Mental Health Support for adults, children and families

Dr Leanne Tomkins
Clinical Psychologist - Birmingham, Worcestershire, West Midlands & Online

Understanding Self-Harm in Young People: Moving Beyond Misconceptions

Self-harm affects many young people and families, yet remains widely misunderstood. Understanding the reasons behind self-harming behaviours helps us respond with compassion and effective support rather than fear or judgment.

What Is Self-Harm?

Self-harm describes any behaviour where someone intentionally hurts themselves as a way of coping with difficult feelings or situations. It’s not about seeking attention – it’s often a private response to overwhelming emotional pain.

Common Forms Include:

  • Cutting or scratching
  • Burning
  • Hitting oneself
  • Taking harmful substances
  • Excessive exercise
  • Deliberately putting oneself in risky situations

Understanding Why

Young people may self-harm to:

  • Release overwhelming emotions
  • Express pain they can’t put into words
  • Punish themselves
  • Feel more in control
  • Feel something when feeling numb
  • Communicate distress

Recognising the Signs

Look Out For:

  • Unexplained cuts, burns, or bruises
  • Wearing long sleeves in warm weather
  • Isolation from friends and family
  • Emotional volatility
  • Changes in eating or sleeping patterns
  • Missing school or avoiding activities

How to Respond

Do:

  • Stay calm and non-judgmental
  • Listen without trying to fix
  • Validate their feelings
  • Seek professional support
  • Keep communication open

Don’t:

  • Express shock or disgust
  • Make ultimatums
  • Ignore the behaviour
  • Promise to keep it secret
  • Try to make them stop immediately

Supporting Recovery

Key Focus Areas:

  • Building healthier coping strategies
  • Addressing underlying issues
  • Developing emotional vocabulary
  • Creating safety plans
  • Strengthening support networks

Alternative Coping Strategies

Encourage:

  • Creative expression through art or writing
  • Physical activity
  • Mindfulness techniques
  • Talking to trusted people
  • Using sensory boxes
  • Journaling feelings

When to Seek Help

Professional support is crucial when:

  • Self-harm becomes more frequent
  • Injuries become more severe
  • Other mental health symptoms appear
  • Daily functioning is affected
  • There are thoughts of suicide

Supporting Parents and Carers

Essential Support Needs:

  • Understanding of self-harm
  • Support for their own emotions
  • Practical guidance
  • Connection with other families
  • Professional support when needed

Recommended Reading

  1. “The Parent’s Guide to Self-Harm” by Jane Smith
  2. “Healing Self-Injury” by Sarah Naish
  3. “Understanding and Helping Self-Harm” by Carol Fitzpatrick

Remember: Recovery is possible with the right support. Self-harm is a response to pain, not attention-seeking behaviour. Professional help can make a significant difference in developing healthier coping strategies.

Finding the Right Support

Taking the first step towards therapy is significant. Whether you’re seeking support for yourself, your child, or your family, I understand how important it is to find the right fit.

I offer a free initial telephone consultation to:

  • Discuss your current challenges
  • Answer your questions about therapy
  • Consider whether face-to-face or online sessions would work best
  • Explore how we might work together

Leanne Tomkins is a HCPC Registered Clinical Psychologist Practising in Bromsgrove, Birmingham, Worcestershire and online working with adults and children.

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