are a few suggestions around how you can help yourself…

People self-harm for many different reasons, and because of this, there are many things you can try out to help you stop, or help you cope with your self-harming.

Identifying what triggers your self-harming can give you more control. Even if you can’t avoid those triggers altogether, you can develop strategies to deal with your emotions when things start becoming overwhelming.

Creativity is often used by people to vent any pent-up feelings and frustrations. It is a way of turning something negative into something positive and can take any form: dancing, painting, sculpting, drawing, crafts. Writing is one that is often used, and it can be a diary, a story, a poem, a letter, or just a scribbled note. You wouldn’t have to show these to anyone. In fact, some people prefer,once they’ve written out all the poison, to tear up and destroy whatever they have just written.

Sports and exercise is also very beneficial. Combat sports especially are fantastic at channeling anger and frustration. They also boost confidence and get you fit.

Getting involved in community projects (like volunteering) or finding ways to help others can be soothing and give you a purpose. However, you need to weigh this option against whatever lifestyle you’re leading. If your life is very busy and intense, you probably shouldn’t add more responsibility to it. In this case, it might be better trying to work in more quiet ‘you’ time. 

Learning a new skill does wonders for the mind and body. Give it a try, even if you don’t believe that these would suit you, or that they would help much. You might end up enjoying them or even finding your own!

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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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Stress: What's in your bucket?

What’s the World record for the number of people to fit into a Mini? (go on – find out, we know you’ll want to!)

We all try and cram ourselves into small spaces at some point in life, for some reason! Hide and seek? A tent that is way too small? Under our bed? A phone box when it’s raining? 

In the same way that we try to cram ourselves into a place too small; we also try and cram our emotions into a space far too small... 

This time of year for many is stressful. You might be:

1. Changing schools...                                                           

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2. Doing your exams...

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3. Worried about leaving School...

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4. Getting your results...

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5. Or concerned about a long summer break...

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  • What happens to all that stress that is filling us up? What will happen when it overflows?
  • Is there anyway we can let out some of that stress that is crammed into us? 
  • Can we do it in a healthy way?
  • What might it look like to pour out some of the stuff in your bucket?

Some things that will happen we can’t do anything about – such as the long summer break – but what we can do to reduce our stress is to begin to plan. For many of us planning reduces the worries about something as it helps us to take control and make choices about how we want to manage an upcoming event that is troubling us.  

Think about results day: what do you want to do? Would you rather just get up early and click online to get your results in the privacy of your own house, away from your friends?

Think about the long summer break: how about volunteering somewhere? How about starting a card making service? How about babysitting? How about offering a dog walking service?

Take some time to consider what stresses are filling your bucket: What can you do to manage that stress? 

#MentalHealthAwarenessWeek

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Periods

Ruth talks to us about periods.

A useful link: This is about periods

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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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Faith and Mental Health

You might not know that SelfharmUK is actually part of a wider Christian organisation called Youthscape. We don’t know what you know about Christians, other than Ned Flanders:

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...but we try to be non- judgmental, kind, funny and we struggle too with our own mental health at times.

You see- being a Christian, a Muslim, a Sikh or an atheist doesn’t stop us feeling low at times. Sadly, having a faith or no faith, doesn't stop bad things from happening to us or to those we love. However, often, having a faith – whichever faith you choose or choosing none – may enable you to find some peace.

In this clip from an episode of BBC Songs of Praise focusing on World Mental Health Day, the Rev. Richard Coles talks very openly about the struggles he faced as a teenager. 

Last year a young person who had suffered greatly with their mental health, wrote a moving article about how they had found faith and friends in Buddhism. For many people of faith, following their faith also means linking with a community of kind, loving people who are also journeying through the highs and lows of life.

Whether you follow faith or not; know this – you aren’t alone. Whether that’s knowing your God walks with you, or by talking to those around you who care for you, including with us here at SelfharmUK.

If you'd like to read more blogs about faith and mental health, check out Oliver’s blog about how they found healing in faith.

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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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Failing… again… and again…

Don’t you sometimes feel ‘stuck’? like life has moved on for everyone else but you? I do. Often. I make mistakes, I mess up, sometimes worse than others. I hurt people I love, I say unkind things and I think very unkind things often.

I am not perfect.

I am definitely not perfect.

Yet…I have moments that I can think ‘hey, you did the right thing there’….have a think, recall when you have done something kind for someone else?

Being human means we are both the best and worst of ourselves: we excel and we disappoint ourselves. Every day.

We have the capacity to flourish and ‘fail’ at the same time:  in one area of our lives we can be gentle, caring and a lovely human; then, we can flip to the other side in an instant.

You aren’t the only one: we are human, we all do it. Loads of times a day.

Instead of berating your darker side, the bits you don’t like and feel you ‘fail’ at – accept them. Recognise them, without squirming in your seat. Say aloud your failings.

Now say aloud your kind acts, your gentle side, your caring nature; list the people you have helped and listened to, draw the faces of those over your life who you have a positive impact on, write the deeds you have done that has made someone say ‘thank you’, think of their smiles….

You aren’t failing at life. You aren’t a failure. You are human.

Being human doesn’t involve punishing yourself, apologizing for everything and anything, feeling guilty about what you didn’t do…being human allows you to have a better self and a less better self.

It takes a life time to work yourself out, to recognise the good in you – begin that journey today by, admit your ‘shadow’ self and your ‘light’ self  (good/less good)and let yourself off the hook today for something.

Walk gently through life, helping where you can, accepting there will be times you can’t.

That’s ok.

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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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​NEW Alumina support sessions!

Monday 26th February we're start a new Alumina programme especially for you! Alumina is our 6 week programme helping you to understand your self-harm journey, your triggers and your addiction cycle into self-harm. We will look at what alternatives you can begin to use, how to manage your emotions more effectively and how to consider asking for help.

On Wednesday 28th February, we begin a NEW programme called Alumina 2! This is for those of you who have ben through the first Alumina and would like further support dealing with your daily emotions and want to look at developing new coping skills for your emotional wellbeing.

All sessions are confidential and run by our counselling team.

To sign up email us at info@selfharm.co.uk

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