Downward spiral

Kala ♑️ • 18. Capricorn sun, Aquarius moon, Taurus rising. Tarot card girl. Avoiding pregnancy. College freshman.
I recently relapsed inti self harm. It started with a few little discreet cuts when I didn't have any cigarettes left, trading out one evil for another, but now it's turned into me wanting my body to be covered in deep scabby cuts. Along with the desire to perferate myself my body dysphoria has gotten horribly bad again, I can feel my ednos stirring up again which makes me want adderal to help me lose weight and if im taking adderal I might as well be popping hydrocodon and oxy. Im on a downward spiral. Help.