Archive of ‘Mental Health’ category

When Self-Harm Hits Home

As parents, we never want the “scary” things to happen to our kids.   We want our kids to be happy, healthy, confident and caring. We spend so much of our time and energy trying to protect them from baby falls to bullying, but sometimes the “scary” things hit close to home. One such thing is finding out that your child is harming themself.

Christel Gilbreath, LCSW

By: Christel Gilbreath, LCSW

These acts of harm against oneself is what we call self-injury or self-harm. Teens typically do this through cutting or burning their skin. You may notice cuts or burns on their forearms or thighs, which they may try to hide with long-sleeve shirts, pants, or bands or excessive jewelry around their wrists.

According to several studies, self-injury seems to be on the rise. School counselors, college professors, and parents are all noticing what some call a “psychic epidemic.”

So, what should you do if you discover that your child is engaging in self-harm?

Here are a few ideas both from my own work with individuals who self-harm and from several authors I have noted below.

    1. In the words of one adolescent, “Try not to totally freak out.” Your heightened emotional reactivity and/or anger only works to increase your adolescent’s anxiety. You want to show your adolescent that you are willing and able to tolerate their disconcerting emotions and are able to offer assistance.
    2. Avoid threats, yelling, breaches of privacy, and discouraging remarks.
    3. Try things that help calm your child such as making eye contact, letting your adolescent tell their story of what provoked the self-injury, respectfully listening, offering hugs, using an attitude of empathy, being nonjudgmental, and encouraging your child that you can all get through this together.
    4. Matthew Selekman, in his book noted below, suggests asking the following questions:
      1. “Now that I know that you are cutting yourself, can you help me understand what it means to you?”
      2. “How has it been helpful for you to do this?”
      3. “Is there anything really stressing you our in your life right now that I might be able to help you out with?”
      4. “If you don’t wish to talk about it right now, I understand. I just want you to know that I care and am here for you when you are ready to talk about it. Would you like me to check in with you or would you prefer to come to me when you are ready to talk?”
    5. Have the courage to ask your adolescent what you may be doing to contribute to the overwhelming feelings that lead an adolescent to self-harm.
    6. At the same time, recognize that your adolescent’s decision to harm themself is a choice they made and is not your fault.
    7. If school bullying or academic pressures are a leading cause of the self-harm, advocate for your child within their school.
    8. Ask your child if they would like to speak with a professional counselor.   Allow the adolescent to be part of the process of selecting who this professional may be.

mom-comforting-daughter

Sources:

Brumberg, J. (2006). Are we facing an epidemic of self-injury?. Chronicle of Higher Education, 53 (16), B6-B8

Plante, L. (2007). Bleeding to ease the pain: Cutting, self-injury, and the adolescent search for self. Plymouth, UK: Rowman and Littlefield

Selekman, M. (2006). Working with self-harming adolescents: A collaborative strengths-based therapy approach. New York: WW Norton & Company


A Word on Domestic Violence

Sitting on a plane last week, I couldn’t help but overhear the conversation happening right next to me. The man was describing a female friend whose ex-boyfriend keeps showing up and driving by her house, while contacting her repeatedly. My fellow plane passenger said, “I just know he’s doing it because of how she broke up with him. She wasn’t clear enough in how she broke things off with him.” His friend on the plane replied with thoughts about how she should carry a gun or a knife with her. Hearing this all-too-common view of blaming the victim/making them responsible for stopping the violence and with recent news focused on the NFL and Baltimore Raven’s Ray Rice, I felt compelled to write this week on domestic violence.

Jennifer Alley, LPC

By: Jennifer Alley, LPC

Because it is so often misunderstood and minimized, I think it is important to look at some stats. First, one in four women will experience domestic violence in her lifetime. Sadly, it is often unreported due to fear of further violence or concerns about being blamed for the violence (s/he is often already blaming herself). An estimated 1.3 million women are physically assaulted by an intimate partner every year. About 85% of victims are women, and one-third of female homicide victims are killed by their intimate partner. Another important statistic indicates that 81% of women stalked by a current or former partner are also physically assaulted by that partner. Click here to see the above statistics as well as additional stats and resources.

If you think it isn’t happening in your neighborhood or in your community, think again. Domestic violence is a pattern of behavior used to gain or maintain power and control over an intimate partner, and is prevalent regardless of race, socioeconomic status, beliefs, education, gender, or sexual orientation. Battering is a pattern of control that includes a number of tactics including intimidation, isolation, threats, psychological, physical, emotional, and sexual abuse, as well as financial control. And while it is true that everyone makes mistakes in their relationships, no one deserves to be abused. The only person responsible for the abuse is the abuser.

Part of victim blaming stems from the mistaken belief that if we understand what that person (the victim in this case) did wrong, we can keep ourselves safe. It is true that we can learn from other people’s experiences, but it is unfair to judge other people’s situations when we rarely understand the complexity of the feelings and fears involved. A common myth is that the victim would leave if she doesn’t like the abuse. However, there are many reasons women may not leave, including fear for herself or for her children. It is important to remember that the most dangerous time for a woman who is being abused is when she attempts to leave the relationship.

Following are some reminders about domestic violence (information adapted from theredflagcampaign.org and ncadv.org):

  • The victim of violence is never to blame for the other person’s choice to use violence against them.
  • Violence is rarely a one-time occurrence and usually escalates in frequency and severity. Even verbal abuse by itself can negatively affect the victim’s well-being and health.
  • Ending a relationship is difficult. Emotional ties (including believing the abuser when s/he says the violence will end), fears for safety, economic concerns, or lack of resources may all contribute to making leaving really difficult. Victims of violence are much more likely to reach out for help if they are approached with a nonjudgmental, caring attitude.
  • The abuser is probably not always abusive (see cycle of abuse below) and may show regret afterward, promising to change, leading to the victim’s hopefulness that the relationship will get better.
  • Violence is not a private matter- speak up in a caring, supportive way if you have concerns about a loved one’s relationship. Be supportive of the victim and offer to listen or help should they need it.
  • Abusers tend to only be violent in specific relationships and can be charming in social situations.
  • Substance abuse may intensify violent behavior, but it does not cause abuse.
  • Witnessing violence in the home is the strongest risk factor for continuing the cycle of violence across generations.
  • Boys who witness domestic violence are twice as likely to abuse their own partners and children when they become adults.
  • 30-60% of intimate partner abusers also abuse children in the home.

Following are some great resources about violence. I find that many of my clients who are/were in abusive relationships really hadn’t even identified their partner as an abuser until receiving education about what power, control, and abuse looks like. Too often, the abuser uses manipulation, minimizing, and blaming tactics, making the victim feel responsible for the violence. The best thing you can do for someone you love in abusive relationship is to be caring, supportive, nonjudgmental, and patient, believing them and building them up while respecting their autonomy and choices.

The Cycle of Abuse

Helping a friend in an abusive relationship

What not to say and what to say to someone in an abusive relationship

Power and Control Wheel

Red flags

Making a Safety Plan

The SafePlace hotline is 512-276-7233. The National Domestic Violence Hotline is 1-800-799-7233.


Quick Tips to Manage Stress

Managing stress can be difficult to do in our busy lives. We’re constantly being pulled between work, families, and friends which doesn’t leave a lot of room for “ME” time. This video includes a few quick tips on how to manage the daily stress in your life.

Blog Posted by: Angelica Beker, LPC-Intern Supervised by Lora Ferguson, LPC-S. You can learn more about Angelica and the work that she does at Austin Family Counseling by going to her profile page.


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