Therapy for Self Harm

Understanding Self-Harm

Self-harm, also known as non-suicidal self-injury (NSSI), refers to the intentional infliction of physical harm to one’s body, typically as a way to cope with overwhelming emotions, stress, or mental health struggles. Common forms of self-harm include cutting, burning, or hitting oneself. While self-harm is often misunderstood as a cry for attention, it is typically a coping mechanism used to manage emotional pain, numbness, or feelings of hopelessness.

It’s essential to normalize the conversation around self-harm and recognize that those who engage in it are struggling emotionally, not seeking attention. Many people hesitate to seek help due to fear, shame, or stigma, but talking openly about self-harm can be the first step toward recovery. Seeking professional help is a sign of strength, not weakness.

Mild to moderate symptoms are generally appropriate for treatment in an outpatient setting. However, moderate to severe symptoms may necessitate additional or alternative services. Your therapist will work with you to discuss the most suitable options for your care.

Psychoeducation: Understanding Self-Harm

Psychoeducation is a key part of recovery from self-harm. At Kona Counseling, we provide individuals with the tools and knowledge to understand why they engage in self-harming behaviors. Psychoeducation helps individuals identify triggers, such as emotional distress, anxiety, depression, or trauma, and teaches them healthier ways to manage their feelings.

Studies show that self-harm is often linked to underlying mental health conditions, including depression, anxiety, and borderline personality disorder. By understanding the connection between mental health and self-harm, individuals can begin to recognize patterns in their behavior and learn how to break the cycle.

Psychoeducation also empowers family members and loved ones to better understand self-harm and how to provide support without judgment. Learning about the reasons behind self-harm helps create a supportive environment that encourages open communication and healing.

Therapies for Treating Self-Harm

There are several effective therapies for treating self-harm. At Kona Counseling, we offer evidence-based approaches tailored to each individual’s needs:

1. Cognitive Behavioral Therapy (CBT): CBT is a highly effective treatment for self-harm. Research shows that CBT can reduce self-harming behaviors by helping individuals identify and challenge the negative thought patterns that drive their actions. By developing healthier coping mechanisms, individuals can replace self-harm with more constructive ways of managing their emotions.
2. Dialectical Behavior Therapy (DBT): DBT is particularly effective for individuals who struggle with intense emotions and impulsive behaviors. Studies show that DBT can reduce self-harm by up to 70% in individuals with borderline personality disorder. This therapy teaches emotional regulation, distress tolerance, and interpersonal effectiveness, helping individuals navigate difficult emotions without resorting to self-harm.
3. Trauma-Focused Therapy: Many individuals who engage in self-harm have a history of trauma. Trauma-focused therapies, such as Eye Movement Desensitization and Reprocessing (EMDR), can help individuals process and heal from past trauma, reducing the emotional pain that often leads to self-harming behaviors.

Support is Available

If you or someone you know is struggling with self-harm, it’s important to reach out for help. At Kona, our therapists provide compassionate, evidence-based care to help individuals break the cycle of self-harm and learn healthier ways to cope. Healing is possible, and you don’t have to face this alone.