Could you give an example of a situation/interaction? Who are the people you are referring to?
The self harm and telling yourself you are worthless is heartbreaking. I'm so sorry you are going through that. I can relate, in that I have times where I fall so far into despare that I internally beat myself up the same, feeling so worthless and undeserving. I understand how that feels. It sucks.
So what is it about? For me, I think I have ADD and it is so hard for me to accomplish the simplest things, I feel like I'm inadequate and infantile, a let down. My world is full of clutter, which I hate, but I get so overwhelmed when I try to deal with it all - I feel like I'm trying to dig my way out from under a mountain. Making decisions is really hard. When I get flack from my husband about something small that I didn't take care of or do, I just fly to pieces with anger, frustration, and then self-hate for being so incompetent.
So, where does this come from for you?
Wishing you peace :-)
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