Handling young patients who cut themselves - The Clinical Advisor
Why do I like my self-harm scars but don't want other people to see them? I thought that talking about anything minus the self-harm would work, but so far much about it, I mean I've cut myself doing stupid things and left blood in the .. “ See, I've never scarred my hand this deep even for her (my friend, his then girlfriend). Abuse · Adoption · Dating · Disabilities · Disasters · Divorce "I was hospitalized for self-injury and thoughts (not plans) of suicide How does "reporting" really work? The cuts usually leave scars that bear witness to the self cutting. . Of Knowing Red Flags · Scientists Develop Blood Test For Suicide. Also, you're shots being up to date has no bearing on whether you can donate. "Mommy got hurt and these are the scars" or something along those The therapist could work with you on how best to approach the situation.
In contrast, eating disorders develop gradually and may take the form of restricting food intake over a period of weeks, for example.
Can patients outgrow self-destructive behavior? Sometimes—particularly if they know it can cause discord between them and their parents and friends— especially friends who used to cut themselves. Self-injurers just want to relieve their emotional pain.
'I'm ashamed of my self-harm scars. Is there anything I can do about them?'
Unless the wounds are deep or cause excessive bleeding, parents may choose to take young patients to clinicians instead of emergency departments. Is there anything special clinicians can do to help these patients?
Treatment without blame is key.
If a kid is in a car accident, it was an accident. When you can see self-harm through a more compassionate lens, you can be more careful suturing and caring for wounds. Ask at-risk patients directly about it and respond non-judgmentally.
Avoid an extreme reaction; try to determine if they view self-harm as a problem. Find out the function of self-injury for that person, and ask about the antecedents. What are the most effective treatments?
The single best treatment is dialectical behavioral therapy DBTan arm of cognitive behavioral therapy. DBT has been around since the early s, and it deals specifically with self-injurious and suicidal behaviors.
DBT validates that these patients suffer a tremendous amount of pain and teaches them how to recognize what happens before they self-injure—having a fight with a parent, for example. DBT also teaches new patterns of thinking and offers patients other self-soothing techniques to help regulate stress. The focus of a number of studies, DBT is showing amazing results in helping patients recover from self-harm. Research has shown, for example, that DBT often leads to a marked improvement in emotion management, interpersonal relations, and reduced use of emergency medical services.
For more information about the therapy, visit the following Web sites: Group and individual psychotherapy can also be helpful for some patients. Drugs are often prescribed based on specific target symptoms. In my opinion, the writer of the note above, was admitted to the hospital because she was deemed to be dangerously suicidal.
I cannot and will not defend the actions of every therapist because I do not know who they are or how well trained and experienced they may be.Showing him my scars - Self-harm and us - The Mix
However, in the case of those therapists I have known, from New York to Colorado and California, the only time they will call is when the fear for the safety of the patient. What about self injury? There are too many people, both male and female, who injure themselves. The most common type of self injury is probably self cutting, often with a razor.
self harm scars - The Student Room
The cuts usually leave scars that bear witness to the self cutting. As a result and in order to hide the scars, people wear long sleeves even during the summer and long pants.
Cutting occurs on the arms, legs and other parts of the body. The goal of self mutilation is rarely connected to suicide. Instead, the strategy is to feel the sense of calmness that is followed by an episode of cutting. It is speculated that this calmness stems from endorphins that create a almost a euphoric state. Therefore, it is unlikely that a therapist will feel impelled to report self cutting. Of course, there can be exceptions as for example, if it is believed that suicide is the intention.
Just to repeat, suicide is very rarely the goal of self cutting. It should go without having to say it that there is always the risk of cutting in the wrong place, hitting an artery and causing a deadly bleed out.
In my individual experience I have not come across or read about such an occurrence. Whatever your skin colour, as your skin darkens in the sun, scars may become more visible which you want to avoid. Fade away While there are no magic creams to completely remove scars, there are products that can reduce the appearance of scars and also soothe skin that feels tight or itchy.
Additional clinical treatments are available. You can explore these choices with your GP or via a referral to a dermatologist if appropriate.
You may be embarrassed or worried about seeing your doctor, particularly if you have not consulted with healthcare professionals over harming in the past. Alternatively if you have received unsympathetic or judgmental treatment from healthcare staff while you were self-harming this may make you anxious about seeking help now. Remember treatment should be non judgmental, supportive and confidential. If your doctor is not helpful, you can ask to see another practitioner.
You could take a friend or family member with you for support, or write down what you want to tell your doctor so they can read this if talking openly is difficult. This may be ideal if your feelings of self consciousness and shame are affecting your daily life and ability to get out and about, work, and socialize.
An alternative approach is not to ignore or hide your scars but to do things with your body to help you feel more positive and in control.
That might include finding jewellery that covers your scars. Or temporary body art with Mehndi henna where the act of decorating your body could even become a form of meditation or reconnecting with parts of you that you feel ashamed of.
Some people want a more permanent cover and opt for tattoos.