Photo of Megan Smith, Counselor in 96746, HI
Megan Smith
Counselor, LMHC
Verified Verified
Kapaa, HI 96746
Waitlist for new clients
Sometimes life's every day challenges and our underlying struggles make it difficult to realize our true potential. Motivated by grief, depression, suicidal thoughts, anxiety, and a range of other experiential states we can find our deepest well of inner strength and guidance. There is support available for anyone wanting to engage in a collaborative relationship to enhance your well-being and quality of life.
Sometimes life's every day challenges and our underlying struggles make it difficult to realize our true potential. Motivated by grief, depression, suicidal thoughts, anxiety, and a range of other experiential states we can find our deepest well of inner strength and guidance. There is support available for anyone wanting to engage in a collaborative relationship to enhance your well-being and quality of life.
(808) 278-9446 View (808) 278-9446
Photo of Dr. Steve, Psychologist in 96746, HI
Dr. Steve
Psychologist, PsyD
Verified Verified
Kapaa, HI 96746
Aloha :) Currently accepting new Kaiser Permanente and HMSA clients. I welcome individuals of all backgrounds and life experiences into this shared work. I provide professional therapeutic services to couples, families, individual adults, adolescents, and children addressing a range of clinical issues. I honor wherever you are on your journey and believe in cultivating space, and curiosity as we navigate this path together. I believe that understanding and compassion are vital for building trust, mutual respect, and openness, all of which are essential in forming a therapeutic relationship that can encourage change. ​
Aloha :) Currently accepting new Kaiser Permanente and HMSA clients. I welcome individuals of all backgrounds and life experiences into this shared work. I provide professional therapeutic services to couples, families, individual adults, adolescents, and children addressing a range of clinical issues. I honor wherever you are on your journey and believe in cultivating space, and curiosity as we navigate this path together. I believe that understanding and compassion are vital for building trust, mutual respect, and openness, all of which are essential in forming a therapeutic relationship that can encourage change. ​
(808) 707-7839 View (808) 707-7839

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How does therapy for self-harm work?

A person may turn to self-injury so that they can distract themselves from their stress, depression, anxiety, or upsetting circumstances. Therapy can address the cause of an individual’s suffering. A therapist can help a person understand why they may want to self-harm and help the person learn new methods of coping. A person may have poor emotion regulation, and treatment such as cognitive behavioral therapy (CBT) is helpful for breaking this behaviour. In addition, treatment such as dialectical behavior therapy can help a person manage their tolerance of distress.

Which therapies are best for self-harm?

Specific approaches used by professionals include cognitive behavioral, dialectical behavior, psychodynamic, and mentalisation-based therapies, among others. Cognitive behavioral and dialectical behavior therapies are common approaches for people who have painful thoughts and past traumas. These therapies help an individual cope with distress, regulate emotions, and manage impulsive urges.

Does the tendency to self-harm mean the person is suicidal?

Having this urge does not mean the individual suffers from suicidal ideation. People who want to self-injure look to distract or alleviate themselves from the pain they are experiencing. People with suicidal tendencies want to end life altogether. However, this does not mean a person with the intent to self-harm will not attempt suicide.

How often and how long are therapy sessions for self-harm?

As with any type of therapy, sessions depend on the individual. Clients may see improvement within 20 sessions, at an average of 50 minutes per session, while others may opt for 20 to 30 sessions over, maybe, a six-month period. People, especially those with co-occurring conditions like depression and anxiety, may need to continue therapy for up to 12 to 18 months.