Was having a dream last night that dealt with my depression in general and self-esteem issues. Woke up to self-harm urges. Have taken PRN for anxiety in the hope that thoughts would subside and used red sharpie in lieu of some kind of blade, but I'm at work so a little nervous about what will happen when I get off and go home. Need to get back into therapy, although all he seems to suggest is med changes, and I'm on several meds already and feel like I need to figure out something to do besides changing the meds all the time.