4 Ways DBT Helps with Self Harm

Dialectical Behavior Therapy, or DBT, places emphasis on improving emotional regulation and distress tolerance, two factors that contribute to self harm in patients

Self harm patients are individuals who hurt themselves without the intent of committing suicide. Typical displays of self-harming behavior include cutting, burning, or picking at one’s skin compulsively. Self harm is most common in adolescent girls, but adolescent males as well as adults can also struggle with it. Actions like cutting and burning oneself are maladaptive coping mechanisms for dealing with emotional pain and distress, or with the lasting effects of past traumatic experiences. When treating an individual who is actively self-harming, therapists have found Dialectical Behavior Therapy (DBT) to be an effective treatment. Here are a few ways this therapy helps.

Stronger Personal Relationships

One aspect of DBT is to learn how to build and maintain healthy personal relationships, with friends, family, romantic partners, etc. One of the benefits of learning how to form stronger personal relationships is that it helps build self-esteem. Higher self-esteem, in turn, diminishes the desired or perceived need to engage in self harm behaviors.

Coping with Situations

Stress is an unavoidable part of life, but individuals with a history of self harm don’t always know how to cope with stressful situations well. DBT helps patients identify their emotions and emotional triggers, and then teaches them healthy coping methods to deal with stress, and to develop a stronger distress tolerance. Stress is a common preceding factor that drives self harm, so learning how to manage it is key to recovery.

Enhanced Worldview

It can be hard for anyone to look at the big picture. Self harm patients often don’t realize how their actions impact those around them. DBT helps patients expand their worldview so that they can see and understand how their behavior impacts their friends, family, and the rest of society. The added perspective provided in certain DBT skill-sets helps self-harming individuals weigh their actions more rationally than they did prior to working on themselves.

Increased Self-Respect

A lack of self-respect and self-worth is a common theme in self harm patients. DBT teaches a number of skills that helps patients realize and maintain self-respect. They learn to be fair to themselves, stick to their values, and to be truthful. A greater understanding of intrinsic self-worth makes unhealthy behaviors like self harm more difficult to engage in.

It is important to know that self harming behaviors can be a symptom of a larger mental health condition, such as clinical depression, bipolar disorder, or a personality disorder. If you or someone you know is struggling with self harm, you can contact our office to arrange for a psychiatric evaluation and clinical recommendation of treatment.

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Dr. Rodriguez founded the Delray Center in 2003 and built it on a foundation of core clinical, professional, and ethical principles that are adhered to still to this day. Dr. Rodriguez founded the Delray Center in 2003 and built it on a foundation of core clinical, professional, and ethical principles that are adhered to still to this day.