How DBT Helps Teens who Self-Harm

March is Self-Harm Awareness Month, and we at Mindful Healing are putting a special focus on this common concerns for parents of teens. Self-harm is a deliberate act of hurting one’s body without suicidal intent. It could look like cutting, burning, skin-picking, hitting body parts with a fist, or hitting body parts against something like a wall. Although there is no suicidal intent, that doesn’t mean that it’s not serious concern. According to one study in 2014, 17.2% of adolescents have engaged in self-harm behaviors. 

Why Do Teens Self-Harm?

There are several reasons why a teen might engage in self-harm behaviors:

  • To escape or gain relief from psychological pain

  • To feel something if their emotions are numb

  • To create a visual representation of how they’re feeling on the inside

  • To punish themselves for making a mistake or doing something “bad”

  • To obtain care and concern if they don’t know how to ask for help

A common misconception is that teens self-harm to simply get attention. This can result in adults dismissing the behavior. However, this invalidation can actually cause the self-harm to worsen.

How Does DBT Help Teens who Self-Harm?

If you discover that your teen is self-harming, getting connected with a therapist who specializes in Dialectical Behavior Therapy (DBT) can help to minimize and even put a stop to these behaviors. DBT has repeatedly been found to be significantly more effective at reducing self-harm in teens compared to other treatments. DBT helps teens who self-harm in the following ways:

  • Individual therapy to address the root cause(s) of the self-harm behavior

  • Group therapy with other teens to learn and practice new coping skills

  • Parent coaching to get the family involved in practicing skills at home

Some of the coping skills your teen can learn in DBT are:

  • Mindfulness, to stop focusing on the past or future and remain in the present moment

  • Distress Tolerance, to be comfortable with uncertainty and painful feelings

  • Interpersonal Effectiveness, to better communicate your teens needs

  • Emotional Regulation, to understand that emotions are not permanent and eliminate the impulse to react

  • Radical Acceptance, to understand that your teen is still a valuable person, even when they make mistakes

If your teen is engaging in self-harm and you want to get them some professional help, set up an appointment with Mindful Healing today!

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