Hello my name is ***** ***** I am a licensed psychotherapist in private practice In New York State. Thank you for reaching out to Just Answer with your concerns. I am helpin another client and will be right with you in a moment with my suggestions. Linda D., LMSW, CASAC
I understand your hesitation to take medications due tot heir possible side effects and you certainly have tried most of the popular ones. have you also tried partnering with a therapist to help you reduce your symptoms and develop other ways to externalize your emotional distress and pain?? Psychotherapy, primarily Cognitive Behavioral Therapy (CBT), could be very effective for you, but it will take months for this type of therapy to work as therapy is gradual and slow. If you prefer not to use medications than the use of natural supplements like Picamilon, Valerian Root, KAVA, or Passion Flower have some anti-anxiety properties and soothing properties that may help too. Marina, it is so important that you commit to taking good care of yourself in as many asset areas as possible which will make you as resilient as possible to offset your symptoms. I have attached a chart for the significant areas that you should focus on and try to put into your life as much as you can. Cutting behaviors are a way to externalize pain, a way to validate how badly you feel. You are not alone, there are many people including myself who could be there for you to help you express yourself in healthier ways. Please let me know if you have any other questions for me and I would appreciate you taking a moment to rate my service to you as this is the only way we are compensated.
I can tell this is very difficult for you, first, may I ask have you actually seen a therapist that you were able to trust and depend on to help you??
Okay, that is important to have a support system to help you. In addition, reducing the urge for cutting behavior is somewhat the same as treating an addiction. The less you give in, the more you distract yourself from the thoughts and urges, the more they will lose power over you. In the next thread I will give you some ideas on how to distract yourself with activities.
Distract yourself from the desire to cut
One of the best ways to let the urge to cut pass is by distracting yourself with someone or something else. This will allow the moment to pass when you’re feeling the deep cravings to cut, and get your mind off of it. It’s impossible for your mind to think about two things at the exact same time. Here are some ideas on how to do this..
I hope these are helpful suggestions. I am interested in your thoughts. Linda D.
Yes, Pristiq is a very good medication and is excellent if you are tolerating it. It may improve your mood, feelings of well-being, and energy it is known as a serotonin-norepinephrine reuptake inhibitor (SNRI). It works by helping to restore the balance of certain natural substances (serotonin and norepinephrine) in the brain.
Try the best you can to distract yourself from the thoughts for cutting. Put up a big, red STOP sign in your mind when the thought starts to come. And do something, anything that will distract you. I hope the information I have given you has been helpful. Let me know if there is anything else you need. Sincerely, ***** ***** LMSW, CASAC
My advice would be to start with the Pristiq and stabilize on this first before adding anything else.And yes, it is a good idea to introduce the medication at half dose, you can even stretch that out longer to 7-10 days if that makes you more comfortable. Do the two doctors communicate with each other, so that they each know what the other one is prescribing??
Marina, thank you for letting me help you. I need to finish now to be able to help some others. I wish you all the best. Please don't forget to rate my service to you tonight. Sincerely, ***** ***** LMSW, CASAC