The Psychology of Self-Injury: Exploring Self-Harm & Mental Health Podcast Por Nicholas J. Westers Psy.D. ABPP arte de portada

The Psychology of Self-Injury: Exploring Self-Harm & Mental Health

The Psychology of Self-Injury: Exploring Self-Harm & Mental Health

De: Nicholas J. Westers Psy.D. ABPP
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Why do people self-injure? And what is the best way to respond when someone tells us they self-injure? Dr. Nicholas Westers, a clinical psychologist at Children's Health and Associate Professor at the University of Texas Southwestern Medical Center, collaborates with the International Society for the Study of Self-Injury (ISSS) to interview the leading experts in the field of self-injury and self-harm as well as individuals with lived experience of self-injury and parents and family members of those who have self-injured. This podcast is meant to be a resource for parents, professionals, and people with lived experience.2021 The Psychology of Self-Injury Ciencia Ciencias Sociales Higiene y Vida Saludable Psicología Psicología y Salud Mental Relaciones
Episodios
  • Emotion Regulation Group Therapy (ERGT) for Self-Harm (Re-Release)

    Emotion Regulation Group Therapy (ERGT) for Self-Harm (Re-Release)
    Feb 27 2026
    A lot of therapies address the context in which nonsuicidal self-injury (NSSI) and self-harm may occur, but only a few treatments have been designed to address NSSI specifically. In this episode, we dive into one of these treatments: Emotion Regulation Group Therapy (ERGT). Drs. Kim Gratz and Matthew Tull from the University of Toledo in Ohio walk us through in significant detail each of the 90-minute 14 sessions of ERGT. You can purchase their book "Acceptance-based emotion regulation therapy: A clinician’s guide to treating emotion dysregulation and self-destructive behaviors using an evidence-based therapy drawn from ACT and DBT" on Amazon here or at New Harbinger Publications here. Connect with Dr. Gratz on LinkedIn here and Dr. Tull here. Below are links to their research on ERGT referenced in this episode: Gratz, K. L., & Gunderson, J. G. (2006). Preliminary data on an acceptance-based emotion regulation group intervention for deliberate self-harm among women with Borderline Personality Disorder. Behavior Therapy, 37(1), 25-35.Gratz, K. L., & Tull, M. T. (2011). Extending research on the utility of an adjunctive emotion regulation group therapy for deliberate self-harm among women with borderline personality pathology. Personality Disorders: Theory, Research, and Treatment, 2(4), 316–326.Gratz, K. L., Tull, M. T., & Levy, R. (2014). Randomized controlled trial and uncontrolled 9-month follow-up of an adjunctive emotion regulation group therapy for deliberate self-harm among women with borderline personality disorder. Psychological Medicine, 44, 2099–2112.Gratz, K. L., Bardeen, J. R., Levy, R., Dixon-Gordon, K., L., & Tull, M. T. (2015). Mechanisms of change in an emotion regulation group therapy for deliberate self-harm among women with borderline personality disorder. Behaviour Research and Therapy, 65, 29-35.Sahlin, H., Bjureberg, J., Gratz, K. L., Tull, M. T., Hedman, E., Bjarehed, J., Jokinen, J., Lundh, L., Ljotsson, B., & Hellner, C. (2017). Emotion regulation group therapy for deliberate self-harm: A multi-site evaluation in routine care using an uncontrolled open trial design. BMJ Open, 7(10), e016220. Follow Dr. Westers on Instagram and Twitter (@DocWesters). To join ISSS, visit itriples.org and follow ISSS on Facebook and Twitter (@ITripleS). The Psychology of Self-Injury podcast has been rated #5 by Feedspot in their "Best 20 Clinical Psychology Podcasts" and by Welp Magazine in their "20 Best Injury Podcasts."
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    1 h y 40 m
  • Self-Injury in Schools (Re-Release)

    Self-Injury in Schools (Re-Release)
    Jan 30 2026
    How can schools appropriately respond to students who engage in nonsuicidal self-injury (NSSI), whether the behavior occurs at home, on school grounds, or elsewhere? What protocols exist to support schools to better respond to students who self-injure? What role does liability play? In this episode, Dr. Nancy Heath of McGill University in Montreal, Canada explains how schools can support students who engage in self-injury and self-harm.Learn more about Dr. Heath's work here, and learn more about her work with the Development and Intrapersonal Resilience (DAIR) Research Team here. Learn more about the International Consortium on Self-Injury in Educational Settings (ICSES) at http://icsesgroup.org/.Self-injury Outreach & Support (SiOS) offers resources for schools here and a list of do's and don'ts here. Visit SiOS at http://sioutreach.org and follow them on Facebook (www.facebook.com/sioutreach) and Twitter (https://twitter.com/sioutreach).Below are links to some of Dr. Heath's research as well as resources referenced in this episode:Hasking, P. A., Bloom, E., Lewis, S. P., & Baetens, I. (2020). Developing a policy, and professional development for school staff, to address and respond to nonsuicidal self-injury in schools. International Perspectives in Psychology: Research, Practice, Consultation, 9(3), 176.Berger, E., Hasking, P., & Reupert, A. (2015). Developing a policy to address nonsuicidal self-injury in schools. Journal of School Health, 85(9), 629-647.Lloyd-Richardson, E. E., Hasking, P., Lewis, S.P., Hamza, C., McAllister, M., Baetens, I., & Muehlenkamp, J. (2020). Addressing self-injury in schools, part 1: understanding nonsuicidal self-injury and the importance of respectful curiosity in supporting youth who engage in self-injury. NASN School Nurse, 35(2), 92-98.Lloyd-Richardson, E. E., Hasking, P., Lewis, S.P., Hamza, C., McAllister, M., Baetens, I., & Muehlenkamp, J. (2020). Addressing self-injury in schools, part 2: how school nurses can help with supporting assessment, ongoing care, and referral for treatment. NASN School Nurse, 35(2), 99-103.Lewis, S. P., Heath, N. L., Hasking, P. A., Hamza, C. A., Bloom, E. L., Lloyd-Richardson, E. E., & Whitlock, J. (2019). Advocacy for improved response to self-injury in schools: A call to action for school psychologists. Psychological Services, 17(S1), 86–92.De Riggi, M. E., Moumne, S., Heath, N. L., & Lewis, S. P. (2017). Non-suicidal self-injury in our schools: a review and research-informed guidelines for school mental health professionals. Canadian Journal of School Psychology, 32(2), 122-143.Whitlock, J. L., Baetens, I., Lloyd-Richardson, E., Hasking, P., Hamza, C., Lewis, S., Franz, P., & Robinson, K. (2018). Helping schools support caregivers of youth who self-injure: Considerations and recommendations. School Psychology International, 39(3), 312-328.Hasking, P. A., Heath, N. L., Kaess, M., Lewis, S. P., Plener, P. L., Walsh, B. W., .Whitlock, J., & Wilson, M. S. (2016). Position paper for guiding response to non-suicidal self-injury in schools. School Psychology International, 37(6), 644-663. Open access here.Book: Self-Injury in Youth: The Essential Guide to Assessment and Intervention (2008) by Drs. Mary Nixon & Nancy HeathFollow Dr. Westers on Instagram and Twitter/X (@DocWesters). To join ISSS, visit itriples.org and follow ISSS on Facebook and Twitter/X (@ITripleS).The Psychology of Self-Injury podcast has been rated as one of the "10 Best Self Harm Podcasts" and "20 Best Clinical Psychology Podcasts" by Feedspot and one of the Top 100 Psychology Podcasts by Goodpods. It has also been featured in Audible's "Best Mental Health Podcasts to Defy Stigma and Begin to Heal."
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    48 m
  • What Role Does Blood Play in Self-Injury?, with Dr. Christian Schmahl

    What Role Does Blood Play in Self-Injury?, with Dr. Christian Schmahl
    Dec 25 2025

    In this episode, Dr. Christian Schmahl from Heidelberg University and Mannheim, Germany, answers a listener's question and talks about his experimental research assessing how seeing blood affects heart rate and arousal among both those who engage in nonsuicidal self-injury (NSSI) and those who don't. He also shares insights into the role of self and blood in ritual and nonritual self-injury, including examples from different cultures about how they may interpret blood differently in the context of self-harm and even trance-like states.

    To learn more about Dr. Schmahl and his work, visit here. To stay up-to-date on next year's ISSS conference in Stockholm, Sweden (Wed-Fri June 24-26, 2026), visit https://www.itriples.org/conferences. Below are a few papers referenced in today's episode:

    1. Glenn, C. R., & Klonsky, E. D. (2010). The role of seeing blood in non-suicidal self-injury. Journal of Clinical Psychology, 66(4), 466-473.
    2. Naoum, J., Reitz, S., Krause-Utz, A., Kleindienst, N., Willis, F., Kuniss, S., Baumgartner, Ulf, Mancke, F., Treede, R.-D., & Schmahl, C. (2016). The role of seeing blood in non-suicidal self-injury in female patients with borderline personality disorder. Psychiatry Research, 246, 676-682.
    3. Stacy, S. E., Pepper, C. M., Clapp, J. D., & Reyna, A. H. (2022). The effects of blood in self-injurious cutting: Positive and negative affect regulation. Journal of Clinical Psychology, 78(5), 926-937.
    4. Hornbacher, A., Sax, W., Naoum, J., & Schmahl, C. (2023). The role of self and blood in ritual and nonritual self-injury. In E.E. Lloyd-Richardson, I. Baetens, & J. Whitlock (Eds.), The Oxford handbook of nonsuicidal self-injury (pp. 468-480). Oxford University Press.

    Follow Dr. Westers on Instagram and Twitter/X (@DocWesters). To join ISSS, visit itriples.org and follow ISSS on Facebook and Twitter/X (@ITripleS).

    The Psychology of Self-Injury podcast has been rated as one of the "10 Best Self Harm Podcasts" and "20 Best Clinical Psychology Podcasts" by Feedspot and one of the Top 100 Psychology Podcasts by Goodpods. It has also been featured in Audible's "Best Mental Health Podcasts to Defy Stigma and Begin to Heal."
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    42 m

Featured Article: The Best Mental Health Podcasts to Defy Stigma and Begin to Heal


Mental illnesses are as varied and unique as the people who live with them. Substance abuse, depression, anxiety, post-traumatic stress disorder, obsessive-compulsive disorder, and many other conditions all fall under the umbrella of mental illness. But even those who do not have a diagnosable condition may struggle with their mental health from time to time. Mental health podcasts can still be a valuable and reassuring resource for many.

Featured Article The Best Mental Health Podcasts to Defy Stigma and Begin to Heal
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I am a professional and work in residential treatment. I was new to handling incidents on self harm from our clients & I wanted to seek understanding on this topic. This podcast is amazing & I have learned a lot to which I take with me into my practice.

Amazing

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I'm so glad this podcast exists and I believe societies need to have this discussion and follow this science and improve our methods of responding to NSSI. Thank you Dr. Westers and everyone contributing to this.

This is incredible work!

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