I have a question for anyone who has dealt with people who cut themselves?!

I have a question for anyone who has dealt with people who cut themselves?

i work with a girl with this problem. she's 23, i'm 47. help me understand why she does this! she talks about it a little. she denied that she still does it, but recently admitted that she does it still. i've heard that it is a "control" thing with self. please help me understand this

Here's an excerpt from one of my previous answers that I hope explains some of the reasons, but every person is different:


There are multiple reasons why people self-mutilate and each case needs to be explored individually. The most common reason is that it occurs in order to induce a dissociative state and assists people who have been traumatized with achieving a state of emotional numbness and you hear it described as soothing for them. The physiological basis for it stems from the release of endorphins-the brain's natural painkillers-which function much like opiates and dull the experience of emotional pain. Other reasons include the opposite rationale-people who feel numb emotionally and who have shut down will self-mutilate in order to feel something and remember they are alive. Some people, particularly those who are in abusive situations, injure themselves as a way to exert control over when and how the pain is experienced. Others do it for self-punishment and feel relief from guilt or shame and see the letting of blood as a way to purge themselves of guilt. It may be a way of re-enacting and attempting to master early traumatic experiences This often happens during a dissociative state where people are recalling experiences which were traumatizing and they feel a need to punish/purge themselves for what they often mistakenly believe they have done wrong. There are also folks who do it as a way to cope with unrelenting chronic physical pain from other sources as it creates an alternative pain that distracts them from the chronic pain (think of the principle behind how a TENS unit works). In more rare instances it can be a response to psychotic states where folks are responding to command hallucinations or believe they are purging themselves from some evil inside them. There are other less common reasons, depending on the form of self-mutilation (eye enucleation, castration, etc.) that tend to be symbolic in nature. But most commonly it is done in response to increased feelings of tension with which the individual cannot cope and it becomes a way for them to dissociate their emotional pain and achieve an emotional numbing. The goal of treatment is to fully understand the reasons that sustain the behavior and in the latter case (the most common) to help people develop affect tolerance and the ability to cope with and soothe their emotional pain in healthier ways.