
{"id":13722,"date":"2012-08-31T14:49:25","date_gmt":"2012-08-31T21:49:25","guid":{"rendered":"http:\/\/www.goodtherapy.org\/blog\/?page_id=13722"},"modified":"2018-03-20T16:05:46","modified_gmt":"2018-03-20T23:05:46","slug":"cutting","status":"publish","type":"page","link":"https:\/\/www.goodtherapy.org\/blog\/cutting\/","title":{"rendered":"Cutting"},"content":{"rendered":"<p><span style=\"text-decoration: underline;\"><strong><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-16214\" src=\"https:\/\/www.goodtherapy.org\/blog\/blog\/wp-content\/uploads\/2012\/08\/bandaging-wrists.jpg\" alt=\"Wrists being bandaged\" width=\"300\" height=\"300\" title=\"\">Cutting<\/strong><\/span> is the most common form of deliberate <a href=\"https:\/\/www.goodtherapy.org\/learn-about-therapy\/issues\/self-harm\" target=\"_blank\" rel=\"noopener\">self-harm<\/a>, and may co-occur with other self-injurious behaviors such as skin-burning, hair-pulling, and anorexia. People who cut themselves may cut their skin with razors, pointed metal, or other sharp objects. Cutting is not typically an attempt at <a href=\"https:\/\/www.goodtherapy.org\/learn-about-therapy\/issues\/suicide\" target=\"_blank\" rel=\"noopener\">suicide<\/a> or long-term self-harm. Rather, it is an immediate reaction to <a href=\"https:\/\/www.goodtherapy.org\/learn-about-therapy\/issues\/stress\" target=\"_blank\" rel=\"noopener\">stress<\/a> that provides release for the person who cuts. However, chronic cutting can lead to serious health problems such as infection, disease transmission, and blood loss. People who cut themselves may accidentally sever a vein or artery, which can be life-threatening.<\/p>\n<h2>Is Cutting a Mental Illness?<\/h2>\n<div class=\"content-fatwidget align-right\">\n\t<h2><a href=\"https:\/\/www.goodtherapy.org\/find-therapist.html\" target=\"_blank\">Find a Therapist<\/a><\/h2>\n\t<form action=\"https:\/\/www.goodtherapy.org\/search-redirect.html\" method=\"get\">\n\n\t\t\t<input required name=\"search[zipcode]\" placeholder=\"Enter ZIP or City\" class=\"inline-input\" type=\"text\" \/>\n\n\n\t\t\t<input type=\"submit\" name=\"TOS agreement\" value=\" \" class=\"inline-btn\" title=\"Search\" onclick=\"ga('send', 'event', 'FAT Widget', 'Submit Search', 'Sidebar', {nonInteraction: true});\" \/>\n\t\t<a href=\"https:\/\/www.goodtherapy.org\/advanced-search.html\" title=\"Advanced Search\" onclick=\"ga('send', 'event', 'FAT Widget', 'Advanced Search', 'Sidebar', {nonInteraction: true});\" >Advanced Search<\/a>\n\t<\/form>\n<\/div>\n<p>Cutting is not listed in the DSM-IV as a mental health diagnosis, but it may be related to other impulse control conditions such as pyromania (obsession with fires), kleptomania (persistent stealing), and\/or pathological gambling. The DSM-IV lists self-injurious behavior as a symptom of stereotypic movement disorder, which is often diagnosed along with autism and mental retardation. Self-harm can also be a symptom of borderline personality (BPD) as well as factitious disorders, which occur when a person fakes an illness or believes he\/she has an illness he\/she does not actually have. People who cut themselves may also suffer from depression, anxiety, post-traumatic stress, obsessive-compulsive disorder, and other stress-related conditions. Cutting is more prevalent among women, particularly during puberty.<\/p>\n<p>Non-suicidal self-injury is a proposed mental health diagnosis for the forthcoming DSM-V. The proposal for this diagnosis requires at least two of the following symptoms:<\/p>\n<ul>\n<li>Interpersonal or other stress that precipitates the self-injurious behavior<\/li>\n<li>A strong urge to harm oneself and a preoccupation with self-harm prior to the act<\/li>\n<li>Frequent thoughts of self-injury<\/li>\n<li>Engaging in self-harm to relieve stress<\/li>\n<li>The belief that self-harm relieves psychological pain<\/li>\n<\/ul>\n<h2><strong>Treatment to Stop Cutting<\/strong><\/h2>\n<p>Outpatient therapy using a variety of methods, particularly <a href=\"https:\/\/www.goodtherapy.org\/learn-about-therapy\/types\/cognitive-behavioral-therapy\">cognitive behavioral therapy<\/a>, can be highly effective at teaching people more effective skills for coping with stress. However, cutting is a behavior that tends to escalate to more severe and more frequent cutting over time. People who have been cutting for an extended period of time may require inpatient treatment. Inpatient treatment ensures that the person who cuts cannot harm his or herself. Inpatient treatment generally also provides <a href=\"https:\/\/www.goodtherapy.org\/group-therapy.html\">group therapy<\/a>, <a href=\"https:\/\/www.goodtherapy.org\/individual-therapy.html\">individual therapy<\/a>, and, when necessary, <a href=\"https:\/\/www.goodtherapy.org\/psychotropic-medication.html\">psychotropic medication<\/a> to help mitigate the psychological factors that contribute to cutting.<\/p>\n<p><strong>References:<\/strong><\/p>\n<ol>\n<li>American Psychiatric Association. (2012, May 1). American Psychiatric Association DSM-5 Development. Proposed Revision: Non-Suicidal Self Injury. Retrieved from http:\/\/www.dsm5.org\/ProposedRevisions\/Pages\/proposedrevision.aspx?rid=443<\/li>\n<li>Davis, J. L. (n.d.). Cutting &amp; Self-Harm: Warning Signs and Treatment. WebMD. Retrieved from http:\/\/www.webmd.com\/mental-health\/features\/cutting-self-harm-signs-treatment.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Cutting is the most common form of deliberate self-harm, and may co-occur with other self-injurious behaviors such as skin-burning, hair-pulling, and anorexia. People who cut themselves may cut their skin with razors, pointed metal, or other sharp objects. Cutting is not typically an attempt at suicide or long-term self-harm. Rather, it is an immediate reaction [&hellip;]<\/p>\n","protected":false},"author":2474,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"open","ping_status":"open","template":"psychpedia.php","meta":{"_uf_show_specific_survey":0,"_uf_disable_surveys":false,"footnotes":""},"class_list":["post-13722","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.goodtherapy.org\/blog\/wp-json\/wp\/v2\/pages\/13722","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.goodtherapy.org\/blog\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.goodtherapy.org\/blog\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.goodtherapy.org\/blog\/wp-json\/wp\/v2\/users\/2474"}],"replies":[{"embeddable":true,"href":"https:\/\/www.goodtherapy.org\/blog\/wp-json\/wp\/v2\/comments?post=13722"}],"version-history":[{"count":0,"href":"https:\/\/www.goodtherapy.org\/blog\/wp-json\/wp\/v2\/pages\/13722\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.goodtherapy.org\/blog\/wp-json\/wp\/v2\/media?parent=13722"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}