First come the feeling that I'm getting the flu: weak, muscles hurt, tired..... Then come the unrealistic self harm thoughts. "If I don't SH in X way Y will happen." Then my chest starts feeling like it's being ripped apart (imagine a wish bone before it snaps). Then comes the panic attacks from being around people. Then I go mute. lastly I become scared of my husband. Then I usually either completely stop interacting or harm myself. Then I get better.