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What is the motivation behind the punching? Is it purely for pain or does the act of punching help release pent up negative energy?
Is there a way you can punch something softer that won't hurt your hand or try temporary vigorous exercise to kind of "get it out" of your system?
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Do at least one thing you enjoy each day. 
Dx: BPD, OCD, GAD, and PTSD traits
Rx: Lamictal 200mg and 0.5mg Ativan as needed
"Now I can see all the colors that you see."
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