Inspirations Teen Cutting/Self Injury Overview
Inspiration Teen Cutting/Self Injury treatment program is lead by a team of behavioral specialist that uses therapy, education, and support to empower adolescents to identify healthier ways to cope with emotional distress.
What is Cutting?
Injuring yourself on purpose by making scratches or cuts on your body with a sharp object — enough to break the skin and make it bleed — is called cutting. Cutting is a type of Self-Injury, or SI. Most people who cut are girls, but guys self-injure, too. People who cut usually start cutting in their young teens. Some continue to cut into adulthood. People may cut themselves on their wrists, arms, legs, or bellies. Some people self-injure by burning their skin with the end of a cigarette or lighted match. When cuts or burns heal, they often leave scars or marks. People who injure themselves usually hide the cuts and marks and sometimes no one else knows.
Why Do People Cut Themselves?
It can be hard to understand why people cut themselves on purpose
- Cutting is a way some people try to cope with the pain of strong emotions, intense pressure, or upsetting relationship problems
- They may be dealing with feelings that seem too difficult to bear, or bad situations they think can’t change
- Some people cut because they feel desperate for relief from bad feelings
- People who cut may not know better ways to get relief from emotional pain or pressure
- Some people cut to express strong feelings of rage, sorrow, rejection, desperation, longing, or emptiness
There are other ways to cope with difficulties, even big problems and terrible emotional pain. The help of a mental health professional might be needed for major life troubles or overwhelming emotions. For other tough situations or strong emotions, it can help to put things in perspective and to talk problems over with parents, other adults, or friends. Getting plenty of exercise can also help put problems in perspective and help balance emotions. But people who cut may not have developed ways to cope. Or their coping skills may be overpowered by emotions that are too intense.
When emotions don’t get expressed in a healthy way, tension can build up — sometimes to a point where it seems almost unbearable. Cutting may be an attempt to relieve that extreme tension. For some, it seems like a way of feeling in control. The urge to cut might be triggered by strong feelings the person can’t express — such as anger, hurt, shame, frustration, or alienation. People who cut sometimes say they feel they don’t fit in or that no one understands them. A person might cut because of losing someone close or to escape a sense of emptiness. Cutting might seem like the only way to find relief or express personal pain over relationships or rejection.
Inspirations Treatment Approaches:
Psychotherapy – Known as talk therapy or counseling, psychotherapy can help you identify and manage underlying issues that trigger self-injuring behavior. Therapy can also help you learn skills to better manage distress, help regulate your impulsiveness and other emotions, boost your self-image, better your relationships, and improve your problem-solving skills.
Types of Psychotherapy
- Cognitive Behavioral Therapy -which helps you identify unhealthy, negative beliefs and behaviors and replace them with healthy, positive ones
- Dialectical behavior therapy – a type of cognitive behavioral therapy that teaches behavioral skills to help you tolerate distress, manage or regulate your emotions, and improve your relationships with others.
- Psychodynamic psychotherapy -which focuses on identifying past experiences, hidden memories or interpersonal issues at the root of your emotional difficulties through self-examination guided by a therapist.
- Mindfulness-based therapies – which help you live in the present, appropriately perceive the thoughts and actions of those around you to reduce your anxiety and depression, and improve your general well-being.
Inspirations’ Dual Diagnosis Treatment
Inspirations understands that people who cut or self-injure sometimes have other mental health problems that contribute to their emotional tension. This is where our Dual Diagnosis Treatment comes into play since cutting is sometimes (but not always) associated with other mental health tendencies including:
- Bipolar disorder
- Eating disorders
- Obsessive thinking or compulsive behaviors
- Mental health problems that cause people to have trouble controlling their impulses or to take unnecessary risks
- Drug or Alcohol abuse
- Traumatic experiences, such as living through abuse, violence, or a disaster
Self-injury may feel like a way of “waking up” from a sense of numbness after a traumatic experience. Or it may be a way of re-inflicting the pain they went through, expressing anger over it, or trying to get control of it.
What Can Happen to People Who Cut?
Although cutting may provide some temporary relief from a terrible feeling, even people who cut agree that it isn’t a good way to get that relief. For one thing, the relief doesn’t last. The troubles that triggered the cutting remain — they’re just masked over. People don’t usually intend to hurt themselves permanently when they cut. And they don’t usually mean to keep cutting once they start. But both can happen. It’s possible to misjudge the depth of a cut, making it so deep that it requires stitches (or, in extreme cases, hospitalization).
Cuts can become infected if a person uses non-sterile or dirty cutting instruments — razors, scissors, pins, or even the sharp edge of the tab on a can of soda. Most people who cut aren’t attempting suicide. Cutting is usually a person’s attempt at feeling better, not ending it all. Although some people who cut do attempt suicide, it’s usually because of the emotional problems and pain that lie behind their desire to self-harm, not the cutting itself. Cutting can be habit forming. It can become a compulsive behavior — meaning that the more a person does it, the more he or she feels the need to do it. The brain starts to connect the false sense of relief from bad feelings to the act of cutting, and it craves this relief the next time tension builds. When cutting becomes a compulsive behavior, it can seem impossible to stop. So cutting can seem almost like an addiction, where the urge to cut can seem too hard to resist. A behavior that starts as an attempt to feel more in control can end up controlling you.
How Does Cutting Start?
Cutting often begins on an impulse. It’s not something the person thinks about ahead of time. One anonymous cutter stated:
“It starts when something’s really upsetting and you don’t know how to talk about it or what to do. But you can’t get your mind off feeling upset, and your body has this knot of emotional pain. Before you know it, you’re cutting yourself. And then somehow, you’re in another place. Then, the next time you feel awful about something, you try it again — and slowly it becomes a habit.”
Natalie, a high-school junior who started cutting in middle school, explains that it was a way to distract herself from feelings of rejection and helplessness she felt she couldn’t bear:
“I never looked at it as anything that bad at first — just my way of getting my mind off something I felt really awful about. I guess part of me must have known it was a bad thing to do, though, because I always hid it. Once a friend asked me if I was cutting myself and I even lied and said ‘no.’ I was embarrassed.”
Sometimes self-injury affects a person’s body image. Jen says:
“I actually liked how the cuts looked. I felt kind of bad when they started to heal — and so I would ‘freshen them up’ by cutting again. Now I can see how crazy that sounds, but at the time, it seemed perfectly reasonable to me. I was all about those cuts — like they were something about me that only I knew. They were like my own way of controlling things. I don’t cut myself anymore, but now I have to deal with the scars.”
You can’t force someone who self-injures to stop. It doesn’t help to get mad at a friend who cuts, reject that person, lecture her, or beg him to stop. Instead, let your friend know that you care, that he or she deserves to be healthy and happy, and that no one needs to bear their troubles alone.
Pressured to Cut?
Girls and guys who self-injure are often dealing with some heavy troubles. Many work hard to overcome difficult problems. So they find it hard to believe that some kids cut just because they think it’s a way to seem tough and rebellious.
Tia tried cutting because a couple of the girls at her school were doing it.
“It seemed like if I didn’t do it, they would think I was afraid or something. So I did it once. But then I thought about how lame it was to do something like that to myself for no good reason. Next time they asked I just said, ‘no, thanks — it’s not for me.”
If you have a friend who suggests you try cutting, say what you think. Why get pulled into something you know isn’t good for you? There are plenty of other ways to express who you are.
Lindsay had been cutting herself for three years because of abuse she suffered as a child. She’s 16 now and hasn’t cut herself in more than a year:
“I feel proud of that,” Lindsay says. “So when I hear girls talk about it like it’s the thing to do, it really gets to me.”
There are better ways to deal with troubles than cutting — healthier, long-lasting ways that don’t leave a person with emotional and physical scars. The first step is to get help with the troubles that led to the cutting in the first place. Here are some ideas for doing that:
- Tell someone: People who have stopped cutting often say the first step is the hardest — admitting to or talking about cutting. But they also say that after they open up about it, they often feel a great sense of relief. Choose someone you trust to talk to at first (a parent, school counselor, teacher, coach, doctor, or nurse). If it’s too difficult to bring up the topic in person, write a note.
- Identify the trouble that’s triggering the cutting: Cutting is a way of reacting to emotional tension or pain. Try to figure out what feelings or situations are causing you to cut. Is it anger? Pressure to be perfect? Relationship trouble? A painful loss or trauma? Mean criticism or mistreatment? Identify the trouble you’re having, then tell someone about it. Many people have trouble figuring this part out on their own. This is where a mental health professional can be helpful.
- Ask for help: Tell someone that you want help dealing with your troubles and the cutting. If the person you ask doesn’t help you get the assistance you need, ask someone else. Sometimes adults try to downplay the problems teens have or think they’re just a phase. If you get the feeling this is happening to you, find another adult (such as a school counselor or nurse) who can make your case for you. Work on it. Most people with deep emotional pain or distress need to work with a counselor or mental health professional to sort through strong feelings, heal past hurts, and to learn better ways to cope with life’s stresses. Although cutting can be a difficult pattern to break, it is possible. Getting professional help to overcome the problem doesn’t mean that a person is weak or crazy.
How Can Inspirations Can Help your Teen with Cutting/SI?
Inspirations Teen Rehab therapists and counselors are trained to help people discover inner strengths that help them heal. These inner strengths can then be used to cope with life’s other problems in a healthy way. We at Inspirations understand the unique challenges of being a parent. If you have any questions regarding Cutting/Self Injury, please know that we are here to provide you with support and guidance, 24 hours a day, seven days a week. We welcome the opportunity to answer your questions free of charge about teen drug rehab, teen substance abuse, adolescent addiction, teen behavior, or other related matters.
Information contained above is courtesy of http://kidshealth.org