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XFilesGeek
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05 Jul 2012, 6:59 pm

Recently admitted to head-hitting/self-injury to a new psychologist.

Prescription medication is now in my future.

:?


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Nikkt
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05 Jul 2012, 7:04 pm

Whoo yeah. This was the main reason I went for diagnosis, because I figured that it was a very 'not normal' activity and wanted to know why on earth I did it.

When I really get going, I tend to move from hitting my head with the heels of my hand to banging it on things (glass door, steering wheel), but it's completely unexpected and usually hurts a whole lot, which stuns me for a bit and then I go back to using my hands. I don't think my body (brain, whatever) does it in order to really hurt, so I don't think I'm at risk of a concussion or anything.

...hopefully.


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Callista
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05 Jul 2012, 9:54 pm

XFilesGeek wrote:
Recently admitted to head-hitting/self-injury to a new psychologist.

Prescription medication is now in my future.

:?
Don't let them medicate you if you feel you don't need it. Most of the time when somebody says their psychiatrist is suggesting medication, I tend to tell them that it may be helpful and they should consider it--but in this case, I can only think of my own experiences with self-injury and the way professionals tend to overreact. Self-injury is something that they often have a much too extreme, much too negative response to--not because of the degree of damage it does (which is usually minimal) but because of how unusual they consider it to be. They have this visceral reaction that "if you could do something so extreme as hurt yourself, you must have a really severe problem". But in reality, self-injury is very common, possibly as common as 5% of the population, with some of those individuals not having or needing a psychological diagnosis at all (i.e., if they did not reveal their self-injury to a psychologist, would not be diagnosed with anything on the basis of other symptoms). So it's not actually extreme or a sign of severe problems; yes, many people with severe problems self-injure, but so do people with milder problems or none at all. Don't let your doctor overreact to the fact that you hurt yourself--not unless you are in actual danger or you are in severe distress. If all you have to worry about are some scratches and bruises, then this isn't an emergency and doesn't need to be automatically medicated.


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Dovi
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05 Jul 2012, 11:58 pm

I hit myself in the head when I am very frustrated, or I would hit my head on a wall or table...not repeatedly, just like once or twice. And I don't do it as much any more, and when I do I try to do it softly...cus now I am kind of afraid of hurting myself.

It's odd when I think about it now though because before I started researching aspergers, it didn't occur to me that it might be abnormal to do so.



rebbieh
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06 Jul 2012, 12:11 am

Callista wrote:
Yes, happens to me.

Whether it's dangerous depends on how hard you're hitting your head, and where. Your brain is very well protected--your scalp is bouncy and elastic; then your skull; then a tough fibrous covering; then a fluid-filled space; and within that floats your brain. It takes a good deal of force to cause bruising to the brain. Your eyes are actually more vulnerable--your retinas specifically. You can injure your eyes if you bang your head too hard or too often.

Just hitting your head with your hands is probably not going to hurt you that much because you aren't really hitting your head at an angle that lets you put a lot of force behind the blow. You may bruise yourself, but I don't think you'll give yourself a concussion. That's not to say you shouldn't try to find ways to stop, because you *will* give yourself a headache and a sore neck, and that can ruin the rest of your day.

If you're actually headbutting walls at full force, it's probably time to invest in a helmet.


I'm not really "headbutting walls at full force" and I don't do it often. Hitting my head with my fists happens quite a lot though. And I know it's not good for me. I mean, every time I do it I end up getting a headache which just makes everything worse. But I still do it.

Nikkt wrote:
Whoo yeah. This was the main reason I went for diagnosis, because I figured that it was a very 'not normal' activity and wanted to know why on earth I did it.


Is it really abnormal?



Callista
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06 Jul 2012, 11:04 am

It's something most people don't do, but it's among the more common abnormal activities. If someone who's NT and doesn't have a mental illness does it, it's usually to do with their being under a lot of stress--it's common in teenagers, early-twenties people, which is not coincidentally the time of your life when you're under the most stress. It can mean that they don't know how to deal with their stress well enough and are using unhealthy coping mechanisms--kind of the way some people drink too much, go on unwise shopping sprees, or overeat when they're upset.

For people who self-injure more habitually, it can be associated with depression, borderline personality disorder, anxiety disorders, eating disorders, and developmental disorders. Some people with developmental disorders self-injure as a stim, so for them it's not related to distress.

If the injury is severe or life-threatening, it's usually associated with acute psychosis--the sort that happens when somebody with schizophrenia or bipolar mania is in crisis. Other than the severe self-injury related to psychosis, head-banging is probably the most dangerous form of self-injury because of the danger of detached retinas (which can cause visual impairment or blindness) or, in severe cases, concussion or head injury of the sort that boxers might get from being repeatedly hit in the head by opponents.

So a psychologist is right to be concerned about it, because it is generally either associated with an important condition, or because it is associated with distress on the part of their patient. I agree with that. What I don't like is how they tend to overreact, especially to superficial self-injury that has little or no chance of causing serious physical problems. In my mind, a person who tries to cope by drinking too much is in more trouble, because drinking is about a thousand times more dangerous.


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rebbieh
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06 Jul 2012, 1:34 pm

Callista wrote:
It's something most people don't do, but it's among the more common abnormal activities. If someone who's NT and doesn't have a mental illness does it, it's usually to do with their being under a lot of stress--it's common in teenagers, early-twenties people, which is not coincidentally the time of your life when you're under the most stress. It can mean that they don't know how to deal with their stress well enough and are using unhealthy coping mechanisms--kind of the way some people drink too much, go on unwise shopping sprees, or overeat when they're upset.

For people who self-injure more habitually, it can be associated with depression, borderline personality disorder, anxiety disorders, eating disorders, and developmental disorders. Some people with developmental disorders self-injure as a stim, so for them it's not related to distress.

If the injury is severe or life-threatening, it's usually associated with acute psychosis--the sort that happens when somebody with schizophrenia or bipolar mania is in crisis. Other than the severe self-injury related to psychosis, head-banging is probably the most dangerous form of self-injury because of the danger of detached retinas (which can cause visual impairment or blindness) or, in severe cases, concussion or head injury of the sort that boxers might get from being repeatedly hit in the head by opponents.

So a psychologist is right to be concerned about it, because it is generally either associated with an important condition, or because it is associated with distress on the part of their patient. I agree with that. What I don't like is how they tend to overreact, especially to superficial self-injury that has little or no chance of causing serious physical problems. In my mind, a person who tries to cope by drinking too much is in more trouble, because drinking is about a thousand times more dangerous.


Yeah, I mean, there must be a reason I hit/bang my head. Anxiety or something (or AS, if it turns out that's what I've got). So, do you think I should tell a psychologist that I do it?

Also, I used to drink quite a bit to cope with my anxiety a few years ago. That wasn't good at all. Thankfully I stopped and I hardly ever drink nowadays (though it does happen sometimes). I hate anxiety.



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06 Jul 2012, 3:41 pm

I punch myself in the jaw, so I worry about my teeth. Might try hitting my legs in a meltdown instead.

You should definitely tell a psychologist. It's better to go for a harm reduction approach than forcing yourself not to sib.


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