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Self Harm

Safe, non-judgmental therapy for self-harm, with DBT skills to cope with overwhelming emotions, for teens and adults.

What is self-harm?

Self-harm means deliberately hurting yourself, such as cutting, burning, scratching or hitting, usually as a way to cope with overwhelming emotions, numbness or distress. It is often a sign that someone is in a lot of pain and has not yet found other ways to cope.

Self-harm is not attention-seeking, and many people keep it hidden. With the right support, people learn other ways to handle intense feelings, and the urges to self-harm fade.

Signs someone may be self-harming

  • Unexplained cuts, burns or bruises, often on arms, legs or stomach
  • Wearing long sleeves or covering up in warm weather
  • Withdrawing from friends and family
  • Big mood swings, or seeming numb and shut down
  • Talking about feeling worthless or hopeless

When to seek help

Any self-harm is a reason to reach out. If you are a parent who has found signs of self-harm, stay calm, listen, and get help. You do not have to have all the answers.

If you are in crisis or thinking about suicide, call or text 988 to reach the 988 Suicide & Crisis Lifeline, or call 911 or go to the nearest emergency room.

How GearingUP helps

At GearingUP, treatment for self-harm is built on Dialectical Behavior Therapy (DBT), which was designed for people who struggle with intense emotions and self-harming behavior. DBT teaches skills to tolerate distress, regulate emotions, stay present, and communicate needs, so there are safer ways to get through the moments that used to lead to self-harm.

Your therapist works with you on a personal safety plan, looks at what triggers the urges, and treats what sits underneath, such as depression, anxiety or trauma. Cognitive Behavioral Therapy (CBT) helps with the harsh self-talk that often comes with self-harm. Our clinicians also assess self-harm (NSSI) so care is targeted to your needs.

For teens, parents are part of the plan and learn how to support their child. Sessions are in person at our seven Dallas-Fort Worth offices or online.

Frequently asked questions

Teens need some privacy to open up, and parents need to know when their child is at risk. Your therapist explains how this balance works at the start, and safety always comes first.

Not always. Many people self-harm to cope, not to end their life. But self-harm is a sign of real distress and should always be taken seriously. If there is any risk of suicide, call or text 988 or call 911.

Dialectical Behavior Therapy teaches practical skills for handling intense emotions and distress. Learn about DBT at GearingUP.

Locations GearingUP Treats Issues Related To Self Harm

We’re happy to offer treatment for issues related to Self Harm at the following locations.

GearingUP Reviews

Laura was absolutely amazing! She was friendly, helpful, and made the whole experience even better. Her positive attitude and attention to detail really stood out. You can tell she genuinely cares about making sure people have a great experience.

Thank you, Laura, for being awesome! Highly recommend! 🙌

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