How to Confidently Bring Up Self-Harm with Your Therapist as a Minor

Bringing up sensitive topics like self-harm can feel overwhelming, especially when you are a minor. You may worry about the response from your therapist, the potential consequences, and how your parents might react. However, open communication with your therapist is crucial for effective treatment and support. Here are some strategies to help you address this topic with confidence.

Direct Communication is Key

“You know sometimes all you need is twenty seconds of insane courage. Just literally twenty seconds of just embarrassing bravery. And I promise you something great will come of it.” - Benjamin Mee, I Bought a Zoo

Often, the hardest part of bringing up sensitive topics is the initial hesitation. But remember, your therapist is there to help you, and they have likely encountered many similar situations. By being direct, you set the stage for a productive conversation.

Initiate the Dialogue

One way to begin the conversation is by saying, “There are things I want to talk to you about but I can’t bring myself to say them.” This honest approach can help start a discussion about why it’s difficult for you to bring up these topics. Many therapists are experienced with clients who struggle to share difficult information.

Discuss Confidentiality Concerns

If you are concerned about your parents finding out, it’s important to have a conversation about confidentiality. Start by discussing what types of information are shared with your parents and under what conditions. This can help you understand the therapist’s role in maintaining your confidentiality while also addressing your concerns.

Communicate Clearly and Calmly

When talking to your therapist about self-harm, be clear and calm. You might say:> “I have a hard time telling you this but as a therapist I know you’ve heard it before. I’m doing some self-harm stuff. It’s not an emergency and I’m not in danger of ending my life. I just need to talk about how to stop doing it. My parents would be freaked out if they knew and I don’t trust them to handle it OK. Can we keep this confidential for now please?”

Because they must report it if your life is in danger, it is the professional standard of care and it is even the law in many places.

Professional Support

Your therapist can provide support and guidance through the process of addressing these concerns. They can help you develop strategies to address your self-harm behaviors and build trust with your parents if necessary. Remember, the goal is to find a way to support your mental health and safety.

Conclusion

Bringing up self-harm with your therapist is an important step toward healing and recovery. By being direct, discussing confidentiality, and communicating clearly, you can initiate a productive conversation that will help you get the support you need. Take the first step today, and remember, your therapist is there to help you.

Frequently Asked Questions (FAQs)

Is self-harm an emergency? No, but it’s important to address it promptly. Your therapist can provide the support you need to manage your emotions and behaviors effectively. Can I keep my self-harm activities confidential? Your therapist must maintain confidentiality, but they are required to report any threats to your safety. Discuss this with your therapist to understand their policy. How can I build trust with my parents? Open communication and a gradual approach can help. Your therapist can guide you in discussing your self-harm behaviors in a safe and supportive manner.

Keywords

- self-harm- teenage therapy- minor confidentiality

References

- Benjamin Mee, I Bought a Zoo