Self-Harm

I utilize DBT, an evidence based treatment used to treat emotion dysregulation, suicidal ideation, and self-harm. Clients have significantly decreased, suicidal ideation, and self-harm by increasing skills in four core areas. Diary card mechanics and phone coaching are utilized as part of treatment modality.

When a person becomes overwhelmed and distressed, they may look to various avenues of relief to reduce their uncomfortable feelings, including self-harm. Self harming behaviors can be seen as a coping skill that a person acquires when they do not have other tools in their toolbox to navigate the challenges they may face. When working to address self harm, the main focus of treatment is finding new coping skills that encourage healing and help keep a person safe when facing distress.

Often those who suffer from borderline personality disorder (BPD) or have a history of abuse, also suffer from self-harm. Dialectical Behavior Therapy (DBT) is indicated to help relieve these behaviors which stem from finding a way to cope any way one can. While self-harm starts as a way to manage difficult emotions and/or experiences, shame and self-loathing often accompany the behaviors. Our DBT program at HHC&W and training in trauma-informed care is most helpful for this concern.

I have 8 years of experience working with individuals that have significant urges to harm themselves or are experiencing suicidal ideation. I think that recognition, honesty, openness, and having a supportive ally, are really important steps in beginning the path of challenging self harm urges and actions.

Building skills and supports to cope with emotional pain, suffering, and numbness; increasing positive meaningful life experiences

I provide a safe, nonjudgmental space for individuals struggling with self-harm. I understand that self-harm often arises as a coping mechanism for overwhelming emotions. My approach focuses on helping you uncover the underlying issues, develop healthier coping strategies, and rebuild self-compassion. Together, we’ll work toward breaking the cycle of self-harm and creating a foundation for healing and emotional well-being.

I work from a harm reduction framework with the ultimate goal in my work with clients to be that they utilize safe and consistent skills and tools rather than engaging in self harm. In my work with clients who self harm, my priority is not only their well being but also to hold space and give them grace as they walk along the path to a safe and fulfilling life.

Whether through cutting, hitting, or using a "good" behavior to the point of hurting ones self, many people will try to soothe distressing emotions or thoughts by hurting themself, usually beginning in their teen years. In session, we will talk through the purpose of the behavior, what it "gives", and find safer alternatives to achieve the same goals, while also working through the pain which led to the self-harm in the first place.

I use a no pressure approach to treating self harm where the client drives the pace of their treatment so that they only take steps when they are ready.

Feeling down and alone can be a difficult feeling to cope with. In creating a safety and treatment plan, we can work together to replace harmful behaviors.

I work with teenagers and adults who use all sorts of behaviors to try to feel better, even when they know those behaviors are hurtful to themselves or others, or aren't in line with their values. I have worked with self-harm, thoughts of suicide, and emotional dysregulation in inpatient and outpatient settings. I rely on behavioral and emotional strategies to help you understand why you're using these behaviors and what to do instead.

Intensively trained in Dialectical Behavior Therapy through Behavioral Tech

Previously, I worked at a mental health intensive outpatient facility for adolescents, and young adults experiencing self-harming urges and suicidal ideation. I have experience with safety planning and exploring coping skills for redirection.

I have personal experience with self-injury and understand its use as a coping skill on a deep level. I can hold space that others might find uncomfortable, and work within my clients' needs as a support.

I help people identify triggers that make them feel overwhelmed by their emotions and help them to find healthy ways to feel more in control.