Understanding the Basics of Self-Harm

Self-harm is a topic that many people struggle to talk about — but silence only makes it harder to heal. At Fantasia Therapy Services, we believe in approaching these conversations with understanding, safety, and compassion.

What Is Self-Harm?

Self-harm is when someone intentionally hurts themselves as a way to cope with intense emotions, numbness, or inner pain. It’s not always about wanting to die — often, it’s about trying to feel something, regain control, or release emotions that feel impossible to hold inside.

What It Can Look Like

Self-harm doesn’t always look the same. It can include:

Cutting, scratching, or burning the skin

Misusing medication or substances

Restricting food or overexercising

Putting yourself in risky or harmful situations on purpose

And sometimes, self-harm isn’t physical — it can also mean repeatedly engaging in negative self-talk or sabotaging relationships because deep down, you feel like you don’t deserve care.

Why People Self-Harm

It’s important to know: self-harm is not “attention-seeking.” It’s a sign of emotional pain that needs understanding and help, not shame.

People might self-harm to:

  • Cope with overwhelming emotions

  • Feel something when they feel numb

  • Express anger or sadness they can’t put into words

  • Regain a sense of control when life feels chaotic

What Helps

Healing starts with talking about it safely. Reaching out to a therapist, trusted adult, or friend can be the first step toward relief and recovery. Therapy can help build:

Healthier ways to cope with emotions

A deeper understanding of triggers

Skills to replace harm with healing

You are never alone in this — and you are never too far gone to heal.

If you or someone you know is struggling with self-harm, please reach out for support.

If you are in immediate danger, contact 988 (Suicide & Crisis Lifeline) or go to your nearest emergency room.

Fantasia Therapy Services PLLC — where healing feels safe.

In-person & telehealth therapy for teens + adults

therapist@fantasiatherapyservicespllc.com

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What to Do If Your Teen Is Self-Harming: A Guide for Parents & Caregivers

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