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Self Help Measures
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Despite engaging in SI, not all teens need to seek counseling. The rebelliousness and need to shock often goes away as teens learn to handle stress and loss in more positve ways. The depression and low self-esteem that prompts some SI can be relieved with better conflict resolution skills and assertiveness training.

Identifying The Source
The first step to dealing with stress is to pinpoint the source of stress. Are you being pressured to succeed in subjects or sports that aren't your strengths? Are your parents fighting and making your home an uncomfortable place to live? Are your friends pressuring you to do things you don't want to do? Are you able to say no to your friends? Once you've made the connection, you can do one of two things: you can confront the problem or you can avoid it. Unfortunately, avoiding, denying, or accomodating a problem lead to frustration. Frustration in turn can lead to venting the feeling on yourself in the form of SI. You can confront the conflict in two different ways: one is to use good problem-solving skills. which usually leads to satisfaction and better self-esteem. The second way is to act agressively, though this is just as destructive as avoiding the conflict in the first place. You intimidate others and make enemies. Making enemies and losing approval leads to low self-esteem and feelings of depression.

Tolerating Feelings
In order to solve a problem, you have to be able to tolerate the feelings that arise out of the problem. That doesn't mean you have to live with the feelings the rest of your life, and it doesn't mean you have to like the feelings. But in order to tolerate discomfort in life, you have to be able to tolerate some uncomfortable feelings at least until you can do something about the situation. Cutting yourself is not a healthyn way of tolerating your feelings.