mental health

Mental Health Acronyms and Abbreviations

By Christy Maeder, LCSW and Nooshi Ghasedi, MA

The mental health world is so full of abbreviations that it can sometimes feel like learning a new language. Whether you’re navigating therapy, reading about treatment options, or filling out forms, acronyms like EMDR, PTSD, and LPC pop up everywhere. We know this can be confusing, so we created a quick reference to help break it all down. This guide is here to make the language of mental health more understandable and less intimidating—because everyone deserves to feel informed and empowered when it comes to their care.

  1. Diagnostic & Clinical Terms
  • DSM – Diagnostic and Statistical Manual of Mental Disorders
  • ICD – International Classification of Diseases
  • MDD – Major Depressive Disorder
  • GAD – Generalized Anxiety Disorder
  • PTSD – Post-Traumatic Stress Disorder
  • OCD – Obsessive-Compulsive Disorder
  • ADHD – Attention-Deficit/Hyperactivity Disorder
  • BPD – Borderline Personality Disorder
  • ASD – Autism Spectrum Disorder
  • PDD – Persistent Depressive Disorder
  • SUD – Substance Use Disorder
  • ED – Eating Disorder
  • BP – Bipolar Disorder
  1. Therapeutic Approaches
  • CBT – Cognitive Behavioral Therapy
  • DBT – Dialectical Behavior Therapy
  • ACT – Acceptance and Commitment Therapy
  • EMDR – Eye Movement Desensitization and Reprocessing
  • IFS – Internal Family Systems
  • TF-CBT – Trauma-Focused Cognitive Behavioral Therapy
  • MBCT – Mindfulness-Based Cognitive Therapy
  • MI – Motivational Interviewing
  • PE – Prolonged Exposure (for PTSD)
  1. Assessment Tools
  • PHQ-9 – Patient Health Questionnaire-9
  • GAD-7 – Generalized Anxiety Disorder 7-item scale
  • ACES – Adverse Childhood Experiences Scale
  • MMPI – Minnesota Multiphasic Personality Inventory
  • BAI – Beck Anxiety Inventory
  • BDI-II – Beck Depression Inventory II
  • SCID – Structured Clinical Interview for DSM
  • PCL-5 – Posttraumatic Stress Disorder Measurement for DSM-5
  1. Children’s Mental Health Acronyms
  • IEP – Individualized Education Program
  • 504 Plan – Section 504 of the Rehabilitation Act (accommodations in school)
  • FBA – Functional Behavioral Assessment
  • BIP – Behavior Intervention Plan
  • IDEA – Individuals with Disabilities Education Act
  • SEL – Social and Emotional Learning
  • LRE – Least Restrictive Environment
  • RTI – Response to Intervention
  • PBIS – Positive Behavioral Interventions and Supports
  • FTF – Face-to-Face (sessions, often used for children)
  • PCIT – Parent-Child Interaction Therapy
  • PMT – Parent Management Training
  • DYAD – Dyadic therapy (child and caregiver)
  • PANS/PANDAS – Pediatric Acute-onset Neuropsychiatric Syndrome / Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections
  • DD – Developmental Delay
  • SPD – Sensory Processing Disorder
  1. Licensure & Professional Terms
  • LCSW – Licensed Clinical Social Worker
  • LMFT – Licensed Marriage and Family Therapist
  • LPC/LPCC – Licensed Professional Clinical Counselor
  • PsyD – Doctor of Psychology
  • MSW – Master of Social Work
  1. Systems & Legal Terms
  • EHR – Electronic Health Record
  • HIPAA – Health Insurance Portability and Accountability Act
  • CPS – Child Protective Services
  • DCFS – Department of Children and Family Services
  • GAL – Guardian ad Litem
  • IEP – Individualized Education Program
  • FERPA – Family Educational Rights and Privacy Act
  1. Crisis & Suicide Prevention
  • QPR – Question, Persuade, Refer
  • C-SSRS – Columbia-Suicide Severity Rating Scale
  • NSSI – Non-Suicidal Self-Injury 
  1. LGBTQIA+ and Cultural Terms
  • LGBTQIA+ – Lesbian, Gay, Bisexual, Transgender, Queer or Questioning, Intersex, Asexual (and others)
  • BIPOC – Black, Indigenous, and People of Color
  • DEI – Diversity, Equity, and Inclusion

SOGIE – Sexual Orientation, Gender Identity, and Expression

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Practical Ways to Build Confidence at Work

Confidence at work doesn’t always come naturally but it can be built. Whether you’re new to your role, stepping into leadership, or just trying to quiet that inner critic, here are five simple and practical ways to start building confidence in the workplace.

Be Prepared

Confidence starts with preparation. When you walk into meetings or presentations well-prepared, you’ll feel more grounded and in control. Take time to understand your tasks, do your research, and anticipate questions. The more you know your material, the less room there is for self-doubt.

Speak Up (Even if You’re Nervous)

Raising your hand in meetings or contributing ideas can feel scary but the more you do it, the easier it gets. Confidence isn’t the absence of nervousness; it’s the willingness to speak despite it.

Start small: ask a question, share a thought, or offer support. Every time you speak up, you’re training your brain to see your voice as valuable and it is.

Keep a Record of Your Achievements

It’s easy to forget your wins when you’re focused on what’s next. Keeping a log of your accomplishments big and small can remind you of your growth and impact.

Whether it’s an email folder of positive feedback, a journal, or a running list in your Notes app, having a personal “brag file” gives you evidence of your worth when imposter syndrome tries to sneak in.

Ask for Feedback From People You Trust

Feedback is one of the fastest ways to grow, but it’s also a powerful confidence-builder. When you ask trusted colleagues or mentors for constructive feedback, you not only show initiative, but you also gain valuable insight into what you’re doing well (and where you can improve).

Choose people who will be honest and kind. Their input can help you see strengths you might be overlooking.

Surround Yourself With Encouraging People

Confidence is contagious. Surround yourself with colleagues, mentors, and friends who lift you up and believe in your potential. Limit time with those who constantly criticize or create self-doubt.

Your environment shapes your mindset and makes sure it supports the version of you that you’re becoming.

Final Thoughts

Building confidence at work is a process, not a personality trait you’re either born with or without. It grows every time you take a small step forward, try something new, or simply remind yourself that you’re capable.

Start with one of these strategies and build from there. Your confident self is already in the making.



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Why Some Changes Energize You And Others Wear You Out

Change is constant. But our reactions to it? All over the map.

Some changes spark energy and creativity. Others leave us overwhelmed and drained. Why is that?

The difference often lies not in the change itself, but in how we experience and respond to it.

So how can you use your strengths to approach change with more energy and less exhaustion?

Here are three practical ways:

Know What You’re Good At

Start by identifying your strengths as an individual and as a team. This isn’t about optimism or wishful thinking. It’s about taking stock of the resources you already have.

When you know what you’re good at, your brain is more likely to see new situations as manageable rather than threatening.

Try this: Ask yourself:

  • What kind of work makes me feel most engaged?
  • When do I feel at my best?
  • What strengths am I using in those moments?

These patterns can point you toward the tools you need to navigate change more effectively.

Apply Your Strengths to New Challenges

Change doesn’t mean you have to reinvent yourself. Often, it’s about using familiar strengths in unfamiliar situations.

When you match your natural talents to the demands of change, you’re more likely to experience “flow”  that energized state where work feels challenging but manageable.

Try this:
Look at one task related to a current change that feels heavy.
Ask: “How could I approach this using one of my strengths?”

Even a small shift in perspective can turn a draining task into something far more doable.

Adjust, Don’t Overuse

Strengths are powerful but they aren’t one-size-fits-all. Used in the wrong context or at the wrong intensity, even your best qualities can backfire.

For example, being detail-oriented is a huge asset — but too much focus on the details during an early-stage brainstorm could slow things down. The key is to adapt your strengths to fit the moment.

Try this:
Reflect on a recent moment when one of your strengths didn’t work as well as you’d hoped.
Ask:

  • Was the context right for that strength?
  • Could I have dialed it up or down?
  • What would I do differently next time?

Flexibility is what allows strengths to stay effective and energizing over time.

The Bottom Line

Change doesn’t have to leave you depleted. When you lead with strengths not just effort you create a path that feels more sustainable, productive, and energizing.

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8 Steps To Make Peace With Your Past Self

Are past mistakes and regrets holding you back? It’s time to make peace with your former self and embrace a more fulfilling future. Here are eight steps to help you heal and move forward with confidence.

Practice Empathy

Start by understanding your younger self. Recognize that your circumstances and limited life experience shaped your past actions. Treat yourself with compassion instead of judgment.

Embrace Your Humanity

No one is perfect. Accept that your flaws and mistakes are part of being human. Embracing your imperfections allows you to release shame and guilt from the past.

Forgive Yourself

Forgiving your past self is essential for healing. You did the best you could at the time with the knowledge and tools you had. Let go of regret and give yourself permission to move forward.

Accept the Past

You can’t change what’s already happened, but you can choose to accept it. Stop living in regret and start focusing on creating a better future for yourself.

Take Ownership

Acknowledge the impact of your past actions and take responsibility. Owning your mistakes shows maturity and helps you grow, making it easier to move past guilt.

Make Amends

While you can’t go back in time, you can still make things right by taking positive actions today. Seek opportunities to make amends and rebuild relationships.

Be Your Best Self

Choose to be the person you aspire to be. Set intentions for your personal growth and align your actions with your values. Your future self will thank you.

Live Your Best Life

Let go of past baggage and focus on living a life full of purpose, joy, and fulfillment. Define what your “best life” looks like and take steps toward it every day.

Move Forward with Confidence

Making peace with your past self is the key to living a more meaningful life. By embracing empathy, forgiveness, and personal growth, you can let go of past wounds and create a brighter, more fulfilling future.

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Feeling Drained by Social Media? Let’s Talk Doomscrolling and Comparison

By Nooshi Ghasedi, MA, NCC

Most of us spend time on social media—to relax, catch up with friends, or take a quick break from real life. But sometimes, instead of feeling more connected or uplifted, we log off feeling more anxious or discouraged.

Two common patterns many people experience are doomscrolling and comparison spirals.

Let’s break down what’s happening, and how to regain a sense of balance.

Doomscrolling: When the Scroll Becomes a Spiral

Have you ever opened an app just to check one quick thing, and 20 minutes later you’re reading one heartbreaking news story after another? That’s doomscrolling: the tendency to compulsively scroll through upsetting or negative content, even when it’s making us feel worse. Doomscrolling often happens late at night or during times of uncertainty. We think we’re “staying informed” or welcoming a distraction from a stressful day, but what we’re really doing is playing into our brain’s “threat detection system” and flooding it with information it doesn’t have time to process or recover from.

Too much of this can leave you feeling:

  • Overwhelmed or helpless
  • Anxious and restless
  • Emotionally numb or disconnected
  • Exhausted, even without doing anything “active”

While it would be unrealistic to encourage you to avoid all news or social media, it is possible to be more intentional with what, when, and how much we consume. The Comparison Trap: Everyone’s Best Moments, None of the Context While doomscrolling often focuses on the negative, social comparison is its sneakier cousin. On platforms full of filtered smiles, curated travel photos, career wins, and romantic gestures, it’s easy to fall into the trap of thinking “Why doesn’t my life look like that?”

You might notice thoughts like:

  • They’re doing so much more than I am.”
  • “I’ll never look that good / be that happy / have that kind of relationship.”
  • “I’m falling behind.”

The problem? You’re comparing your real, unfiltered life to someone else’s highlight reel. You don’t see their stress, struggles, or insecurities—just the best 1% of what they choose to share. Social comparison can quietly erode your mental health by:

  • Fueling self-doubt and low self-esteem
  • Increasing anxiety or depressive thoughts
  • Distracting you from your own goals and values
  • Creating pressure to “perform” or present a perfect life online

What You Can Do to Protect Your Mental Space

Social media isn’t all bad—it can be fun, creative, and even healing when used mindfully. Here are a few ideas to help create healthier habits:

Be aware of your patterns. Start noticing when you tend to scroll (late at night? when you’re stressed?) and how you feel afterward. That awareness is powerful. 

Curate your feed. Unfollow or mute accounts that trigger comparison or negativity. 

Seek out pages that educate, encourage, or bring genuine joy.

Set boundaries. Try screen time limits, log-off hours, or “no scroll” zones like during meals or right before bed.

Reframe your self-talk. When you catch yourself in comparison, gently redirect:

“This is one moment from their life. I don’t know the full story.” “I’m allowed to grow at my own pace.”

Take intentional breaks. Step away for a weekend or even just a day. See how you feel. 

Often, even a little distance can help reset your relationship with your feed.

Final Thoughts

If social media has started to feel more draining than enjoyable, that’s worth paying attention to. You’re not overreacting, and you’re definitely not alone. Many of us are navigating an online world that wasn’t designed with mental wellness in mind. You can take back control—not by quitting cold turkey, but by being more intentional, compassionate, and curious about how online spaces are shaping your thoughts and feelings.

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Make Every Month Mental Health Month

By Christy Maeder, LCSW

Although May was recognized as Mental Health Month by Mental Health America, an initiative started in 1949 to promote mental wellness across the United States, we can all take steps to make every month a time to support our mental health.  This year’s theme,“Turn Awareness into Action,” encourages people to go beyond recognition and take real steps to support mental health.  

Steps you can take any month to care for your mental health include participating in free mental health screenings, practicing daily wellness habits, and becoming involved in efforts to advocate for better mental health policies.

Advocating for mental health policy change can happen at multiple levels—local, state, and national. MHA offers tools to help individuals take action, including action alerts, policy briefings, and advocacy toolkits. 

Supporters are encouraged to reach out to elected officials, attend public meetings, and share personal stories to drive change. Key advocacy goals include increasing funding for services, expanding insurance coverage, integrating mental health into primary care, and addressing the mental health workforce shortage.

These efforts foster open dialogue, reduce stigma, and build supportive environments where mental well-being is prioritized and protected.

In Oregon, there are several impactful ways to get involved in mental health advocacy.. Organizations like the National Alliance on Mental Illness (NAMI) Oregon and the Mental Health & Addiction Association of Oregon (MHAAO) offer various opportunities for individuals to contribute to mental health initiatives.

NAMI Oregon provides advocacy training programs such as NAMI Smarts for Advocacy, which equips participants with the skills to effectively communicate with policymakers and advocate for mental health policies. They also organize events like NAMIWalks Northwest, a community walk that raises awareness and funds for mental health programs. Volunteering opportunities are available through their volunteer program, allowing individuals to support various initiatives across the state.

MHAAO focuses on peer-led support and recovery services. They host Peerpocalypse, an annual conference dedicated to peer support and wellness, providing a platform for sharing experiences and strategies for recovery. MHAAO also collaborates with local agencies in programs like the Provider-Police Joint Connection Program, which connects individuals experiencing homelessness and addiction with immediate support services. Engaging with MHAAO’s initiatives offers a direct way to support community-based mental health efforts.

For those interested in broader advocacy, Mental Health America offers resources to help individuals become mental health advocates. Their advocacy page provides information on current policy issues and ways to get involved at the national level. By participating in these programs and initiatives, individuals in Oregon can play a vital role in promoting mental health awareness and supporting those affected by mental health conditions.

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Clean Your Room!

By: Claire Butcher, CSWA

May 10th marked National ‘Clean Your Room Day’, a lighthearted but important reminder of how our environment affects our mental health. The idea is simple: asking us to refresh our living space, going beyond surface-level tidying. Cleaning is often taught to us as a monotonous chore to check off rather than a chance to reset our environment and benefit our physical and mental well-being. 

One way to help reframe how we view cleaning is to change our perspective from it being an obligatory task on a checklist to a form of self-care. For example, instead of saying “I need to clean” or “I’m so lazy”, reframe those thoughts to something more caring – “I deserve to have a clean space”, “I deserve to feel calm in my home”. 

Along with reframing how we view cleaning as a whole, building executive function skills can help assist us when it’s hard to start bigger, more overwhelming tasks such as cleaning a messy room. Here are some tips: 

  • Use Timers – Creating a false sense of urgency can help us focus without feeling the pressure to complete the entire project all in one sitting (10 minutes on, 5 minute break).
  • Tiny Steps – Break projects down into tiny steps. The smaller the better! It’s easier for me to start picking up all the trash in the room than to think about cleaning the entire space in one sitting. Goblin Tools is a great resource to help identify more realistic steps. 
  • Momentum Building – It can be easier to begin tasks when we’re already engaging our mind and body. Try going for a walk, doing something fun, or running an errand before beginning to clean.
  • Reward Yourself – Plan fun activities or structure to your day to motivate yourself to complete tasks. 
  • Accountability – Loop in a friend or family member to help increase your sense of responsibility. You can even pair goals together to motivate one another. 
  • Habit Stack – Turn on a comfort show or upbeat music (or another thing you already regularly do) while you clean to help the process go by more smoothly. 
  • Shift Your Focus – The Zeigarnik effect is a psychological phenomenon that helps us remember incomplete or interrupted tasks more so than completed ones. We can capitalize on this by shifting our focus between two tasks (either prompted by timers or boredom) – such as switching between picking up trash to folding clothes, keeping the momentum going if we feel like we’re slowing down. 

Cleaning is not innate, it is often taught to us as an obligatory task, or even punishment, rather than a form of caring for ourselves. Tracking our habits by using an app (‘Finch’ is one of my favorites) can help us tackle small tasks each day to avoid ‘doom piles’ of laundry or big cleaning projects building up in the future.

Overall, this boils down to grace. We cannot start a sustainable habit through shame or self-hatred. Much like how ‘panic cleaning’ before guests arrive doesn’t help us maintain cleaning habits in the future. 

Therapist KC Davis beautifully describes how we can take the shame away from the concept of clutter and cleaning. Be kind to yourself, and know that it’s a process. 

References 

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The Hidden Cost of Always Being the Easygoing One

We all love to be liked. There’s something comforting about being seen as the dependable one: the friend who listens, the co-worker who helps, the sibling who never makes a fuss. But here’s the question no one asks out loud: What if being “nice” is actually hurting you?

When Being Nice Becomes a Disguise

On the surface, being agreeable sounds like a strength. It’s tied to warmth, empathy, and cooperation—all things we value in relationships. But when being nice turns into people-pleasing, things start to get murky. You smile when you’re exhausted. You say yes when every fiber of your being is begging to say no. You avoid conflict like the plague, even if it means betraying yourself in the process.

Over time, this kind of chronic self-sacrifice doesn’t just wear you down—it can lead to burnout, anxiety, and a growing sense that you’re fading into the background of your own life.

How to Be Kind Without Losing Yourself

If this resonates, you’re not alone—and you’re not stuck. Here are three ways to begin shifting from pleasing to authenticity:

  1. Start with the small stuff.
    You don’t need to overhaul your life overnight. Practice saying “no” in low-stakes moments. Disagree gently with a friend. Turn down a non-essential favor. These micro-conflicts are like reps for your emotional muscles—they build strength over time.
  2. Set boundaries with warmth.
    Being kind doesn’t mean being available 24/7. You can say, “I care about you, but I need to rest tonight,” and still be a good person. In fact, that’s real kindness—one that includes you in the equation.
  3. Ask yourself: Who gains from my silence?
    Every time you bite your tongue or avoid rocking the boat, pause and ask: Who benefits from me staying quiet—and what is it costing me? The answers can be eye-opening.

Redefining “Nice”

The truth is, real kindness isn’t about being agreeable at all costs. It’s about being genuine. And sometimes, that means being uncomfortable, setting limits, and even disappointing others to stay true to yourself.

When we bend ourselves to fit what others want, we slowly disappear. But when we show up as our full selves—with opinions, limits, and needs—we stop performing and start living.

One Small Step: Try This

Start a boundary journal this week. Write down the moments you said “yes” when you wanted to say “no.” Then jot down what you wish you’d said instead. This small act of reflection can open the door to big change. Because yes, being liked feels good. But being real? That’s where the freedom lives.



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Nine Ways to Be Good to Yourself Starting Today

It’s easy to feel overwhelmed. That’s why taking care of yourself isn’t a luxury; it’s a necessity.

Practicing self-care helps you stay grounded, present, and mentally strong. When you nurture your own well-being, you’re better equipped to support the people around you. If you’ve been putting yourself last, here are nine simple, powerful ways to start being good to yourself—today.

Focus on Today

Let go of the past and stop worrying about tomorrow. You can’t change yesterday, and the future will unfold in its own time. Focus on what you can do right now. Staying present helps reduce anxiety and brings clarity to your day.

Spend Time in Nature

Step outside. Whether it’s a walk in the park, a stroll by the water, or sitting under a tree, nature has a calming effect. Pause and notice the flowers, the breeze, the colors, the scents. It’s a simple way to reconnect with peace.

Do Something Creative

Engage in a hobby that makes you lose track of time. Paint, write, play music, garden, or build something with your hands. Doing what you love without pressure or deadlines is a powerful form of self-care.

Move Your Body

Exercise is one of the best mood boosters. Whether it’s yoga, walking, dancing, or a workout at the gym, find a way to move that you enjoy. It helps release tension and boosts feel-good hormones.

Eat Mindfully

Nourish yourself with healthy food and stay hydrated. But don’t just eat—savor each bite. Notice the flavors, textures, and smells. Eating mindfully helps you feel more satisfied and connected to your body.

Feed Your Mind Wisely

Be careful what you consume—not just in food, but media too. Limit exposure to distressing news and choose uplifting, educational, or inspiring content. A healthy mind starts with healthy input.

Practice Gratitude

Take a moment each day to list a few things you’re thankful for. Gratitude shifts your mindset, improves your mood, and helps you focus on the good, even when life feels heavy.

Help Someone Else

A simple act of kindness can change your entire outlook. Smile at someone, hold the door, or help a neighbor. Helping others doesn’t just lift them up—it lifts you, too.

Create a Calming Bedtime Routine

Good sleep is vital. Wind down at night with a relaxing routine—maybe a warm bath, reading a book, or doing gentle stretches. Quality sleep helps your brain and body recharge so you can face a new day with energy.

Final Thoughts

You don’t need expensive retreats or luxury products to take care of yourself. These nine practices are simple, free, and powerful ways to show yourself love and kindness. Start with just one today—and keep going.



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How to Break a Bad Habit: It’s Not About Stopping, It’s About Substituting

We all have bad habits, from biting nails to checking our phones too often. Breaking them isn’t about sheer willpower; it’s about replacing them with healthier behaviors. Let’s explore how to rewire your brain and break free from those old patterns.

Key Steps to Breaking a Bad Habit

  1. Know Your Triggers: Habits start with triggers—whether it’s stress, boredom, or a specific environment. Identify what sets off your behavior, and it becomes easier to intervene before it takes hold. For example, if you bite your nails while watching TV, recognize the boredom or stress that triggers it.

  2. Plan a Substitute Behavior: Instead of stopping a habit cold turkey, replace it with something healthier. If you drink too much wine after work, try a mocktail instead. Having a planned substitute behavior reduces the chances of falling back into the old habit.

  3. Track Your Emotional State: Bad habits often thrive on emotional vulnerability. Check in with yourself regularly to gauge your emotional state. Are you stressed or anxious? If you can catch yourself early, you’re more likely to avoid the habit.

  4. Address the Underlying Problems: Bad habits often mask deeper issues like anxiety or stress. If you deal with the root cause—whether through therapy, exercise, or relaxation techniques—your habits are more likely to fade over time.

  5. Expect Setbacks: Breaking a habit isn’t linear. Don’t be discouraged by slip-ups. Keep going, and be kind to yourself during the process.

  6. Have Support: Accountability is crucial. Find someone who can check in with you, offer encouragement, and remind you of your progress when you slip.

Rewiring Your Brain

Breaking a bad habit is all about rewiring your brain. By recognizing triggers, planning replacements, and addressing emotional issues, you can create new, healthier habits that stick. It’s not about willpower; it’s about consistency and self-compassion. 

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Self-Injury Awareness Day

By: Claire Butcher

Self-harm is when an individual injures themselves on purpose and is a sign of emotional distress. Self-injury can develop into a coping skill to ease complicated feelings and other mental health struggles. Self-harming can also be a way for people to manage big emotions, provide a release of pain-killing endorphins, or feel something ‘real’ if feeling emotionally ‘numb.’

Research shows that self-injury occurs in approximately 5% of adults in America and 17% of teens, with a higher risk for BIPOC and LGBTQIA+ communities and college-aged adults. However, due to mental health stigma, these statistics are likely underreported. Forms of self-harm can look like – but are not limited to the following:

  • Cutting skin
  • Hitting yourself
  • Burning skin
  • Picking at wounds
  • Pulling out hair
  • Using binge eating, drinking, or drug use to self-harm

‘Do’s and Don’ts’ of Talking To Someone Who Self-Harms

DO:

  • Stay calm – it might be activating to hear someone is harming themselves, but reacting with big emotions can show the person struggling that it may not be safe to share with others in the future
  • Validate Feelings – acknowledging the person’s feelings can show them it’s okay to talk about their mental health and reach out for help
  • Offer a Listening Ear – routinely checking in on people struggling with mental health can make a great difference in the healing process
  • Help them Access Support – if the person is willing, gently recommend beginning talk therapy and provide crisis and community resources

DON’T:

  • Judge – it takes a great deal of vulnerability and strength to tell someone you’re self-harming, and judgment will feed into the cycle of self-injury and shame
  • Force them to Stop – sometimes self-injury is one of the only coping skills people have, so it’s important to explore how we can reduce harm and add in new skills 
  • Sugar-Coat – saying ‘you’ll be okay tomorrow’ or dismissing self-harm can be invalidating to someone’s experience, especially one that is as serious as self-injury 
  • Try and Find Answers – you don’t have to know all the answers, and the person who has shared this with you may just want to feel heard and supported

Grounding Tools and Harm-Reduction for Self-Injury

Managing difficult feelings, numbness, and feeling ‘activated’ can take many forms, ranging from harm reduction that mimics the same sensations as self-harm to other techniques to release or regulate energy. Engaging in DBT—Dialectical Behavioral Therapy—can help build a toolbox of skills to manage big feelings, directing energy to healthier long-term outlets. 

Here are some examples of grounding skills to replace self-harm:

  • Hold ice cubes
  • Take a hot or cold shower
  • Exercise 
  • Punch pillows
  • Tear up paper or magazines 
  • Do breathing exercises
  • Draw, paint, or put stickers on skin
  • Hug a stuffed animal or loved one
  • Play with a pet
  • Call a friend
  • Eat spicy food, sour candy, or strong mints
  • Pick up a random object and take time to notice its color, texture, and other characteristics
  • Engage in creative outlets (coloring, drawing)
  • Make a comforting hot drink

Feel free to get creative with harm reduction! If you engage in cutting, try to reduce harm by making and squeezing a ball of tinfoil to mimic the ‘pokey’/sharp feeling. Here are some fidgets made to promote harm-reduction. 

References:

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Stop Overthinking: 6 Ways to Take Action and Achieve More

Overthinking can be a bigger threat to success than failure itself. It’s easy to get stuck in endless planning and analyzing, but nothing gets done until you take action. Here’s how to break free from the Overthinker’s Paradox and start making real progress.

  1. Create a 30-Minute MVP

Start small. Build your first version of a project in just 30 minutes. Don’t aim for perfection—focus on making it useful and functional. If 30 minutes doesn’t work, try two hours. Keep it simple and avoid getting stuck in the details.

  1. Celebrate What You Delete

The sunk costs bias can keep you attached to ideas that aren’t working. Instead of feeling bad about deleting work, celebrate it! Let go of what doesn’t work so you can move forward and improve.

  1. Share Your Failures

Don’t be afraid to show your mistakes. Whether at work or in personal projects, sharing failed experiments helps you learn and grow. Keep a log of what you’ve abandoned to remind yourself that progress comes from trying and adjusting.

  1. Label Edge Cases

Overthinkers often get caught up in unlikely “edge cases” that may never happen. When you find yourself obsessing over these, simply label them as edge cases and move on. Focus on what really matters at this stage.

  1. Feedback Means You’re Moving Forward

If you’re getting feedback, even about what isn’t working, it’s a good sign. It shows people are engaging with your work, and you’re making progress. Embrace it as a tool for improvement.

  1. Iterate Fast, Skip the Hustle Culture

Move quickly, but without the pressure of hustle culture. Rapid experimentation leads to growth, but you don’t need to burn yourself out. Stay productive at your own pace and learn from each step.

Final Thoughts: Action Over Perfection

Overthinking traps us in endless possibilities. To succeed, take action, learn from mistakes, and keep improving. The key to overcoming the Overthinker’s Paradox is simple: stop thinking, start doing.



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