The dog days are done…

It’s been a rough couple of weeks. Extra illness, extra stress & very little sleep have taken a toll. My mood has taken a nose dive. I’m battling a fairly substantial wave of anxiety & the urge to just hole up at home.

I am fighting, though. One of the things keeping me going is how far I’ve come. These lows will probably always hit, but it helps to know things are not as bad as they once were. On days like this reading my own dark words shine a tiny light through today’s depressive fog.

The blood jet is poetry, ly h Kerr

I’m hoping some sleep & resolving some of the stress inducers will alleviate this bout of blue. In the mean time I’ll be digging deep in my chest of resources to keep myself focused on the light.

Bronan Kerr

Rest assured this boy is always looking after me.

Most of the time…

I haven’t cut myself for a long time. Realistically speaking, I cannot ever cut myself again. They call this recovery. Apparently, I’m recovered. I just don’t always feel it.

Tonight I looked through my old self harm pictures. Yes, I have pictures. When I was in the thick of it I always took photographs. Firstly because I felt compelled to, it was part of my ritual. Also, because I couldn’t trust myself to judge the severity of my wounds. Those pictures gave me the tiny bit of distance required to see what level of medical intervention I could get away with. Now, they’re a stop gap.

They’re the thing I do when I want to cut so badly it hurts not to. I look at those images of gore & miss it.

I miss the blood. The hot, flowing, staining everything I own blood.

I miss the smell & that crackling sound my skin makes when I slice into scar tissue.

I want the pain. I want the deep, sharp trauma my blade inflicts & the hot throb of infected tissue. I long for the ache of putting a butchered arm into a sleeve.

I know that doesn’t make any sense. I know it’s sick & crazy. It is still true. There’s a reason I yearn for the carnage; it works. Only briefly and, sure, it also fucks up your life, but those moments of respite are everything. Physical pain is nothing compared to the relentless agony that can exist in my head. Most of the time it’s manageable. Most of the time I can make it sleep. Most of the time I’m in control. Control isn’t easy. It is work. Exhausting, consuming labour.

The blade is easier. In the short term it’s beautiful relief. All those horrific feelings pour out with the blood. I can slash through my anguish just as easy I hack through my flesh. That’s why we do it. In case you were wondering. The reason some us do insane things to ourselves is because it’s effective. We hurt ourselves to heal ourselves.

The calm just doesn’t last very long. The sickness comes back. It returns stronger every time. The crazy grows. You need bigger, deeper, scarier cuts to keep it quiet. Then the self harm becomes a crazy of its own. You need it. You find yourself listening to drs who say you’re going to die. And even though you really don’t want to die. It’s hard to care. Now the crazy is trying to destroy you & the cutting is competing to do you in first.

So, I don’t cut anymore. I can’t cut anymore because I cannot control it.

If I want to be in charge,

If I want a chance at living a life I love,

If I want to not hurt everyone who cares about me,

I can’t cut.

Sometimes, though, I desperately want to. The easy way out looks good. The horror movie in my head wants to come to life, but I can’t let it. I don’t cut.

I just look at old pictures

And

Write all the things I can’t bring myself to say out loud.

I don’t cut anymore & most of the time I’m glad.

Why don’t you mind your own business?

I had an interesting twitter conversation this week. Some people wanted to know how I deal with strangers asking questions about my scars. Unfortunately this is a thing that happens & one of the reasons many people feel they must conceal their scars. Fortunately it is not an everyday occurrence & you can learn to handle it. I wanted to quickly share some tips that I hope will help you do just that.

First of all I feel it’s essential that you realise that no one has the right to ask you these questions. It is rude & intrusive. You do not owe these people answers, you don’t even owe them a polite response.

I totally understand that depending on a variety of factors unexpected questions about your scars can strike different chords. Sometimes I feel enraged, other days I panic & sometimes I’m just over it. Thus, my responses can differ. That’s ok. You are entitled to feel however you feel. You are not obligated to be nice or to hide those emotions from ill mannered strangers.

I tend to have ready made responses for the most common comments. They range from just shutting someone down to embarrassing them the way they tried to embarrass me. (Note : most people who ask already know what your scars are. They know their questions are akward & unkind).

Let’s get to it. I’m going to give my to go to answer to my most often asked questions.

Q/ What happened to your arms/legs/body part?

A/ What happened to your manners?

A/ Shark attack.

A/ Me.

A/ Exactly what you think.

Q/ Why did you do that?

A/ Why do you think it’s your business?

A/ Why are you a nosey bitch?

Q/ Why don’t you cover those up?

A/ Why don’t you mind your own business?

A/ Why don’t you cover up your horrible personality?

A/ Why don’t you fuck off?

All of these responses are blunt & let nosey people know you are not all impressed with their questions. I refuse to pander to other people’s rudeness, but I know there are times when you don’t feel confident or just want to avoid a possible confrontation. I find the perfect answer in those instances is ‘it’s a long story’. It’s vague, but it is also obvious that you have no interest in pursuing the topic.

Whatever you say the important thing to remember is that you don’t need to reveal details to anyone unless you want to. It’s not your responsibility to make strangers feel comfortable. It’s certainly not your job to safeguard the feelings of people who don’t care about hurting yours. Shut them down & live your life.

If you like what I do you can support me Here or on Patreon.

Wake me up inside…

Today I saw another one of those social media that purports to offer alternatives to self harm. This time the post also claimed that sharing this information would save lives.

I’m just going to be completely honest, this bull isn’t saving any lives. These are not credible alternatives to self harm. They will not stop an ill person from hurting themselves. They don’t solve the problem of why a person might feel the need to hurt themselves; they don’t even address it. In fact, in some cases they reaffirm the idea that hurting yourself is a good coping mechanism (just so long as you do it in a socially acceptable manner).

I’ve talked & written about why these suggestions are insulting until i’m blue in the face. I see others giving excellent arguments against such advice & yet this sort of thing is still the only information disseminated in the mainstream. So, I thought I’d try to talk about what actually can help one refrain from hurting oneself.

My suggestions are more complicated & time consuming & bloody hard. They don’t lend themselves to becoming a jaunty list to share in Twitter. The grim reality is that self harm is a grind and so is quitting.

Blood stained foot

For me the first step in getting anywhere close to stopping was understanding why I started in the first place. I truly believe understanding why a person self harms is crucial to recovery. Self harm isn’t the illness, it’s a symptom of it. From the outside identifying what is distressing you might seem simple, but trust me, it isn’t. There can be layers of trauma & hurt. A person may have a lifetime of issues woven into a complex fabric of pathologies. Picking that apart is intensely painful. Having pulled on that dangerous thread, you’re going to have to find ways address those underlying problems. They don’t simply disappear under a bright light. It takes time, professional guidance & huge bravery.

And that’s just the beginning. Next you have discern what you get from self harm; how is it helping you cope. What function is inflicting pain serving. Again, this is no simple puzzle to solve. My self harm had many roles. I was punishing myself, I hated the body that had failed me, I was avoiding emotions I couldn’t cope with, the blood was cathartic, I became addicted & a multitude of other reasons. Predictably totting up all the pay offs doesn’t negate them. There is more work to be done. One must weigh how healthy each function is and decide if it enhances ones life. For instance, probably not a great idea to be continually forcing myself to do penance, however it is a good idea to not be completely overwhelmed by sadness. You must find away to live without the unhealthy whilst also establishing new mechanisms to maintain essential uses. Of course all the time you are working away at your inner self you are dealing with addiction. Self harm is habit forming. So, your journey of self discovery/healing/madness has a background of overwhelming urges & powerful compulsions. To begin with you have to fight the full force of addiction every single moment of every single day. Plus, of course, everyone has their own additional problems to throw into the mix. Maybe you have co morbidities or financial problems or a family you’re trying not mess up with your illness. Life doesn’t stop when crazy calls.

None of this easy. It does not and cannot happen over night. It involves breaking down long held beliefs & opening yourself up to being scared and vulnerable. This post is just a simplified version of a process that takes years. It involves psychiatric professionals, medical intervention, medication, therapy, a support network, a&e visits & most of all trying to be honest. I understand why it’s easier to pretend you can draw on your skin or scream at a wall until you’re better. It is terrifying to a/ begin trying access the kind of intensive help needed & b/ expose yourself to pain you’ve been desperately trying to suppress. Believe me, selling yourself & others a lie is not the answer.

The truth is there are no tips & tricks for beating self harm. There is no magic fix or complete cure. I look at it like any other addiction. I will probably always want to cut, I have to do whatever I can not to. No amount of extremely cold water will ever change that harsh fact. When it comes right down to it, for me, the driving force in abstaining is knowing that I want other things more than I want to pick up that scalpel. Oh & sheer will power. I couldn’t have come to that realisation without more than a decade of therapy. I absolutely could never have exercised this level of control over the voice in my own head without putting in all that work.

I’m not going to say everyone’s story is the same as mine. I can’t guarantee that you can ever get completely better. I’m not. I can only offer you the hard truth of my experience & my certainty that there aren’t any shortcuts. Don’t share false hope. Let’s be honest with people who really need it. Trying to quit self harm is a nightmare, but there is hope that you’ll wake up.

Talk is cheap…

It’s Mental Health Awareness Week, which is, in theory, a good thing. Since all it seems to involve is people on social media saying ‘talk about it’ it is not actually all that helpful.

We absolutely should talk about mental illness more. We should educate our kids about symptoms & how normal it is to experience them. We should put better training in place for teachers, emergency services & NHS staff. We should all try harder not to judge or shirk away from people who are struggling. Employers should be flexible with staff dealing with mental illness. There should be more information, more understanding, more honesty. Yes, we should talk about it. Asking for help it definitely a good idea. All of these things are important & valid, but there’s still something missing from the conversation.

What happens when you do speak openly & no one listens (or seems to care). Can we talk about all the people who gathered all their courage &!swallowed their pride to ask for help and didn’t get any? Can we address the fact that as hard as is it to say ‘I’m not ok’, it’s a million times harder to hear ‘tough luck’ in response.

We do need to talk about mental illness, but we also need to listen and act. Funding is of course part of the problem. The NHS is chronically underfunded & mental health is the poor cousin. For all the political talk of parity between physical & mental illness, there has been little change to waiting times or scarcity of vital mental health services. Very often waiting to even be assessed by a mental health team is a long process. In my area the wait for psychologist input is 4months (that’s relatively short), in practise you’ll be waiting longer because you will first have to be referred & assessed before anyone even adds you to that list. During all this waiting time people can have no professional support.

Then there are the multitude who are deemed ‘not sick enough’. To be fair this has always been an issue due to stigma & ignorance. Lack of funding exacerbates the problem. When services are so stretched, access to those resources become limited. Lots of people who seek help for mental health problems are basically told to manage it themselves. Get some exercise, reduce your stress, get out more. When you summon your strength to talk about things that frighten you and are told it’s no big deal, it’s hard not to feel even more pathetic. It is difficult not to feel shutdown. Repeat that scenario more than once & people give up. Likewise for those who are informed that they’re not quite ill enough to warrant intervention. All that talk of early warning signs & speaking up doesn’t translate into much action. Having a professional ask you to wait & see if your health declines before they will help you is a kick in the gut. When you know that getting worse means your entire life falling apart, it’s not unreasonable to prefer to be proactive. When you don’t know what’s happening to you all, it is terrifying. So, yes, we do need to talk about it. I will always encourage people to ask for help. I will always strive to remove the shame of admitting you need assistance. I’ll also continue to demand that we talk about what happens after you take that step. We cannot ignore the fact that asking for help does not guarantee receiving it. We must acknowledge all the people for whom no treatment has been forthcoming & stop pretending that the problem isn’t much, much bigger.

People die because they did talk about it & nothing changed. Can we start talking about that?

Something to talk about…

A couple of weeks ago I got in a taxi (not an unusual occurrence) & engaged in the usual polite conversation with the driver. The weather, had I had a nice day & so on. Then he went quiet for a minute & said ‘can I ask your advice on something?’

This is the kind of question that usually rings alarms bells, but for some reason I decided to give this guy a chance. He had talked about his children in our short conversation & came across as a decent person. I’m glad I trusted my gut. He wanted advice on how to help his son, who had been self harming.

The taxi driver never alluded to my scars, but I presume that’s why he thought I might have advice to offer. He explained a bit about his son. How he had changed schools after a move, found it hard to make new friends, become more insular. Then how his wife had discovered their son had been injuring himself & how they were both lost. They’re son didn’t want to speak to anyone about it, they didn’t know if they should force the issue. He was increasingly unhappy, so far their attempts to help had been unsuccessful. It broke my heart. This man clearly loved his child. It was just as clear that he was utterly out of his depth.

So, I told him I had experience with self harm. Explained that it could serve a few functions. That is was habit forming & yes, it was a sign that his son was really struggling. I stressed that I wasn’t a professional mental health worker & that everyone was different, but in my experience it was best to get help as soon as possible. It was also important not to make his son feel forced into anything. Research some options & present them to his son, try to let him make choices. I suggested he make it clear that he & his wife were always available to talk about anything & offered some organisations he could contact for more advice. That was about as much as I felt able to say to a stranger during a taxi ride. I didn’t know any details of what was going on for his son, so I didn’t know what would be best for him. It felt insufficient, but when we arrived at my destination he refused to take payment. He said my words had lifted a load because now he felt like there was help for his son & he had an idea of how to find it. I got emotional, wished him the very best & thanked him for my free lift home. We parted & are unlikely to meet again.

So, why am I telling you this? I’m sharing because the more I think about it the surer I am that this kind of thing should happen more often. I think the reason it doesn’t is stigma. That taxi driver took a chance; he shared sensitive information & asked me to do the same. He dared to break a taboo & admit that he needed help. The result, hopefully is that his family will find that help. How many people struggle with mental health problems and never find the courage to ask for help? How many people just never know who they can turn to?

I’d love to live in a world where it didn’t even take courage to tell someone you’re hurting. It shouldn’t be so hard or so hidden.

If you are experiencing mental health difficulties it is imperative that you seek help right away. Mental Illness almost always get worse & harder to treat when left to fester. There is no shame in not being ok. You deserve any & all hell to feel as good as you can.

Your GP is always a good first step. Take someone you trust to advocate for you if you can.

MIND offer a variety of local services. You can find the in your area here.

SANE offer specialised mental health support. You can contact them on 0300 304 7000.

You can also call The Samaritans 24/7, 365 days a year on 116 123 or email jo@samaritans.org

Trigger bang bang…

Anyone who spends any time on social media will have become familiar with the term triggered. Over the last few years it has entered the public lexicon. Unfortunately, it’s meaning has been incorrectly implanted in the public consciousness.

Triggered is actually a psychological term usually related to PTSD. A trigger is an external stimuli that produces a very uncomfortable emotional response; most often panic attacks or flashbacks. However, varied symptoms can result from the triggering of a traumatic memory. It absolutely does not mean offended or hurt. I’m sure most people will have come across the correct explanation of the term. I have certainly witnessed many try to explain why using the term as an insult or a vehicle for mockery is not ok. Yet, the misuse continues. It occurred to me that perhaps what is needed is an accurate representation of what happens when a person with PTSD is triggered. Maybe if people understood the reality they wouldn’t throw the word around so carelessly. So, I thought I would share what triggered means to me.

Whenever I have been pregnant I have been unable to wear my regular perfume. I wear the same scent everyday in life, but some weird olfactory sensitivity means during pregnancy it makes me nauseous. Thus, I change it & the scent I wore I during my first pregnancy is a major trigger for me. Triggers can be anything & no one has any control over what might become one. I experienced a million sights, sounds & sensations during that time, most of them hold little power over me. That scent, though, is potent.

Snow patrol, blue sky

Formidable enough to render me a sobbing wreck. Being taken off guard by that scent whilst shopping forced me to run shaking from a book shop to vomit in the street. All the while struggling to breath & bring myself to the present. A nurse who had too liberally applied the fragrance sent me shuddering back 15 years. Leaving me so panicked I crawled behind a chair & hid. I stayed crouched on the floor desperately trying to claw my way out of the worst day of my life. Completely trapped in my own personal horror film until some kind soul got me some diazepam & did me the kindness of handing it over without questions. That heady aroma has caused nightmares so vivid that I’ve woken myself with my own screams. Dreams so painfully real that I’ve had to keep myself awake for days. Sitting in the company of someone wearing that perfume once contaminated me. On returning home I could not rid myself of the smell. Real or imaginary it lingered until I smashed my hand with a marble pestle. So tortured was I by the memories the scent brought to life that I ploughed that pestle into my hand until I broke two fingers. The cracking of bones a welcome jolt back to the here now.

Diazepam 10mg

Triggers are uncontrollable. It is not within the power of a traumatised person to select what reactivates their trauma. Nor can they choose not respond. Our minds shelter dark territories & they’re all one way roads. Once you’ve slipped in, you have to press on through. Being triggered isn’t a foolish over reaction. Nor is it the hurt feelings of the overly sensitive. It is the raw & brutal reality of those who have dealt with the unimaginable. It’s a battle scar on the brain.

I can’t stop anyone from misappropriating a word. Ignorance abounds. The only tool I have to fight with is honesty. The truth is that trivialising a serious symptom of illness hurts. It stifles the conversation & prevents people seeking help. It makes vulnerable people feel weak & ashamed & stupid.

So, no, I’m not triggered by your cheap dig. I’m just tired of the stigma. Very, very tired.

Things I can’t believe I have to say again… Part 1

It may be a little over optimistic to say that summer is in the way, but I think I can at least say that winter is over. Whilst I can’t wait to enjoy more lazy days in the sun, hot days always give me a moments pause.

The reason for my second guessing is our old friend shame. As much as strive I to love my body there are still so many people who’d rather I didn’t. My body does not fit societal standards of beauty. Scrap that, I don’t even fit societal standards of normal. The fact that I refuse to hide my fat, scarred flesh rocks the normality boat even more vigorously.

It has taken me years to be able to celebrate my form. My ability to wear whatever I please & shed layers in the heat is a hard won victory. I won’t lie I often still have to steel myself to step outside in a vest. Not because I feel ashamed of my a scars or my past or flab or peely wally complexion, but because there are tonnes of folk who really, really want me to.

Staring is a given. Staring combined with nudging a mate & directing them to also have a gawk is also fairly frequent. Less common, but still occuring more than you would think is the person who thinks they should actually comment on my body. Oh & I give them so much to work with. Strangers just love to get angry, sad, concerned and curious about my body. Sometimes I can just shrug that off. Often I will snark back & think these strangers pathetic. However, there are times when for whatever reason, I’m just not up for the judgement of unknown members of the general public. Their stares, nudges & comments ruin my day. I do momentarily feel ashamed and scared and like I should never leave the house again. And this, my friends, is not ok.

So, here’s a little advice.

OTHER PEOPLE’S BODIES ARE NOT YOUR BUSINESS.

Your thoughts on other people’s appearance are not important. Strangers do not want to hear them. Your moral judgements are your problem, don’t make them anyone else’s. Likewise your hang ups.

STARING IS RUDE.

Always. There are no excuses. If you find yourself accidentally staring, stop. If you see someone you think looks weird, bad, crazy just remember plenty of people find your visuals unappetising too. Oh & don’t oggle them.

In short, don’t be that person. Don’t be the one who spoils someone’s lovely summer day. You do you & let the rest of world do them.

If you like what I do you can support me here or on Patreon.

Like the moon needs poetry…

I didn’t have time to mark World Poetry Day through the week, but it would make me sad to ignore it all together. I’ve been smitten with the art form for as long as I can remember. It has basically provided me with a literary landscape to wander around with my feelings. Thus, I must pay homage to some poetic masters & share a few lines of my own.

What better place to start than with Plath. I suspect Sylvia Plath is probably a favourite of every girl who’s had a brush with crazy. I actually read her prose before her poetry, but obviously fell hard immediately upon discovering her poetic genius. This is one of my favourites because it mixes prime fucked up Sylvia with some classic romantic imagery.

Melissa Lozada-Oliva is new discovery, but I can’t get enough of her. Her work covers feminism & race & more. She gets right to the nitty gritty of the female of colour experience with both clarity & humour. I love the structure of her poems & the words she chooses to place her emphasis on.

If I Got Paid For All My Emotional Labour.

Maya Angelou is another writer whose poetry came second to me. I read her autobiographies first & once I had begun reading her words I never wanted to stop. Every single line she ever put to paper is so utterly & completely Maya. A women who knows who she is & embodies herself in everything she does is the ultimate inspiration. Her poetry gives me life, which I believe is exactly what she intended it do.

Which just leaves me. I wrote a lot more poetry in my darker days. It seems my mind reaches peak poetic prowess when in despair. So, this one’s an oldie.

Don’t tell me what to do…

In this world of self care & mindfulness it seems like everyone thinks they’re a therapist. Don’t get me wrong, sharing what works for you & talking about our mental health is great. It’s just that, to put it bluntly, some people talk crap. Others just regurgitate tired old advice that ain’t helping anyone. Man alive, I’m sick of it.

I want to talk specifically about the useless chatter surrounding self harm. I’ve been hearing & seeing the same patronising advice for YEARS. The most frustrating part is it often comes from people who really should know better. So, allow me to take you through why so much of the standard advice is just plain bad.

1/ Draw on your skin instead of cutting/burning etc.

This one usually takes two forms. The first opines that whatever relief/release a person may find in hurting themselves they can also attain by simply drawing on their skin. Now, let me ask you this, if drawing lines on yourself would make you feel better would you be causing physical trauma in the first place? The answer is of course, no. The components of self harm that serve a purpose vary, it may be pain, blood, disfiguring the skin or even a need to punish oneself. None of which needs are met by drawing.

The second part of the draw on your skin nonsense is the idea that you draw something pretty (often a butterfly) where you would normally self harm. The desire to preserve the ‘body art’ is then supposed to dissuade a person from ‘spoiling’ their skin. The stupidity of this idea is obvious. If actually scarring oneself will not prevent a person from harming themselves it seems very unlikely that spoiling a temporary drawing will. Even if by some miracle a biro butterfly were enough to assuage overwhelming distress, the body has a lot of flesh. Are people to cover every inch of themselves in rainbows & roses?

Butterfly drawn on skin

2/ Have a hot bath, cup of tea, blah, blah, blah…

Imagine the kind of agony you would have to be in to take a scalpel to yourself & cut for hours. Do you think a nice bath would magic that away? The answer is no. A bath helps you feel better at the end of tiring day. It does not release you from excruciating emotional pain.

3/ Distract yourself.

The need to self harm is powerful & persistent. For some reason lots of people (both professional & laymen) believe the urge is fleeting. I often see those struggling told to distract themselves until the urge passes. This advice betrays an ignorance regarding the workings of self harm. The need to hurt oneself does not easily wane. In fact, the longer a person self harms the stronger the compulsion becomes. Often it is impossible to focus on anything else. No sleeping or eating or thinking until the hunger to hurt is sated. It isn’t possible to distract oneself from that level of intrusion. When you cannot function on the most basic of levels watching a film or phoning friend are not options.

4/ Throw away your self harm tools.

The rationale here being that if one does not have the apparatus used to self harm, then self harm is impossible. WRONG.

As already discussed the compulsion to injure oneself is incredibly strong. Desperate people become ingenious. Trust me, when you really need to, you can hurt yourself with anything. Believe me again when I say those fraught & frenzied moments are when people make mistakes. As incomprehensible as it sounds self harm can be the very thing keeping someone alive. Asking or obligating an ill person to give up their lifeline is dangerous. It is also cruel.

5/ Ping your wrist with an elastic band/hols an ice cube in your hand etc.

My objections to this one are again two fold. To begin with it’s just ineffective. Self harm is both a habit firming & escalating problem. A person almost always experiences a need to increase the severity of their injurious behaviour. This takes us right back to the start. If the nip of an elastic band were sufficient, no one would be putting themselves in hospital via self harm.

A more serious objection, though, is the message this sends. Telling a vulnerable person that hurting themselves is ok, is a head fuck of massive proportions. Self harm is never the real problem, it is a symptom. In order to tackle self harm one must deal with the underlying issues. That is hard work, time consuming work. It’s much easier just to counsel harm minimisation. In doing so, you validate a sick person’s maladaptive thought process. That mental health professionals routinely tell patients that hurting themselves is ok is a disgrace. The basic premise of the hold an ice cube/ping an elastic band technique is that hurting yourself is a reasonable response to emotional turmoil. Just don’t do it badly enough to bother other people. By suggesting someone harm themselves in a small way you have shifted the conversation from, ‘let’s help you not hurt yourself’ to ‘hurt yourself in ways that do not draw attention to the act’. It is ignoring the root of the problem & allowing a person to believe that they are deserving of pain. It’s lazy, it counter productive & it is bullshit.

Hand holding ice

If you are struggling with self harm or you know someone who is, don’t feel helpless. When you are searching for help & find only these sort of suggestions it can feel like there are no answers. Whilst there are no quick fixes, there is hope.

See your Gp. If they don’t listen or offer help, see another Gp. I know this is exhausting at a time when you can least afford a fight, but please, don’t give up. If you have a friend or family member who can be your advocate, take them with you. You deserve treatment. You deserve care.

If you have badly injured yourself please seek medical advice. Again, if you have a friend or family member who can support you, take them along. If you do not & are worried about how you will be treated taking a copy of NHS NICE GUIDELINES can be helpful. You are entitled to be treated with the same compassion & respect as any other patient. Most emergency personnel will do this, but a few may need reminding of their duty. Being able to quote these guidelines helps in such situations. As scary as this may sound, do not put yourself at risk by avoiding treatment. You are worthy of diligent medical care.

If you are not yet ready or able to see a Dr, you can contact The Samaritans 24/7.

Call – 116 123 (uk)

Email – jo@samaritans.org