SAFETY CONTRACTS AND SELF HARM

I’ve been with my therapist for about three years now. One of the first things she did was put me on saftey contract. I am proud to say, in that three years, I have only intentionally violated it once. I say intentionally, because the things she considers to be self harming behaviour are myriad. Not using my seatbelt in the car, driving too fast on the highway, not eating right, even not maintaining good sleep hygiene. All of which I’m guilty of at some point. I’m finally at a point where my med compliance is no longer an issue, just a struggle. When I’m feeling good, I don’t think I need them. When I’m not feeling good, I feel what’s the point. So it’s a constant struggle. But the main focus of my contract is the obvious, direct ways I harm myself: drinking and cutting. And after yesterdays session, the struggle is real. I even reached out to her about it last night. She didn’t respond, but as I was in no real danger, I wasn’t really expecting her to.

Self harm. Two little words. The act of hurting oneself. Doesn’t really sound too bad, does it? I even managed to inflict a bit on myself while in her office yesterday, squeezing my hand too hard and leaving deep imprints of my fingernails, took a bit of skin off. She commented on how easy it is to fall back into old ways of coping. It left marks which still are there, though faint, today. It’s so deeply imbedded in my pysche as the only way out of emotional distress, be it feeling too much or too little. And right now I’m feeling too much. Way too much. I can’t even define all that I’m feeling. I tried to in her office yesterday, and last night when I was dying for a sharp to drag across my skin. Lost. Alone. Sad. Melancholic. Overwhelmed. Not present. Broken. Hurt. And a multitude more floating through my brain and body. And that’s what’s so damn hard about this. The feelings are so strong, they’re painful. My body hurts from carrying them. The release of a little blood seems a fair price to pay for the relief. But one of the last things she said to me yesterday was, “Remember your contract. A promise.” A promise to her as well as myself to stay safe. And there are days I curse that contract. That promise. If it was only with myself, it wouldn’t be so bad. I could live with that. But the shame I would feel going into her office next week, and having to say, “I fucked up,” keeps me strong. That and the fact that there are no readily available sharps that I can access. I have a disposable razor in the bathroom, one I keep for emergencies like this. However, the fact of the matter is, I would have to dig it out, dismantle it, and then carry through with the very act I have sworn not to. Many opportunities to pause and think things through. Which she would not hesitate to point out. Something I really value in her is her refusal to accept bullshit answers and provide clarity when things are muddy to me. So rather than face that, I stayed in bed, my safe zone. Except when it isn’t. I try hard to keep my bed a safe place. Injuring myself in the bath, where it’s easy to clean up, or on the floor of my bedroom. My bed is sancrosanct. Not to say I haven’t used an x-acto knife that I forgot to put away while sitting there, focusing only on the imminent relief. That pressure valve which causes immediate and tactile release. But word is my bond. So I suffer. Like Tennyson wrote in Ulysses, “All times I have… suffer’d greatly, both with those/That loved me, and alone… One equal temper of heroic hearts,/Made weak by time and fate, but strong in will/To strive, to seek, to find, and not to yield.”

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