LibraryScenariosWhen self-destructive urges resist distress tolerance techniques
Scenario

When self-destructive urges resist distress tolerance techniques

I know I should use TIPP when I feel suicidal but in the moment I want to feel this bad, I want to punish myself, and ice cubes feel like a joke.

Patan
Online
The coach is replying

More people experience this than they realize.

What we've seen

The desire for self-punishment can become so compelling that relief itself feels like betrayal of one's perceived worthlessness.

Ideas that help explain it
Worth thinking about

“Where Are You with DBT for emotional dysregulation?”

If this sounds familiar, the Library can help you find the bigger picture.