Tuesdays Alternatives To Avoid Self-harm

If you self-injure to…Deal with anger that you cannot express openly, try working through those feelings by doing something different – running, dancing fast, screaming, punching a pillow, boxing bag, throwing something, ripping something apart (soft toys)

If you hurt yourself in order to…Feel something when you feel numb inside, hold ice cubes in one hand and try to crush them, hold a package of frozen food, take a very cold shower, chew something with a very strong taste (like chili peppers, raw ginger root, or a grapefruit peel), wear an elastic rubber band around your wrist and snap it (in moderation to avoid bruising) when you feel like hurting yourself

If you inflict physical pain to…Calm yourself, try taking a bubble bath, doing deep breathing, writing in a journal, drawing, or doing some yoga

If you harm to…See blood, try drawing a red ink line where you would usually cut yourself, in combination with the other suggestions above. Fingerpaint with RED paint. Draw hands on paperand slash with red paint.

[taken in part: Helpguide.Org]

Treatment Strategies

Self-injurious behavior can be reduced and eventually extinguished once the adolescent is ready to embrace alternative behaviors designed to promote healthier communication, self-comfort and genuine healing.

Psychotherapy — It is extremely important to work with a helping professional who has an expertise in self-injurious behavior or related disorders. Psychotherapy can provide a non-judgmental and supportive environment where self-injury can be processed openly and the meaning behind the injury can be explored. Trained therapists can provide safer, alternative ways to communicate, self-soothe and cope. The use of journaling, art therapy, relaxation techniques, visualizations, cognitive re-framing and affect management are all recommended and useful.

Appropriate contracts that encourage the teenager to write, draw, exercise and self-soothe before engaging in self-injurious behavior are more effective than contracts that demand the immediate cessation of the behavior. When the self-injury is severe, the teenager is unable to integrate strategies and abide by a safety contract or additional problems such as substance abuse or a threatening eating disorder are evident, inpatient treatment is often required.

In addition to working with a trained therapist some teens are able to utilize resources such as personal journaling and drawing, meditation, spiritual support and healthy self-injurious behavior substitutes such as physical exercise.

Psychopharmacology — When self-injurious behavior connects to untreated depression or anxiety, medication can be extremely useful. Anti-depressants can dramatically reduce the negative feelings and cognitions associated with the cycle of self-harm. Anxiolytics prevent the escalation of panic and generalized anxiety, which decreases the need for dissociation and self-injury. Providing a pharmacological safety net also may allow adolescents to process painful trauma memories without becoming flooded or overwhelmed.

[taken in part: *PRP Online]* Performance Resource Press