By We Level Up WA | Author Leigh Brosof, PhD | Editorial Policy | Research Policy
Self-harm isn’t a mental illness itself, but rather a coping mechanism many use to manage overwhelming emotional distress. These behaviors, ranging from cutting to burning to hitting, serve as temporary relief valves for intense feelings that seem impossible to process any other way.
Behind these actions often lie deeper struggles: trauma, depression, anxiety, or overwhelming life circumstances that have exceeded someone’s current coping abilities.
Left unaddressed, these behaviors can escalate in severity, lead to accidental serious injury, or indicate increasing suicide risk. That’s why treatment focuses not just on stopping the behavior, but on healing the underlying wounds driving it.
Understanding Self-Harm: Causes and Effects
Forms of Self-Harm
Self-harm manifests in numerous ways beyond what many typically imagine. While cutting is perhaps the most recognized form, many individuals engage in less obvious self-harming behaviors:
- Burning skin with cigarettes, lighters, or heated objects
- Hitting or punching oneself, sometimes to the point of bruising or fracture
- Scratching or picking at skin until bleeding occurs
- Hair pulling (trichotillomania)
- Interfering with wound healing
- Substance abuse as a form of self-punishment
- Extreme risk-taking behaviors
- Self-poisoning or overdosing (non-fatal)
- Excessive exercise despite injury or exhaustion
Some individuals also engage in more subtle forms of self-harm through chronic self-sabotage, deliberate sleep deprivation, or refusing necessary medical care, behaviors that might not leave visible marks but still reflect the same underlying psychological distress.
Triggers and Causes
Self-harm rarely exists in isolation. Research shows that approximately 84% of people who engage in self-harm have at least one diagnosable mental health condition. Common underlying factors include:
- Childhood trauma or abuse (physical, sexual, or emotional)
- Neglect or attachment disruptions in early development
- Ongoing depression or anxiety disorders
- Post-traumatic stress disorder (PTSD)
- Borderline personality disorder, which affects about 1.4% to 5.9% of adults in the United States
- Eating disorders
- Substance use disorders that impair judgment and emotional regulation
- Neurodevelopmental conditions like autism spectrum disorder
Impact on Life
The consequences of untreated self-harm extend far beyond the physical wounds. Many individuals experience:
- Increasing physical risk as tolerance builds, requiring more severe self-harm to achieve the same emotional release
- Permanent scarring or disfigurement that can lead to shame and social withdrawal
- Accidental serious injury requiring medical intervention
- Infections or complications from wounds, especially when using unsterile implements
- Intense shame and secrecy that further isolates the person from potential support
- Strained or broken relationships as loved ones struggle to understand
- Academic or professional difficulties as energy focuses on the cycle of emotional pain and self-harm
- Increased risk of suicide attempts—studies show that self-harm is one of the strongest predictors of eventual suicide
Without proper treatment, these impacts may worsen over time.
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Hotline: (509) 348-4077Self Harm Statistics
Nonsuicidal self-injury (NSSI) is typically associated with emotional and psychiatric distress. It is most common among young adults. Lifetime rates in these populations are about 15% to 20%, and onset typically occurs around age 13 or 14. In contrast, about 6% of adults report a history of NSSI. It is unclear whether the lower lifetime rate in adults reflects an increase in NSSI among recent cohorts of adolescents or an artifact of memory, by which most adults who self-injured as adolescents do not recall their NSSI. Generally speaking, rates of NSSI appear to be similar across different countries.
5%
More than 5% of people seen at a hospital after self-harm will have committed suicide within 9 years.
Source: NCBI
50%
About 50% of people seek help for their self-harm, but only from friends instead of professionals
Source: NCBI
45%
45% of people use cutting as their method of self-injury
Source: NCBI
We Level Up Washington’s Self-Harm Treatment Approach
At We Level Up Washington, our approach to treating self-harm is built on a fundamental understanding: behind every self-harming behavior lies pain seeking relief. Rather than simply focusing on behavior elimination, we address the underlying emotional wounds, trauma, and mental health conditions driving these behaviors.
Key Therapies
Our treatment programs incorporate several specialized therapeutic approaches that research has shown to be particularly effective for self-harm:
Holistic Therapies: These approaches help access and process emotions that may be difficult to address through talk therapy alone:
- Art therapy
- Movement therapy
- Nature-based healing activities that take advantage of Washington’s natural beauty
Dialectical Behavior Therapy (DBT): Originally developed specifically for self-harm and suicidal behaviors, DBT has become the gold standard treatment in this area. Clients learn:
- Skills for distress tolerance
- Emotion regulation strategies
- Mindfulness practices
Cognitive Behavioral Therapy (CBT): Our specialized CBT protocols help identify and restructure the thought patterns that precede self-harm urges. Clients learn to:
- Recognize automatic negative thoughts that trigger emotional distress
- Challenge distorted thinking that maintains harmful behaviors
- Develop alternative responses to emotional triggers
- Build problem-solving skills for life stressors
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About We Level Up Washington
The foundation of our program’s success is our multidisciplinary team of specialists who bring diverse expertise to each client’s care:
Our clinical staff includes board-certified psychiatrists, licensed psychologists, and Master level therapists with extensive training in evidence-based approaches. This team collaborates closely on each case, meeting regularly to ensure treatment plans remain responsive to changing needs.
Tailored Treatment
We recognize that self-harm serves different functions for different people. For some, it’s primarily about emotional regulation; for others, it relates to self-punishment, dissociation, or communication of internal pain. Our assessment process identifies the specific drivers behind each person’s behaviors, allowing us to customize treatment accordingly.
This personalization extends to every aspect of care:
- Individual therapy frequency and approach
- Group therapy selection from our diverse offerings
- Family involvement based on relationship dynamics
- Medication considerations when appropriate
- Aftercare planning that addresses specific risk factors and strengths
Treatment plans evolve as you progress, with regular reassessment ensuring the approach remains aligned with your changing needs. This dynamic, responsive approach maximizes effectiveness while respecting your unique recovery journey.
Healing Environment
Our Washington facility was designed with recovery in mind, offering a peaceful setting that supports the healing process.
Nestled in a serene location that showcases the natural beauty of the Pacific Northwest, our center provides a calming backdrop for the challenging work of recovery. Private and semi-private rooms offer personal space for reflection, while communal areas foster connection and community support.
Our facility includes specialized therapy spaces for various treatment modalities, from traditional talk therapy offices to art studios, movement rooms, and outdoor spaces for nature-based healing activities.
The Treatment Journey: What to Expect
Assessment Process
Your recovery journey begins with a comprehensive assessment designed to understand all aspects of your experience with self-harm.
The initial evaluation includes a detailed clinical interview exploring the history, patterns, and functions of self-harming behaviors. A medical evaluation ensures we understand any physical health concerns, including those related to self-harm injuries or other conditions.
Family interviews (with your permission) help us understand your support system and identify both resources and challenges in your home environment. This collaborative approach ensures we develop a complete picture of your needs before creating your personalized treatment plan.
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Outcomes of Self-Harm Treatment
Recovery Potential
With proper treatment, recovery from self-harm is possible.
Beyond just behavior reduction, treatment leads to meaningful improvements in:
- Emotional regulation capacity
- Interpersonal relationships and communication
- Ability to tolerate distress without harmful coping mechanisms
- Overall life satisfaction and sense of purpose
- Reduced symptoms of co-occurring conditions like depression and anxiety
The skills learned in treatment create lasting resilience, with studies showing that DBT skills in particular continue to strengthen even after formal treatment ends.
How to Start Your Recovery
Reaching out for help with self-harm can feel overwhelming, but it’s the crucial first step toward healing. Remember that seeking treatment isn’t a sign of weakness but of courage and self-compassion.
The process begins with a simple, confidential conversation. Our admissions team understands the sensitivity of these issues and approaches every inquiry with respect and care. There’s no obligation in making this initial call, just an opportunity to learn more about how we might help.
Many people find it helpful to have a supportive friend or family member with them when making this call, though we’re equally prepared to speak directly with individuals who prefer privacy in this process.
Starting your recovery journey is as simple as calling our helpline at 509-348-4077 to speak with one of our representatives. We’ll check your insurance coverage and answer any questions you may have.
If you decide to move forward with treatment at We Level Up Washington, we’ll then schedule your comprehensive evaluation. We strive to make the process as smooth and stress-free as possible.
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Even if therapy failed previously, or are in the middle of a difficult crisis, we stand ready to support you. Our trusted behavioral health specialists will not give up on you. When you feel ready or just want someone to speak to about counseling alternatives to change your life call us. Even if we cannot assist you, we will lead you to wherever you can get support. There is no obligation. Call our hotline today.
FREE 24/7 Dual Diagnosis Mental Health Services HotlineConclusion
Self-harm doesn’t have to define your future. At We Level Up Washington, we’ve witnessed countless individuals transform their relationship with pain and discover healthier ways to navigate life’s challenges. Our comprehensive approach addresses not just the visible behaviors but the deeper wounds that drive them, creating pathways to lasting recovery.
Through evidence-based therapies, compassionate care, and a supportive healing environment, we provide the tools and support needed to break free from self-destructive patterns. The journey may not always be easy, but you don’t have to walk it alone.
Recovery is possible. Healing is within reach. We’re here when you’re ready to take that first step.
Signs of Depression – Informative Video
There are many resources available to help you better manage your mental health. Your first step should be to reach out to your physician or a mental health professional for a thorough evaluation. Additionally, you may want to consider joining a support group, such as a 12-step program or an online support community, to help you connect with others facing similar challenges. In addition, many self-help techniques are available, such as mindfulness, relaxation, and cognitive-behavioral therapy.
Support and understanding from your friends and family can also be tremendously beneficial in helping you manage your depression. It can be helpful to speak openly with them about how you’re feeling and the challenges you’re facing. Additionally, it can be a useful strategy to identify activities and people that positively influence your mental health and seek them out whenever you feel overwhelmed by depression.
Frequently Asked Questions
Where in Spokane, Washington, can you find self-harm treatment?
We Level Up Washington provides comprehensive self-harm treatment services accessible to Spokane residents. Our facility offers specialized programs including dialectical behavior therapy (DBT), cognitive behavioral therapy (CBT), and trauma-focused therapies specifically designed to address self-harming behaviors and their underlying causes. We provide both residential and outpatient options with transportation assistance available for Spokane residents.
Where in Seattle, Washington, can you find self-harm treatment?
Seattle residents seeking self-harm treatment can access our comprehensive programs at We Level Up Washington in Spokane, which offers specialized evidence-based therapies, including DBT and trauma-focused approaches. Within Seattle itself, there are numerous specialized outpatient clinics that offer specific self-harm intervention programs.
Where in Coeur d’Alene, Idaho, can you find self-harm treatment?
Coeur d’Alene residents seeking self-harm treatment can access our comprehensive programs at We Level Up Washington in Spokane, which offers specialized evidence-based therapies including DBT and trauma-focused approaches. Within Coeur d’Alene itself, there are other specialized outpatient clinics that offer specific self-harm intervention programs.
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