My self-attack/abuse has taken many forms: severe drug & alcohol abuse, physical forms from time to time (slapping, biting, scratching myself), ignoring body pains (fractured ankle, minor infections, etc.), occasionally denying myself food, & mental attacks ("you horrible person, you", etc.).
I managed to pry myself away from the drugs (mostly cocaine & MDMA/ecstasy) around 2003 & the alcohol Oct. 13, 2005 - yippee!
Though I still envision swilling martinis whenever I'm stressed. The physical stuff is also now just a thought - now I mentally abuse when I want to physically abuse: "you idiot, why would you want to do that!?!", etc. I am becoming more aware of body pains & have begun to treat those (instead of ignore/savoring them) when they arise.
However, the other above-listed inflictions still find themselves into my world... The denial of food (usually dinner after a stressful day) is only occasional, but takes on a whole new level of ick when my hypoglycemia (think opposite of diabetic) kicks in.
The mental attacks are my biggest concern. I constantly mentally kick my butt. I am cruel to myself. It's quite ugly in my head... 
Stef has said that he will do a podcast on self-attack/abuse, as none exist yet. Thank you, Stef!
I plan to discuss all this with my therapist on Friday, as well. She knows of my mental abuse, but only as a superficial concern I think...
If anyone knows of any other places I could find information on understanding/dealing with this, please let me know. I would greatly appreciate it!
Trying to be nice to myself,
Be well,
~l
courage, compassion, focus