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Do You Know If Your Teen Is Self-Harming?

Lydia Gedmin

Teen self-harm and trauma are deeply connected, affecting many adolescents who struggle with emotional distress. Self-harm, also known as non-suicidal self-injury (NSSI), is a coping mechanism some teens use to deal with overwhelming emotions. While self-harm may provide temporary relief, it does not address the root cause of the pain and can lead to serious emotional and physical consequences.


Recognizing self-injury behaviors early is critical, as self-harm can become habit-forming. Many teens hide their self-injury from others, making it difficult for parents to detect. By understanding the warning signs and causes, parents can play a vital role in helping their teen find healthier coping mechanisms and professional support.


What is Self-Harming?

Self-harm includes a variety of behaviors beyond cutting, such as burning, scratching, hitting, hair-pulling, and inserting objects under the skin. Some teens engage in self-harm as a way to externalize their emotional pain, while others may do it to feel something when experiencing emotional numbness.


There are many myths about self-harm, including the belief that it is simply attention-seeking behavior. In reality, most teens who self-injure do so in private and struggle with deep feelings of guilt and shame. It is crucial to understand that self-harm is not necessarily a suicide attempt, though it can increase the risk of suicidal thoughts if left unaddressed.


Trauma can be a major underlying factor in self-harm. Teens who have experienced abuse, neglect, bullying, or significant loss may turn to self-injury as a coping mechanism. Understanding the connection between trauma and self-harm can help parents and caregivers provide appropriate support and intervention.


Why Do Teens Self-Harm?

Self-harm is often a way for teens to cope with overwhelming emotions. Experiencing trauma can disrupt brain development and make it harder for teens to regulate emotions in a healthy way. Many adolescents who self-harm report feeling numb or disconnected from their emotions, and engaging in self-injury can serve as a way to feel something, even if it is pain.


Common reasons why traumatized teens may engage in self-harm include:

  • Releasing emotional distress: Physical pain can serve as a temporary distraction from deep emotional suffering.

  • Regaining a sense of control: Trauma can make teens feel powerless, and self-harm may create a false sense of control over their emotions.

  • Expressing feelings they cannot verbalize: Some teens struggle to communicate their emotional pain and use self-injury as a physical representation of their struggles.

  • Punishing themselves: Teens dealing with shame or guilt related to past trauma may use self-harm as a form of self-punishment.


Understanding why teens engage in self-harm is essential for providing the right support and interventions. By addressing the root causes and helping teens develop healthier coping strategies, parents and professionals can play a crucial role in their healing journe.


Back view of loving African American mother huggin teen daughter sitting on bed looking out window.
Self-harm is a symptom of deep emotional pain, not a hopeless situation—with the right support, teens can heal.

Recognizing the Signs of Self-Harm in Teens

Identifying self-harm in teenagers can be challenging, as many go to great lengths to hide their behaviors. However, there are common warning signs that parents and caregivers should look out for, including:

  • Physical indicators: Unexplained cuts, burns, bruises, or scars, particularly on the arms, legs, or stomach.

  • Behavioral changes: Wearing long sleeves or pants in warm weather, withdrawing from social activities, increased secrecy, and avoiding situations where their skin might be exposed.

  • Emotional distress: Frequent mood swings, heightened anxiety, depression, or difficulty coping with stress.

  • Possession of self-harm tools: Finding razors, broken glass, sharp objects, or other items that may be used for self-injury.


Recognizing these signs early allows parents and caregivers to intervene and offer support before self-harm behaviors escalate. Encouraging open, non-judgmental conversations can help teens feel safe enough to seek professional help.


How Parents Can Help

Supporting a teen who self-harms requires a compassionate and patient approach. Here are key ways parents can help:

  • Manage your own emotions first: Discovering that your teen is self-harming can be overwhelming. Take time to process your feelings before addressing the issue with your teen.

  • Create a safe and open space for communication: Let your teen know you are there for them without judgment. Avoid reacting with anger or fear, as this can shut down conversations.

  • Ask open-ended questions: Encourage dialogue by gently asking about their feelings and experiences. Example: "Can you help me understand what you're going through?"

  • Provide reassurance: Remind your teen that they are not alone and that help is available. Reassure them that self-harm does not define them.

  • Avoid punishments or ultimatums: Self-harm is a symptom of deeper emotional distress, not a behavior that should be met with discipline.

Recognizing self-injury behaviors early is critical, as self-harm can become habit-forming. Many teens hide their self-injury from others, making it difficult for parents to detect.

The Role of Therapy in Healing Self-Harm and Trauma

Seeking help from a teen trauma therapist can provide specialized guidance and intervention. Therapy approaches such as Trauma-Focused Cognitive Behavioral Therapy (TF-CBT), Dialectical Behavior Therapy (DBT), somatic therapy, and Eye Movement Desensitization and Reprocessing (EMDR) can help teens process trauma and develop healthier coping mechanisms. Therapy provides a safe space where teens can express their emotions, understand their triggers, and learn effective ways to manage stress and anxiety. Addressing both self-harm behaviors and underlying trauma is essential for long-term healing and emotional resilience.


Encouraging Healing and Long-Term Recovery

Healing from self-harm and trauma is a gradual process that requires patience, support, and professional guidance. Encouraging your teen to explore alternative coping strategies, such as journaling, engaging in physical activities, or practicing mindfulness, can help them develop healthier emotional outlets. A strong support system, including trusted friends, family members, or peer support groups, plays a crucial role in their recovery journey. It's essential to reinforce that healing takes time and that setbacks are a normal part of the process, not a sign of failure. Staying actively involved in their therapy, maintaining open communication, and showing ongoing support will help your teen feel safe, valued, and empowered as they work toward long-term emotional resilience.


Taking the Next Step Toward Healing

Self-harm is a serious but treatable issue, and with the right support, teens can learn healthier ways to manage emotional distress. Early intervention, open communication, and professional therapy play crucial roles in recovery.

If your teen is struggling with self-harm, professional support can make a difference. At Creating Space Therapy, our compassionate teen trauma therapist, Lydia Gedmin, LSW, specializes in helping adolescents heal. Call us today at (630)601-3460 to schedule a free consultation, or click here to fill out our contact form and help your teen take the first step toward healing.


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