Anonymous asked: I dont cut anymore but i bite the inside of my mouth until i bleed so im still bleeding a lot is this s-h? I dont even think about it most of the time..
Answer: Anything done with the intent of harming yourself, as far as I’m concerned, is self-harm. A lot of people accidentally bite the inside of their mouth, or do it without realizing because of an anxiety thing. But if you are biting yourself with the full intent of hurting yourself, it is self-harm.
Just like cutting myself with intent is self-harm, but cutting myself accidentally while chopping vegetables isn’t.
Do I Have to Bleed in Order for It to Be Self-Harm?
Anonymous asked: Do you think it has to bleed to count as self harm? What if you just scratch lightly so that way they go away quicker so people don't notice?
Answer: Anything done with the intent of harming yourself is considered self-harm. You don’t have to bleed or even bruise. Self-harm can be physically dangerous, for obvious reasons, but part of why it’s such a concern is the mentality behind it. The thought of wanting to hurt yourself and actually taking action. No matter how successful you were at harming yourself, it’s still a concern and still counts as self-harm.
Can Self-Harm Be Emotional or Mental and Not Just Physical?
Anonymous asked: inspired by that "can forcing yourself to not sleep be self harm" ask, i have a related question. can self harm be like, emotional/mental as well as physical? like, intentionally causing yourself mental stress/triggering yourself/etc? i've never been clear on that point.
Answer: I would definitely say so. The term “self-harm” is pretty explicit in it’s meaning, it’s just that people have taken it to just mean “cutting” for whatever reason.
Just as physical and emotional abuse are both still abuse but achieved in different ways, emotional and physical self-harm are still self-harm.
I would see intentionally pissing off loved ones in order for them to react negatively towards you as self-harm for instance. If you are doing something in order to cause harm to yourself then it counts as self-harm in my book. It could be they are doing that to get away from the emotional turmoil in themselves, to punish themselves, or to express how much they hate themselves.
Anonymous asked: does self harm count as impulsive behavior for the bpd diagnosis?
Answer: It depends on which section of the DSM you’re reading. There is the DSM-V official diagnostic criteria, in which self-harm actually does NOT count as impulsive behavior, as it gets its own bullet point in the diagnostic criteria as “recurrent suicidal behavior, gestures, or threats, or self-mutilating behavior.”
In the new proposed diagnostic criteria, self-harm is listed as an example of impulsivity.
Because of this, I would consider whether or not your self-harm is actually impulsive. Some self-harm is planned, some isn’t. If you are impulsively self-harming, I would consider it an extension of the borderline impulsivity. However, some people with BPD plan their self-harm, and this is also a valid experience. Whether or not self-harm counts as impulsive behavior depends entirely on the person.