Self-Harm
What this specialty means
Self-harm refers to intentionally hurting one’s body as a way to manage unbearable feelings, pressure, or numbness. It is a signal of distress rather than a character flaw. Support for self-harm is compassionate and practical: psychotherapy can help understand emotions and patterns; coaching may focus on building coping routines and accountability; and medical care might be needed to treat injuries and assess safety. A qualified professional may also collaborate on safety planning, reduce stigma, and help someone consider alternatives while respecting autonomy and cultural context.
Why people seek support
People may seek support for self-harm when urges are frequent or frightening, after a recent episode, or when secrecy, shame, or pressure from others feels overwhelming. Some notice self-injury tied to trauma reminders, perfectionism, relationship conflict, school or work stress, body image concerns, or periods of numbness and dissociation. Caregivers and partners may look for guidance on how to respond safely and compassionately. If someone is in immediate danger, contacting local emergency services or a crisis hotline may be necessary while longer-term support is arranged.
Typical goals
Collaborative goals may include creating a personalized safety plan; identifying triggers, patterns, and early warning signs; and practicing emotion regulation skills such as grounding, self-soothing, and distress tolerance. People might explore alternative behaviors that meet similar needs with less harm, strengthen supportive relationships, and set boundaries around disclosure and online content. With consent, coordination with medical or school resources could be considered. Many also work on reducing shame, building self-compassion, and planning for setbacks, so progress—however gradual—feels supported, accountable, and aligned with personal values.
Trifecta Health educational information. For educational purposes only—not a diagnosis or a substitute for professional medical advice.
Find a specialty provider
Catherine Geyer
LAPC
Hello! I'm Catherine, and I'm so glad you are here...
Takita Pruitt
LMSW
Hello, I'm Takita, a therapist with a passionate commitment to helping children and families meet their goals and achieve healing. Grounded in a comprehensive understanding of trauma-informed care and equipped with the latest therapeutic techniques, I am dedicated to providing a supportive environment where clients can explore their experiences and work towards positive change...