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Self-Harm and Emotional Regulation Support

Supporting children and teens struggling with self-harm and emotional regulation requires empathy, patience, and the right tools.

Self-Harm Support

What is self-harm?

Self-harm (also called non-suicidal self-injury or NSSI) is when someone deliberately hurts themselves — often to cope with overwhelming emotions. It can be a way to feel a sense of control or to express pain they struggle to verbalise.

How can I help?

I offer a safe, non-judgmental space: Let the child know they’re not "bad" or "broken" — they’re just using unhealthy coping mechanisms.

  • Identify triggers: Work together to spot patterns — when and why do they feel the urge to self-harm?
  • Safety plans: Develop a plan for what to do when they feel the urge, including people they can contact.
  • CBT or DBT (Dialectical Behaviour Therapy): skills which focuses on emotional regulation.

Emotional Regulation Techniques

Why is emotional regulation important?

Many children who self-harm struggle with managing big emotions like anger, sadness, or anxiety. Emotional regulation teaches them how to process these feelings without resorting to harmful behaviours.


Practical techniques to teach:

Grounding exercises:

5-4-3-2-1 method: Name 5 things you can see, 4 you can touch, 3 you can hear, 2 you can smell, and 1 you can taste. Helps break the cycle of overwhelming thoughts.

Breathing techniques:

Box breathing: Inhale for 4 seconds, hold for 4, exhale for 4, hold for 4. Reduces panic and calms the nervous system.

Emotion labelling:

Use "feelings charts" to name emotions — understanding what they're feeling is the first step to managing it.

Distress tolerance skills (from DBT):

TIPP skills:

  • Temp change (cold water on face)
  • Intense exercise
  • Paced breathing
  • Progressive muscle relaxation