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Self-Abuse in Teenagers

They (hopefully) call medical or psychological professionals. They feel embarrassment and shame. What they do not often do, however, is understand why this may be happening.
 
Self-mutilating behaviors vary widely. Some people cut themselves. Some burn. Some may pull out hair or eyelashes. Whatever the behaviors, they are quite unsettling for parents to deal with. Because self-mutilation may be associated with quite serious medical or mental conditions, it is critical to have your child evaluated by medical professionals and psychological professionals. In fact, when you read about those suffering from mental illnesses called personality disorders, the descriptions may seem eerily like descriptions of out-of-control teenagers.
 
In their book, Stop Walking on Eggshells, on page 38, Paul T. Mason and Randi Kreger collected some of the reasons people (not only teens) gave for indulging in self-mutilating behaviors:
 
* To tell the truth, I think I did it so someone would notice that in fact I need help.
 
* When I cut, I don't have to try to explain how bad I am feeling. I can show it.
 
* When I get angry at someone, I want to destroy, hurt, or kill them. But I know I can't really hurt that person. So I take out my anger by cutting myself or pulling out my hair. It makes me feel better at the time, but later on I am ashamed of myself and I wish that I had not done it.
 
As you can see, these are people who are truly suffering. Please don't assume that your child will "get over it" if you see signs of self-mutilating behaviors. While some teens do, in effect, move on from these patterns of behavior, some do not, and some may escalate.
 
It is absolutely critical that your child be evaluated by competent professionals to address self-mutilating behaviors, whatever their underlying cause. This is not a time to ignore behavior. It is a time to take immediate action. How can such behaviors be viewed as positive or even helpful to the teenagers who do indulge in them?
 
Some people who self-mutilate report that they enter into a sort of trance state while cutting or burning themselves. They may actually feel little or no pain at these times. Some have reported that they find a great relief of tension and stress from cutting behaviors as odd as that sounds to most of us.
 
Treatment for those who self-mutilate cannot be home-grown. It often involves both drugs and psychotherapy, and sometimes even hospitalization for some cases. In any event, as a parent you may be particularly horrified by this behavior in your child. Please try to see it for what it often is: a symptom of a larger problem, and don't hesitate to locate professional help for your family in this situation.
 
As a parent, you may feel that this behavior is your fault. At this point, your goal is not to find fault or blame, but to get help. Perhaps you do need different parenting skills. Perhaps your spouse does. Perhaps neighborhood or school situations exist that you are unaware of.
 
Whatever the case, now is not the time for assessing blame. It is the time to move quickly to find help for your child. Where should you look for appropriate help? First contact your family doctor. See if your medical insurance covers mental health issues. Contact your local hospital. Go on line and gather as much information as you can.  Regardless of where you start, start NOW.
 
Kirsten A.
Savannah, GA



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cutting              Reply to this Comment

my granddaughter has started cutting after beeing in hospital phyc ward with a roomate that cuts. this is a new behavior. I am looking for ways to keep my head when she does this. also wondering about the hosp. that put a depressed 14 year old in a room with a cutter.

well..              Reply to this Comment

i am a cutter and am recently on lockdown at my house because my mom just found out. i tell her i need help but she thinks thIs amazing god will Miraculously heal me. does ne1 else think this?

Cutting              Reply to this Comment

I'm dealing with a 19 year old whose been cutting for years - her mother passed away a year ago and she came to live with her father and I (we're not married.) In any event, she has received professional, competent treatment for several years for this as well as other "issues." What I've noticed as a pattern with her is that something happens to make her feel bad - usually she gets in trouble for bad behavior and she cuts - she then says she was also going to kill herself and presents the razors and whatever other means of suicide she was contemplating to us. This is followed by tons of tears and no explanation as to why she did the bad behavior. Inevitably she makes everyone else feel bad about what she's done to herself and her bad behavior does not elicit any consequences. I've talked to several professionals who've told me that it appears she uses cutting as a tool to get herself out of being in trouble (her father feels so bad that she does this that the next day he almost always takes her on a "date "- movies, dinner, music whatever it is she wants and buys her loads of things she really doesn't need to make her feel better) - we unfortunately have a con artist who uses this as a tool and a crutch - please be aware of this and she is now getting professional treatment to stop the manipulating behavior.

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