Ways to Help Self Harming Adolescents Overcome Pain

by Dr. Patricia Fioriello on September 7, 2010

Ways to Help Self Harming Adolescents Overcome Pain

The World of Self Harming Adolescents

There is a major issue arising in homes and schools around the country; it has to do with kids of all ages who are destroying their minds and bodies through self harm; they are called self harming adolescents.

Self harming adolescents perform a behavior called “self-injury,” “self-mutilation,” or “self-harm.”  This harmful coping mechanism manifests in ways such as cutting, scratching, burning, picking, hair removal, or hanging, though about 64% of self harming adolescents are labeled as “cutters.”

It seems that this behavior should have been resolved, but unfortunately parents, teachers, and medical professionals nationwide are still trying to get to the bottom of this destructive behavior as it is a disturbingly growing problem.

Why Does This Happen

When facing this issue there is one question that is at the forefront of the minds of most parents: “Why is my teen doing this?”

Though there is no definitive answer, there are several theories that may be a basis for understanding your teen and getting help.  Most self harming adolescents describe their desire to injure themselves as the result of overwhelming feelings.  These feelings can come from hormone imbalances, stresses at school or home, a failure of some sort, or relationship issues.  Often, these children are depressed, overly anxious, fearful, angry, and have either completely numbed themselves to all feelings as a protective mechanism or are overly sensitive to their emotions.

The numbed group experiences depersonalization because they believe that they are not really living.  They harm themselves in order to feel something instead of nothing.  This harming provides a sense of release and realness that reminds them they are still alive.  The other group is often described as “dramatic” and people are often surprised when they discover their harmful behavior.  When this group decides to harm themselves, it is an act meant to help them de-stress and calm down.  The flow of blood is relaxing and supposedly calms the anxiety.

Signs to Look For

When dealing with self harming adolescents you need to be careful that you do not make the situation worse by ignoring them or saying, “It is just a phase.”  This ignorance may perpetuate the behavior, as any act of self harm is a cry for help.  This is a subject that requires immediate attention when signs present themselves.  Self harming adolescents will deny this behavior when in question because of the shame involved, so it is crucial to be informed and aware.

If your teen is wearing turtlenecks when it’s not cold outside, long sleeves all the time, spends large amounts of time hidden from others, begins to change the way they dress, their affect is significantly altered, and/or are highly secretive, then you should be concerned.  You should also be alarmed if you find sharp objects such as razors in places they shouldn’t be, or you find accessories like ties and belts hanging in inappropriate places.

How to Get Help

Do not think you have to deal with a self harming adolescent on your own; there are numerous resources designed to help you.  The most important thing to do is be supportive of you teen and their hope for recovery.

The best way to do this is to start dealing with your own feelings about the situation.  You will be overwhelmed and feel a range of emotions including disappointment, failure, shock, sadness, or even anger, but you need to get to a place of acceptance of the reality of the situation and move forward to get your adolescent some help.

  • The first step is to talk with your teen.  Do not be surprised if they are resistant to this conversation.
  • Seek help from school counselors or other mental health professionals.  You must become knowledgeable about the subject in order to avoid assumptions.  These professionals may be able to offer you information about recovery programs or counseling options.

Additional Resource

Self-injury: You are NOT the only one

Personal Experiences

{ 8 comments… read them below or add one }

Mailyn September 24, 2010 at 11:06 pm

I am really thankful for making blogs like this. My teenage daughter for a year now is removing and pulling her hair specially when she’s alone. Now its confirmed we have to make a serious talk about this and seek professional help if needed.

luke September 24, 2010 at 11:36 pm

I have a student who did this. It took me so much time to tell him parents and explaining to them that we have to deal with their son’s situation. In the beginning they ignored it, until they opened their minds and eventually with the help of professionals, their son was off that emotional state. Its good to know blogs like this exist nowadays, to help people and parents be aware of what’s happening and what to do.

romina September 25, 2010 at 12:22 am

I feel sad after reading your blog. I remember someone in school who was cutting herself. She left the school. Hope she seeks professional help or her parents help her.

louie September 25, 2010 at 2:06 am

Hi!!Its good to know and really nice feeling that I didn’t experience any of these self harming.. Thanks to my parents I guess they are very sensitive to my thoughts and always there to address whatever questions or thoughts I am encountering. Thanks Mom and Dad, i love you.

Dr. Patricia Fioriello September 27, 2010 at 10:46 am

The start to dealing with teenage issues to for the teenager to have a good relationship with their parents. Communication is key to solving serious problems. Keep up the good relationship with your parents!

Dr. Patricia Fioriello September 27, 2010 at 11:15 am

We are sorry to hear about your friend in school but on the positive side, it is good that we are sharing our stories and seeing that we are not alone. The more we talk and share, the more we can help others. So as Romina mentioned, if you are a kid and you hurt yourself, please get help!

Dr. Patricia Fioriello September 28, 2010 at 8:19 am

Luke, You did the right thing talking to the parents. It’s a difficult and uncomfortable situation to handle but it worked! The student got professional help. You can also involve the school counselor when you have these type of problems with students. You are a very caring teacher. Thanks for taking care of our kids!

Dr. Patricia Fioriello September 28, 2010 at 8:27 am

Mailyn, We are so pleased that our article allowed you to see and understand your daughter’s problem. That is what High School Mediator is all about. Please get her professional help immediately. If you need additional information or resources, you can contact me privately at drfioriello@highschoolmediator.com.

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