Constant self harm thoughts.never done it b4

[Privateandconfidentialplease]

I have been having constant self harming thoughts. I have severe depression and anxiety and have been battling this for the last year or so. Thoughts of wanting to just not be here and to disappear (Not kill myself) started about 10 months ago and have gradually moved on to thoughts of self harm. I have not acted on this. But today especially and the last month it seems to be hard to not think about it. I told my therapist. We discussed it. I have found things like art therapy helps. Mediation.talking to a friend. Snapping an elastic band...is among other things I have tried.
Nothing is working.

Words of support would be lovely. Advice? Thanks

Hi, I know how you feel, I also feel like that sometimes, I think maybe as a result of a medication increase. Are you on any meds?

I am on 200mg of adrenaline and have been for a while.

Thing is, it's not sometimes. It is most of the time.

Not adrenaline! Bloody spellcheck. Sertraline

Are you on the right dosage? I'm on citalopram so I'm not sure what the dosages of sertraline are. It's horrible, I really do understand. Maybe go back to your GP and see if they can readjust your medication.

I am on the max dose. My dr and I are reluctant to change to another med as that brings problems too.

Can anyone offer advice and support for me please. Really reaching out for some help. Thnx

Well I’m glad you’re not on 200mg of adrenaline!
It’s great you’re discussing the thoughts. It sounds like your mind has been caught in a loop. How do you feel when you have these thoughts? Scared? Calm? Panicky?
What do you do when you have the thoughts? Reassure yourself you don’t want to - or go and focus on something else until the thoughts go away?
I would definitely be changing meds if you’ve been on them a while.