I've always worried about everything. But has my tortured thinking become a form of self-harm?

一世n my life and work I have come across many awful stories of self-harm. I’ve never done it myself. At least I thought I’d never done it myself. The Royal College of Psychiatrists lists the following as examples of self-harm: cutting yourself, burning yourself, banging your head or throwing yourself against something hard, punching yourself, sticking things in your body, swallowing things that shouldn’t be swallowed.

Reading this list feels like an act of self-harm in itself. Why on earth anyone would want to do this to themselves is quite beyond many people’s comprehension. By way of explanation, the Royal College’s website has it that: “Self-harm can give you a sense of control and reduce uncomfortable feelings of tension and distress. If you feel guilty, it can feel like a way of punishing yourself. 无论哪种方式, it can become a way to deal with negative feelings and distress.”

This much I’ve always understood without, if I’m honest, 真的 结束圣彼得的童话后,北卡罗来纳大学将在 NCAA 锦标赛中面对老对手杜克 how cutting yourself, 例如, helps matters, even fleetingly. But now I do get it, having realised that I, and many others practise a form of it ourselves. Negative feelings, as the psychiatrists express it, are seen as what leads to self-harm. But what if negative feelings are in themselves acts of self-harm, as well as causes of it? What if chronic negativity is a – and I use the word advisedly – deliberate attempt to inflict pain upon yourself, because wallowing in anxiety, like a rhino wallowing in mud, is what you are most familiar or even comfortable with.

At a young age I was identified, by teachers, 家庭, mates and so on as “a bit of a worrier”. This meant, 当然, that I was a lot of a worrier. “哦, there he is, worrying again,” everyone would wail. Owning my negative feelings, I came to wear them as a badge of pride. “不, nothing’s going to be all right in the end,” I’d insist. “Everything will turn out to be shit.” What do you expect? I’m a West Brom fan. Blah blah blah.

What’s this all about? 上个星期, as part of some cognitive behavioural therapy, I was presented with a list of beliefs about worrying, negative and positive. I was asked how much each one resonated with me. On the negative side there was stuff like, worrying could harm me; my worrying is uncontrollable; if I don’t control my worrying it could control me. 是的, I understood these entirely rational sentiments, but couldn’t say I really felt them.

But as for positive beliefs about worrying – a tellingly oxymoronic phrase in itself – I was all over them like them a rash. Worrying helps me cope; if I worry, I’ll be prepared; worrying keeps me safe; something bad would happen if I didn’t worry. 是的, 是的, yes and yes again. It turns out that my worrying is so hard-wired that it feels quite wrong not to worry, as if neglecting to worry is to invite trouble.

I worry about things that have happened as well as things that might have happened but didn’t. And about bad things that are happening and how much worse they could get. And about how good things that are happening will probably turn bad. And about bad things that might in all probability never happen but would be awful if they did. I am the rhino; this is my mud.

I worry – obviously – that I could be taken to be equating this tortured, stinking thinking with physical acts of self-harm. 我不是; that would be glib. But I don’t think it’s unhelpful for me, if no one else, to see every heart-stopping stab of worry as another small act of self-harm.

And at this moment, a song has sprung to mind. I Don’t Worry About a Thing by Mose Allison. “I don’t worry about a thing,” the great man sings. “Because nothing’s going to be all right.” Probably not what my cognitive behavioural therapist has in mind for me, but it’s a start.

Adrian Chiles is a broadcaster, writer and Guardian columnist