Usually people who struggle with drug and alcohol abuse or other forms of addictive behaviors come from a background of abuse or neglect or have experienced some kind of trauma when they were younger. Being in these situations, a child and/or a young person can experience various painful feelings such as fear, helplessness, shame, guilt, sadness and eventually hopelessness. Becoming overwhelmed by these emotions and not having anybody to help them and validate their feelings may lead to them learning to run away and avoid such feelings to protect against pain or become consumed by those feelings and act upon them impulsively. Later in life, they may use substances or engage in addictive and destructive activities to numb those painful feelings. Despite their effort in avoiding these emotions, they are stored implicitly in a deeper level of the brain and will be triggered more often than they may have expected.

These emotions that have been stored in a less conscious part of the brain may not be accessible verbally, but can be found symbolically in images that the person creates. Therefore, the goal of art therapy is to access these hidden and avoided emotions that once had the purpose of protecting the individual, but either have been denied or exaggerated and lost its purpose to rediscover their adaptive qualities.

Images in an art therapy session can simply be composed of a few lines, colors or pictures from a magazine to more elaborate drawings, clay sculptures and other forms of creativity. These images will give an expert art therapist the opportunity to help the recovering person uncover meanings behind the symbolic images, discover more information about oneself than just talking and open many deep thoughts and emotions. Participants in art therapy don’t need to have any skills in art.

Talking about feelings can be very frightening and painful for a person who has been avoiding them for a long time. This person may not even be able to verbally express him/herself, but may be able to express thoughts and feelings about past and present events and situations non=verbally through lines, shapes and pictures. Creating them can become a new form of communication which is less threatening and safer for the recovering person.

Individuals struggling with addiction are usually very judgmental of themselves and are flooded with shame and guilt. Creating art can give them a tangible, concrete perception of their feelings and thoughts and give them the opportunity to observe themselves from a distance which can help them gain a new, less judgmental and more compassionate understanding of self.

Recovering individuals may engage in a simple art project whenever they feel overwhelmed or have an urge to take drugs/alcohol or engage in an addictive activity to distract and sooth themselves. Creating can give them a sense of control over the situation and a tool to accept and manage overwhelming feelings. Using their hands while using art materials such as colored pencils, markers, crayons, clay, paper and scissors can help them release some of their avoided feelings such as anger and lower its intensity, and to sooth and calm themselves when they are anxious.

In general, in art therapy sessions, the recovering person will be given permission and opportunity to experience and express those feelings that he/she has been running away from and avoiding for a long time in a safe and supporting atmosphere, with the presence of an empathic professional psychotherapist /art therapist who will help him/her understand and make sense of those painful feelings, acknowledge and accept them with compassion, reduce their intensity and tolerate them, and finally use them effectively to fulfill their needs and goals.

I self harmed for two years. I began starting a new coping skill that has been really effective; eating. Although, I'm worried because I had a slight eating disorder before, eating might draw me back in it agaian.

So i've never written a post ever on any forum, ever, and since things have changed for me recently, i'd decide to give this a go. Might not come back to this but i want to get whats in my head out there and see if anyone has anything to say about me and my problems.
My problems: I care about my family too much. I'm almost certain that I have depression, mild anxiety and a myriad of other mental health problems but I've never been properly diagnosed because I care about my family too much to have them worry about me at all. I also come from a culture where mental health is not a 'real' problem, but rather a thing for the weak or the bored.
I think about death a lot BUT i'm not suicidal. I'm fine with death and i'm not scared of it but I would never be able to go through with it as long as my parents are alive because I can't put them through all that pain. If they died though, I would have not much of a reason to keep going, but that is not the point of this post.
I've always been very aware of my issues and i've always been able to talk myself down in my head like there was a third person that tells the two conflicting voices in my head what to do. This third voice sounds like a trusty friend, insightful parent, or even a advising counsellor, when i think about it. This voice knows what people views as normal and suppresses my arguing voices to make me seem 'normal'. It usually takes effort but I know it works because everyone thinks I'm still this smiley, happy girl, which really hasn't been the case since about 7 years ago (when my first encounter of death in the family happened)
My dog (who's been with me for almost 15 years) died yesterday and I was sad but it wasn't a fearful, regretful sadness. It was more of a "i'll miss you" and "we've spent good time together" happy sadness, though it was really sudden and shocking. I still miss him but I don't think I'm doing too bad. My parents on the other hand haven't been able to sleep, eat, not spontaneously cry, and not talk about morbidity every couple of hours. They also hug me a lot because they think its comforting for me, and probably themselves too.
I guess what I'm saying is that is it weird that I'm so aware of what I'm almost sure I have? Does this mean I don't have these mental health issues because it doesn't really affect my daily life and I know what triggers it, how to control it, and what works/doesn't work? Do other people with mental health issues experience this too?
An analogy (if you're still reading): I deal with my problems like dealing with my period. When it starts, I know what I can do to not let it leak out for the world to see. I know what the best way to deal with the dirty pad/tampon is, to chuck it out (feeling all my feelings/non-feelings but in a physical location where no one will see me then throw them out or at least leave them where they can't be seen). I clean up after myself and flush the bloody mess away (make sure no one can physically see or pick out that I have problems at any point of any time)
What do you think?

Hi,

So I would like to know what you think, I have been lucky enough to see a therapist for three months in an organisation that provides free counselling. She has really helped me and I want to thank her with maybe a card and or a box of chocolates but I don't know if it is appropriate.
I think it is because the service was free so she has been giving her free time to help me and I have seen cards in her office, would a small box of chocolates at the end of our last session be appropriate ?

Thank you for your advice

Mood: Exhausted
Listening to: Blake Shelton - Sure be cool if you did


It is one of those nights where I cannot get my mind to shut up. I am so sleepy but alas it manages to escape me. Racing thoughts and the like, This is my first time online today and it is 4:45 am so I guess that would technically mean that I was not online at all yesterday. I have not been able to focus enough on one thing to read a book. That is very stressful as reading is an outlet for me, I have my youtube playlist playing on shuffle so I don't even have to make a decision about a song cause right now my mind won't let me even think on it enough. I thought coming on here and writing for a bit would make me feel better or at least give me something to do but even now it is difficult to focus enough not to stray the subject. I love music there is rarely a time in my life that music is not playing. I listen to just about every genre I can think of with the exception of polka. Lately when I try to go to sleep paranoia takes over, it seems like the moment I become "still" the $#%^ hits the fan so to speak. Paranoia,agitation, conversations in my head with more than one voice. WTF? I moved across the country and have yet to see a therapist or mental health professional for that matter. I have been off meds since roughly June. I sometimes feel like I am watching my life play in front of me like a movie without the option to react. I mean my body is reacting but I am not, what the hell is that about? The other night I went to bed around 3 am to try to sleep but the moment I stopped listening to music and reading articles online and settled down in my bed with the lights off it got ugly. First the paranoia set in, it was extreme. I felt like I was screaming inside my mind but no sounds escaped me. It seemed endless then a soft little crying voice was in my head like a thought but not my thought. Then the weirdest thing happened.... I got this mental image of a little girl crying holding a teddy bear curled up in a corner. I don't know how I knew but the little girls name is Sophia and she is 6. I have never seen this little girl before so how would I know her in my mind? Let me say this, My name is not Sophia and I have never personally met anyone by that name. After the image of the little girl left the "screaming" in my head started back up. I don't know.... I am lost and not sure what is going on. After that night I called and made an appointment with a dr in the new town I am in. I am nervous about going to a new dr, I do not trust easily and I don't know if I can open up to them.