I spent many, many years following patterns of self-destructive behaviour. All was driven by the Depression and Anxiety I have suffered with since childhood. When you really do not feel because you are so low, harming yourself is a way to punish yourself for being such a waste.

Then there is the Cancer. Getting that diagnosis screws your mind, even when you are the most well-balanced person in the World. It affects everyone differently. In 2012, I was at my lowest, a danger to myself, I struggled through with Therapy. May 8 '13 I was dxed with both Diabetes and Colorectal Cancer in the space of 2 hours. Then there was both abandonment by my T and some positive family news.

My mindset changed with the dx. After seeing my father die of the same Cancer at the age I am now, I determined to beat it. But whilst going through the months of treatment, I talked to others whose attitude covered the whole spectrum from Resignation to Determination. Not even the most skilled Counsellors can change a Cancer sufferer's mindset in my experience.

I would suggest you read up about your friend's condition and treatment. Then, at least, you can have frank and open discussions and you can offer constructive suggestions to negate the self-destructive behaviour. Your friend is lucky to have you.

Dave.