I'm the functional cutter, back again. I don't cut on a daily basis, just whenever my depression gets really bad. I was diagnosed with clinical depression a few years ago and was on medication. I stopped taking the medication about a year and a half ago, however, because I didn't want to be dependent on something like that. My bouts come every two or three months and last anywhere from 2-4 weeks, depending on what is going on in my life at the time. I normally cut a couple of times during these bouts. I don't remember what it's like to be a normal teenager. I enjoy cutting and have taken up smoking, both in moderation. I log my bouts of depression in my period tracker app; I also log whenever I cut so that I don't allow it to consume my life. I still don't want help. I realize that I cannot be helped, although you'll probably disagree with me. I am curious, though, as to how a psychiatrist or a talk therapist would diagnose this.
It sounds like you borrowed a term that is often used to describe addictions. A “functional” alcoholic/addict is really someone who hasn’t hit bottom yet. It is based on the same mindset that you somehow you are in control of the behavior in question. It is interesting that you noted that you did not want to become dependent on medication but don’t recognize that cutting can become a compulsive ritual. Antidepressants are not addictive or alter a person’s state of mind. To reinforce this point, have you ever seen anyone selling Prozac at school? It is not mind altering nor does it produce euphoria, so there is no demand for it on the recreational drug market.
Of course we are going to disagree that you cannot be helped. There seems to be a lot of pain in your situation but nowhere does it say hopeless. You are deceiving yourself about your cutting behavior. Look at your statement; “I also log whenever I cut so that I don't allow it to consume my life.” If a behavior is not problematic then you wouldn’t need to keep track of it.
You already know from being in therapy what the diagnosis might be. Here is how they might describe you, “resistant to treatment.” Depression is a treatable condition but it can take time to find the right medication and build enough trust in therapy where you are willing to deal with the issues that make you feel vulnerable. You owe it to yourself to try.
70% of youth in juvenile justice systems have at least one mental health condition 6
33% of adolescents in America are victim to sexual, physical, verbal, or emotional dating abuse. 18
Nearly two in five 12th graders report using some kind of vaping device in the past year. 7
1 in 4 teens contract a sexually transmitted disease every year. 11
In 2017, persons aged 15–24 years represented 62.6% of all chlamydia cases. 10
More than 130 Americans die everyday from an opioid overdose. 9
In the next 24 hours, 1,439 teens will attempt suicide. 14
In the next 24 hours, 2,795 teenage girls will become pregnant 12
Only 50.6% of U.S. youth aged 6-17 with a mental health disorder received treatment in the last year. 8
90% of daily tobacco users begin by age 18 13
Many teens reported feeling overwhelmed (31%) and depressed or sad (30%) as a result of stress. 16
37.3 percent of 12th graders reported vaping in the past 12 months 15
Two-thirds of those who developed alcohol or substance use disorders have had a mental health disorder. 17
In 2016, 56 percent of deaths among passenger vehicle occupants ages 16-19 were drivers 22
21% of all new HIV diagnoses in the U.S. are among people aged 13-24 years old, most of those being 20-24. 19
59% of all students in grades 9 to 12 indicated that they had not yet had sex. 21
1 in 3 young people will be in an abusive or unhealthy relationship 23
50% of young people who experience rape or physical or sexual abuse will attempt to commit suicide 24
There was a 78% increase in e-cigarette use between 2017 and 2018. 2
1 in 6 U.S. youth aged 6-17 experience a mental health disorder each year. 1
Suicide is the second leading cause of death for youth ages 12-18. 3
Young people aged 15–24 years acquire half of all new STDs 4
In 2017, 5455 teenagers died from an overdose 5
44.88% of teens feel stressed “all the time.” 25
59% of U.S. teens have personally experienced at least one type of abusive online behaviors. 26
In 2017 2,734 teenagers (ages 13-19) died in the United States from crash injuries. 27
Roughly 40% of teenagers will try drugs at least once, which means 60% will not. 28
The average 12th grader spends approximately 2 hours per day texting. 29