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A 35-year-old member asked:

is it strange that i get a high from self-harm?

2 doctor answers6 doctors weighed in
Dr. Alan Ali
Dr. Alan Alianswered
Psychiatry 32 years experience
High: Euphoria from self harm can be feature of borderline personality disorder where person elicits harm to relieve inner feelings of emptiness and tension brought on by negative emotions. Theoretically results from release of endorphins in brain.
Dr. Douglas Bey
Psychiatry 57 years experience
Not too: Naloxone is commonly prescribed to help cutters by blocking the high they get--pain &pleasure r close in the nervous system--ask people in martial arts & contact sports.

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A 31-year-old member asked:

How to tell my close friend I have self harm and cutting problems?

2 doctor answers4 doctors weighed in
Dr. Pamela Pappas
Psychiatry 42 years experience
At a quiet time: I hope that in addition to wanting to tell a close friend, you're also talking regularly with a therapist about these things? Therapists are trained to understand and help you in ways that friends cannot. Before speaking with your friend, you might consider what you want from him or her. Then, you could wait for a quiet time to share -- including what you're doing to help yourself with this.
A 47-year-old member asked:

How come I am addicted to self harm?

1 doctor answer3 doctors weighed in
Dr. Alan Ali
Dr. Alan Alianswered
Psychiatry 32 years experience
Self-harm: Habitual self-harm can be one of features of borderline personality disorder where there is identity diffusion & the act is resorted to in attempt to enlist feeling of temporary relief of discomfort that results from painful traumatic memories. Consult a therapist who specializes with dialectical behavior therapy.
A 32-year-old member asked:

Is there any way I can address my self harm issues without going to see a professional?

1 doctor answer4 doctors weighed in
Dr. Pamela Pappas
Psychiatry 42 years experience
It depends: Professionals are there to assist you -- but you could start by confiding in someone you trust and who treats you with care and respect. You could share the feelings and experiences that lead to urges to harm yourself. If these urges are severe -- or are suicidal -- you definitely need to consult a professional. Here's a site with info to begin: http://www.Helpguide.Org/mental/self_injury.Htm.
A 41-year-old member asked:

Whats the use of going to see a phsychiatrist for self harm?

2 doctor answers6 doctors weighed in
Dr. Alan Ali
Dr. Alan Alianswered
Psychiatry 32 years experience
Self harm: Some psychiatrists, myself included, still practice psychotherapy as well as manage medications. For self-harm, you can be evaluated & a treatment plan outlined, for example, if there is underlying major depression you would start psychotherapy & medications, and for habitual self-harm you might start dialectical behavior therapy & possibly medications.
A 47-year-old member asked:

How can you stop self harm before it starts?

1 doctor answer3 doctors weighed in
Dr. Pamela Pappas
Psychiatry 42 years experience
Be in therapy: If you have ongoing impulses to harm yourself -- either suicidal or other things like self-cutting, etc -- you need to see your physician. S/he may refer you to to a psychiatrist or therapist. Psychotherapy can help you understand and deal with what's happening inside that triggers these impulses. Although it can take time and patience, this work can eventually "stop self-harm before it starts.".

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Last updated Oct 18, 2014

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