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 am CONSTANTLY picking off scabs and pimples on my face and even more so on my back. it's so embarrassing because i have tons of scars on my back and luckily on my face it isn't so bad. but whenever a new pimple or scab appears i pick it right away. i don't know why i do it. i don't even think about it when i am doing it. i don't have any disorders so i don't know if this is one and i want to know if i may have something that needs to be checked out.

I was diagnosed with AvPD and SAD and I was wondering if anyone has a horrible problem with eye contact and being touched?
I have never been able to make eye contact unless I absolutely felt like it was necessary so that I didn't seem rude.
I can't make eye contact with my dad no matter what and I can barely make eye contact with my mom.

I also have a hard time dealing with being touched. When someone accidentally touches me, I literally cringe. I then feel like I need to go wash whatever part they touched me. I can't be touched by my dad because it just feels horrible! If he touches me, I feel like I'm going to cry. I'm okay with my mom touching me SOMETIMES, but she doesn't want to touch me because she has issues of her own.
I just hate being touched so much. Hugs and hand shaking are horrifying for me.
I want to get over this, but at the same time I just really don't want to ever be touched.

I have always heard that when being accused of something (that you aren't and haven't done,) it's more than likely because your accuser is guilty of such. I'm certain this doesn't apply to every situation, but realistically, how often does this actually happen to you?

Based upon my husband's past experiences with a wife that cheated, drank, and drugged herself into a stupor, I understand his skepticism. I however, do not do anything at all similar, don't look similar, don't act or speak similarly. We are not the same. I am his second wife.

For the past year, it has turned into him yelling, screaming "shut your f***ing mouth" "listen to me when i speak to you" "you will respect me," and things of that nature. He tells me not to talk over him, not interrupt him, and then when I ask for a moment of his time, he cuts me off and uses his hands as a "stop" gesture to end what I have to say. In all honesty, I do not feel as though my husband respects me, or cares at all about the things I say. I am a very brutally honest and blunt, and some would say pessimistic person. I believe I just know better how to prepare for situations, and expect others to disappoint me, so I work things our in such a way that I do not get disappointed. I look at life with a very real sense of what can and cannot be accomplished in a given amount of time. I am very time-oriented.
My husband tells me that I assume to much. An example:
I tell him one thing in the A.M., he forgets by lunch 5 days in a row, and tells me that he forgot every evening. I tell him the same message on the 6th day, he gets bent out of shape because "I assumed he would forget and now I am nagging." I personally do not find that nagging or assuming. It is using deductive reasoning or taking what was learned from first-hand experiences, and applying it to the situation. This is something that happens every week.

He accuses me of being childish, immature, and needing to grow the f*** up.
I do not raise my voice at him. I am the mother of his child. I keep the house running. I am overseer of all of the financials. I went to college. I make more money than him. I have two college degrees. I am a female in a predominately male professional trade, decisive, direct, and dedicated. I have more real-world experience than he does. I am literal. To the point. Callous, if you will. I do not mince words. I say exactly what the situation calls for, and I use the correct vernacular for emotions and feelings. I had to grow up fast, and by whatever means necessary, while he grew up in the same house all his life, was the youngest of three children with a stay at home mother, and overly religious upbringing, had no responsibilities, and never been told no. I do not play games. He says I do. He is the one that plays games, blatantly ignoring repeated phone calls and going out of his way to make me feel inadequate.

Really, that's just two examples..but just this morning we had the biggest blow-up of our relationship because I asked for clarification on what he meant by a statement, and it turned into very seriously hurtful words and screaming.

Any advice, folks?

Hello, I'm a cutter...

Why do I cut? What turned me into a self hater who scars his body and often wants to die?

I'm a 44 year old man who has seen his world fall apart two years ago. I was seriously injured on the job to the point of full disability. I can no longer do the job I lived to do, which was Police work. Add to that the fact that I suffer horrific pain everyday due to my back injury. I have crushed a total of 9 discs in my upper, middle and lower back and have to use a cane to walk.

Not only do I have permanent nerve damage, but as a result I lost function of my bladder and need to urinate with a catheter and a leg bag. I have had several surgeries to include a two level cervical fusion, an interstim implant for my bladder and a Morphine drug pump implant. Despite these surgeries, the Morphine pump and oral pain meds I am still in a great deal of pain all day and night; awake and sleeping. I still have a few more surgeries I must endure in the next year. This physical pain alone is one reason why I cut myself.

Since I don't have any control of the constant pain related to my back injury I at least have control over the pain I endure when I cut myself. I don't scratch myself...when I cut I cut deep and I have scars over 70% of my body. I often cut out of anger or frustration, because I lost my passion for life when I lost my career as a Police Officer. It's extremely difficult to go from being physically able to chase bad guys, make arrests and help others to someone who can barely walk and is in constant pain.

Over the past two years I have gone from a mentally confident and competent person to a mental basket case. Now I must say that prior to my career ending injury I suffered from PTSD and bouts of depression related to my Police experiences while employed by NYPD during 9-11 and survivor's guilt. Also, growing up I would from time to time cut myself. Oh yeah and when I was 13 years old I slit my wrist and OD on medication in an attempt to end my life. It was really tough covering up the huge ass scar on my wrist, especially while applying for work as a Police Officer. I don't regret the scar, I regret the fact that I lived. Looking back I guess there have been many times where I was in harms way and could of, should have died, but didn't. This happened more often of course during my Ten years of Police work. Looking back now I can honestly say that I wanted to be a Police Officer so I could die. Had you asked me while I was still working as a Police Officer I would have said it was so I could help people and save lives.

Anyways, I now suffer from a whole host of mental disorders, such as Major Depressive Disorder, BiPolar Disorder, Borderline Personality Disorder, PTSD and a couple of other disorders that escape me at this time. I'm taking a handful of medication daily in the hopes of controlling my mental and physical pain.

It's not working, I can't sleep and the urges to cut keep getting stronger. I also envision me cutting my own throat with a knife. I can be sitting on the couch watching a TV show and out of no where I see it...I see the knife in my hand held to my throat. I wonder, is this how I am supposed to die? I always hoped it would be via lead poison ( aka a bullet). No matter, I keep cutting and my wife sees the cuts and scars and naturally freaks out. I'm putting her through hell and that just adds to my anxiety and frustration that often boils over and results in even more cutting! I wish I could post pictures so you can see my scars and know that this is for real. I'm living a nightmare and I'm ashamed of myself for being so weak. Two years ago I was a decent role model for other Officers and the community I lived to protect and serve. Now...now I am suicidal and spend most of my time at home, in pain and alone.

The urges are becoming too great and I'm fast losing any control. My cuts are becoming deeper and deeper. How can I cut out the ugly side of me when...

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