Not a week goes by that a therapist doesn’t hear about a client or a client’s friend self-harming. This is particularly true of therapists who work with teenagers – lately it feels like something of an epidemic.
After first hearing about self-harming behaviour – which usually takes the form of cutting, scraping, hitting or otherwise causing injury to the self – parents and friends usually react in one of two ways:
Shock and disbelief followed quickly by panic or Anger and irritation that this this might be “just” attention seeking and therefore a type of manipulation. Both reactions are valid.
Here’s what we suggest you do if someone you know/love is self-harming:
Do your best to avoid:
1: Asking for the gory details. You may feel the need to know so that you can feel like you know what you’re dealing with here – but this is your need, and will not be helpful. They will already be feeling vulnerable and shamed, and exhausted from telling you as much as they did. Now is not the time to push for more.
2: Jumping to the conclusion that this is ‘just’ for attention. Let’s be clear: it IS for attention – we need to leave the word ‘just’ out. And it’s a pretty dramatic way of getting it, isn’t it?! Instead, we need to consider ‘Why is this person going to such lengths?’ Be aware that something bigger than simply “just” looking for attention is definitely going on here. Even if it’s that they have not yet learned how to ask for support or acknowledgment. Again, there is always a reason.
3: Assuming that they are suicidal. While it looks violent and extreme, it is not necessarily a sign a suicidality, but it is serious, and deserves to be treated as such. Feel free to ask though, it might be a relief to them to be asked, and ay well take the power out of it for them. Back to points 3 and 4 above!
4: Insisting that they stop for your sake. This might be experienced as blackmail or that you are more concerned about your own upset than you are about theirs. They are already vulnerable and will see and hear everything through that lens, for now.
5: (Repeat) Dealing with this by yourself. If the person is self harming due to a crisis, outside help will be effective. If they are self harming to punish you or control you in some way, outside help will take the power out of that – either way, outside help is the way to go!
Keep looking after you, and as always – you’ve got this, and we’ve got your back.
- Two Wise Chicks
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