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Understanding Self-Harm: Myths vs. Facts & How DBT Can Help

Mar 4, 2025

Self-harm is often misunderstood, leading to stigma and misinformation that can make it even harder for individuals to seek support. At Mental Health Systems (MHS), we believe in providing education, compassion, and evidence-based treatment like Dialectical Behavior Therapy (DBT) to help individuals who struggle with self-injury.

As March is Self-Harm Awareness Month, we want to break down some common myths about self-harm, replace them with facts, and explain how DBT can offer practical tools for healing.

Myth #1: Self-Harm Is Just Attention-Seeking Behavior

Fact: Self-harm is often a way to cope with overwhelming emotions, not a plea for attention.

Many people who self-harm do so in private and may go to great lengths to hide their injuries – from wearing long-sleeves or other clothing that hides their scars, to avoiding certain activities, like swimming, where cuts may be seen.

Self-harm is not about seeking external validation but about managing intense, unbearable emotions. DBT teaches distress tolerance and emotional regulation skills that help individuals replace self-harm with healthier coping strategies.

Myth #2: Only Teenagers Self-Harm

Fact: Self-harm can affect individuals of all ages, from adolescents to adults.

While self-injury is often associated with teenagers, people of all ages struggle with it. Many adults experience chronic emotional distress, past trauma, or mental health challenges that contribute to self-harm behaviors. At MHS, we offer DBT programs tailored for both adolescents and adults, providing tools that support long-term recovery.

Myth #3: Self-Harm Is the Same as a Suicide Attempt

Fact: While self-harm can be serious, it is often not linked to suicidal intent.

Self-injury is often used as a way to cope with emotional pain rather than an attempt to end one’s life. However, individuals who engage in self-harm are at a higher risk for suicidal thoughts, making professional intervention crucial. DBT helps individuals develop coping mechanisms that don’t risk their health or life.

Myth #4: People Who Self-Harm Can Just Stop If They Want To

Fact: Self-harm is often a compulsive behavior that requires treatment and support.

For many, self-harm is an addictive cycle—a way to release emotional pain, followed by guilt or shame, leading to more self-injury. Breaking this cycle requires learning alternative coping strategies, which is where DBT skills like mindfulness, emotional regulation, and distress tolerance come in. These skills empower individuals to manage their emotions in a healthier way.

Other Essentials to Know About Self-Harm

For individuals who participate in self-harm, it serves a purpose in the short-term. Self-harm can often be used to:

  • Feel physical pain as a way to distract from emotional pain
  • Release endorphins. Endorphins are chemicals released in the brain that help people relax, think clearly, and feel better.

It’s also important to understand that self-harm is used as a coping mechanism – similar to substance use and binge eating – when an individual lacks other coping mechanisms.

How DBT Can Help Individuals Struggling with Self-Harm

DBT is one of the most effective treatments for self-harm because it provides concrete skills to manage distress and emotions. At MHS, our DBT programs focus on:

  • Mindfulness: Increasing awareness of thoughts, feelings, and urges without acting on them.
  • Distress Tolerance: Developing healthier ways to cope with emotional pain instead of self-harm.
  • Emotion Regulation: Learning to manage intense emotions before they become overwhelming.
  • Interpersonal Effectiveness: Building strong relationships and asking for support in healthy ways.

With the right support, skills, and treatment, self-harm can be replaced with healthier ways to cope.

Get Help Today at MHS

If you or someone you love is struggling with self-harm, you are not alone—and help is available. At Mental Health Systems, we offer comprehensive DBT programs designed to support individuals on their path to healing. Contact us today to learn more about our DBT programs and how we can help.