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In fact, according to clinical psychologist Deborah Serani, PsyD, in her book Depression and Your Child: A Guide for Parents and Caregivers, about 15 percent of kids and teens engage in self-harm.

They might do it to express self-loathing or shame.

Reach out to a close friend or loved one.

severe self-injury or suicide attempt Your doctor may recommend a combination of treatments.

Waddell points out that - as with anorexia, where many adolescents start off by dieting, and only a few develop eating disorders - it is hard to distinguish between the serious and casual act of cutting.

show that PTSD and impulsive personality traits may put you at risk of self-destructive behavior.

During my final exams I was self-harming every single night.

Frequency and severity of symptoms are important considerations.

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But eventually she found a more sympathetic psychiatrist and gradually developed some better coping strategies.