Defining NON-SUICIDAL SELF-INJURY (nssi)
Conceptualizing the Problem
- Primary motivations
- Controlling external/internal environment
- Impacts on various settings
- Neuropsychology of NSSI
- NSSI and trauma
Assessing the Problem
- NSSI and suicide
- Statistics
- Differential diagnosis
- Clinical assessment/screening
- Formal assessment tools
- 5 questions every therapist should ask during assessment
Treating the Problem
- Multi-systemic approach
- Engaging families, school, peers, social media
- Determining who needs to know/how much they need to know
- Working with parents
- The role of the school
- The role of peers
- Social media
- Replacement behaviors
- Using the stages of change/MI model in treatment
- Assessing readiness
- Gauging interventions
- Sustaining and maintaining recovery
- 6 key components of therapeutic intervention
- Developing distraction strategies
- Building coping skills
- Enhancing self-esteem and self-acceptance
- Improving relationships and relational skills
- Addressing Trauma (“big T” and “little t”)
- Developing problem-solving skills
- The role of adjunctive therapies
Legal & Ethical Issues
- Assessing properly is key
- Screening for NSSI at intake
- Documentation/diagnosis
- Treatment planning
- Reporting
- Schools tend to have stricter reporting rules than mental health settings
- Factors in reporting
- Involving other professionals
- Balancing the clinical and the legal
Integration of Learning
- Group treatment planning activity