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A person who self-harms is likely to have gone through very difficult, painful experiences as a child or young adult. At the time, they probably had no one they could confide in, so didn't receive the support and the emotional outlet they needed to deal with it. The experience might have involved physical violence, emotional abuse, or sexual abuse. They might have been neglected, separated from someone they loved, been bullied, harassed, assaulted, isolated, put under intolerable pressure, made homeless, sent into care, into hospital or to other institutions.

Experiences like these erode self-esteem. Emotions that have no outlet may be buried and blocked completely out of awareness. If a trusted adult betrays or abuses them, and there are no other witnesses, children will often blame themselves. They turn their anger inwards. By the time they become adults, self-injury can be a way of expressing their pain, punishing themselves, and keeping memories at bay.

There is often an absence of pain during the act of self-injury, rather like the absence of sensation that often occurs during abuse or trauma. The body produces natural opiates, which numb it and mask the emotions, so that little is felt or realised consciously.

A badly traumatised person may end up feeling quite detached from their feelings and their body. Some may injure themselves to maintain that sense of being separate, and to convince themselves that they aren't vulnerable. Others may injure themselves in order to feel something and know that they are real and alive.

Healthcare professionals have been criticised for assuming that people who self-harm require no anaesthetic for stitching wounds. This is just one of the myths exploded in new guidelines on self-harm, developed by NICE (the National Institute for Clinical Excellence). Similarly, professionals sometimes make assumptions about why someone has injured themselves, particularly if they have done it before. But the meaning is different for each person, each time they self-harm. It is not a sign, in itself, that someone has a mental health problem. (See Useful organisations.)

- i self harm, and think about self harm, and none of this applies to me, i am so confused and hate myself, for being such a fuck up. Oct 17 6:11 AM MST
me too (2)

naive, bubble-head optimists who walk around vomiting sunshine. Stop it. Now. This is the real world. Things will get worse. They always get worse. Stop trying to make other people like you. You're only doing them harm. And annoying them. Which is worse.

Overly religious people. I hate it when people try to shove their religion down your throat. No one cares. If they don't believe in your religion, they don't believe in your religion. Respect the beliefs and thoughts of others. And keep yours to yourself. So you believe in God . . . Good for you! Stop trying to make OTHER believe in him as well. People are just going to hate you for it.

people who say really stupid things. Okay . . . do you have anything in that head of yours? Is it just hollow? Think before you speak. Don't say things like: "My TV don't work no more. So I'm going to smash it in with a hammer. Why? Because it don't work no more." Idiot. You'd most likely DIE if you did that. And by saying that you just make me wish that you did. I want you DEAD!

people with poor hygiene. This is so disgusting! Yes, you are suppose to take a shower atleast once a day. Yes, you should brush your teeth twice (or more) a day. Just because you like the spell of your BO doesn't mean other people also like the smell of it. Stop making the people around you suffer. It's disgusting. And annoying. Stop it! Dec 30 12:51 PM MST
me too (154)

I absolutely HATE people that think that they are deep and brag about how they're so thoughtful. I hate one of my friends who thinks she can write songs and has all of these deep thoughts, when they're all just mindless shallow questions. I hate how she thinks she invented every thing i say. I hate how nothing that comes out of her mouth makes sense, but she insists that she's the smartest fucking person in the world. I hate how I thought about all this stuff she's contemplating right now years ago, but when i tell her stuff she gives me this look like she thinks i'm copying her. AND THEN, she has the fucking nerve to question MY ideas, when i'm not even the one parading them around trying to convince myself that i have a brain. I hate how she's really so god damn stupid and she constantly asks me to compliment her. I hate it so so so so so much!!!!!!! EEEEEEEEEERRRRRRGGGGGHHH!!!!!! She annoys me so much! Mar 9 4:11 PM MST
me too (8)

I hate that i'm in class right now and my teacher is soooo beautiful that i can't help looking at her but then she looks back at me and i feel like an idiot. Nov 23 3:38 AM MST
me too (11)

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