CBT: Tenth Session

// TRIGGER WARNING – SELF HARM //

This session was my tenth ever CBT session! Wow!! We went through my depression going worse and my self-harm, and the self-harm cycle. It was a really good session, really eye opening and I learnt so much.

I told her about the last two weeks, how depression and self-harm have gotten worse and about how I hardly went out. She explained that not going out is just feeding the depression and making self-harm worse. It’s time that I really push myself to start going out more. She mentioned propanolol to me and how she thinks it’ll help me a lot going out etc, so I’m going to ask my doctor about it next time I see her!

We had a look at this cycle, called the “self-injury cycle” It includes six steps in the cycle. This just carries on and the self-harm carries on. I need to try and break this cycle by starting to do things, so the depression doesn;t get worse, if I start doing things it should help break the cycle!

  • Mental anguish, the first step. I know, what a weird word?! It just basically means what goes through your head at the time. For example, self-critical thoughts, images etc.  For example, for me, it’s self-critical thoughts mainly.
  • The second step, emotional engulfment another word I didn’t know what it meant. It just means what emotions are you feeling, especially distressing emotions. I feel anger, sadness and upset and I feel disappointed in myself too.
  • Panic stations, the third step in the cycle. What are you feeling, what happened next? feeling out of control, numb etc. Then, the next step in the cycle is action station. In what way you self-injured, how, when where?
  • The next one is action stations. What way did you do it? Why? What reason?
  • Feel better/different, the fifth step. Relief, euphoria etc.  I feel calmer and a sense of relief and release of all my emotions.
  • The last step, grief reaction. When did you feel bad about yourself? self-disgust, self-hate. shame etc.

We went on to discuss this even further, and we both filled it out with the thoughts I think and other things. She said it’s important if I feel the urge, to be around people, as she noticed that I told her I only self-harm when I’m by myself. Funnily enough, I didn’t realise that, eh that’s why I’m in therapy right? To understand my messed up brain, and to learn how to control my mental health!

I came out of this session feeling so confident, happy and just all the good feelings you can feel. She told me to go to the party on Saturday, to enjoy myself and just feel how good it is to not go home because you’ve had a panic attack. Something I have to stop, if I stop that, there will be little to feed the depression, so my self-harm should get better.

As always, thanks for reading!

Liam

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