Hi Claire A- Either or both. Depends on whether the objective is to mutilate, especially if followed by regret (pointing to the latter), or simply to enjoy the excitement (then the former). B-
fantasies are not the same as self injury, no. Bruising oneself purposely would, of course, be self harm. Some people do it as a religious ritual, and are not bothered by it. For those persons, we would
well, it is impossible to diagnose someone with such limited information. It would also be unethical to try to do so via email. In addition, even if a doctor COULD accurately diagnose you via email, that
why is your diagnosis so important?
It's common but not strictly unique for someone with bipolar to find the other(s) in a crowd of strangers given enough time and in the right setting (where there are actually others with bipolar present