Yes, I totally feel the need to hurt myself in similar situations to the ones you describe. Because in my case, it is to do with complex stuff, my doc has been helping me with this: imagine myself as little Paz, praise her for having been so brave, for talking to others, for making a big effort and visualize Adult Paz ,me, giving little Paz a hug and saying I love you. It takes a lot of practice. But we need to keep trying.