Self-Harming for Attention, Adolescence, and CPTSD Restlessness
Psychology In Seattle Podcast
Kirk Honda
4.6 • 1.2K Ratings
🗓️ 7 May 2025
⏱️ 51 minutes
🧾️ Download transcript
Summary
This episode is sponsored by BetterHelp. Give online therapy a try at betterhelp.com/KIRK to get 10% off your first month.
00:00 Should I address self-harm in clients?
14:01 Grief from drawing boundaries
24:49 How can therapists prepare for a recession?
34:20 Is restlessness with C-PTSD common?
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May 7, 2025
The Psychology In Seattle Podcast ®
Trigger Warning: This episode may include topics such as assault, trauma, and discrimination. If necessary, listeners are encouraged to refrain from listening and care for their safety and well-being.
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Transcript
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| 0:00.0 | So Bob emails, what do you say? |
| 0:01.4 | Yes. |
| 0:02.3 | Anonymous patron, she says, |
| 0:04.0 | In episodes about self-harm, you've mentioned that it is very rare for someone to harm themselves to get attention. |
| 0:10.5 | I am someone who self-harms to try to get attention and care from my therapist, |
| 0:15.2 | along with using it for emotional management, self-punishment, control, and other reasons. |
| 0:20.2 | I'm so ashamed of this, |
| 0:21.8 | and I haven't told her about this aspect of my self-harm. The way I make sense of it is because |
| 0:28.6 | as a child, I was very isolated, and I often longed for someone to know about the severe abuse |
| 0:33.6 | I was experiencing and put a stop to it. I believe that part of me wants my therapist to |
| 0:38.6 | notice and care enough to somehow stop the harm that is happening in the present, the same way |
| 0:43.1 | I wanted someone to intervene when I was a kid. I know that she can ever fulfill this childhood |
| 0:47.6 | need of mind, and in fact, she does not mention any of my wounds even if she sees them on my body. And in fact, she does not mention any of my wounds, even if she sees them on my body. And in fact, she does not mention |
| 0:56.0 | any of my wounds, even if she sees them on my body. Often, neither of us is talking about very |
| 1:02.4 | obvious self-inflicted injuries. And that makes me feel like she doesn't really care. |
| 1:07.7 | But I think she's trying to not reinforce the behavior by giving it attention. |
| 1:11.9 | If that is her strategy, it's kind of backfiring because I will end up, I will up the ante |
| 1:17.8 | and make a more serious injury for her to see. I hate that I do this and I want to stop, |
| 1:23.8 | and I feel powerless to do so. I love my therapist and I know she loves me. |
| 1:28.2 | I don't want her to feel manipulated though. What would I, what would you recommend I do? |
| 1:33.9 | How can I heal this part of me? And what do you recommend therapists do when a client is |
| 1:38.8 | self-harming for attention? Thank you so much. Your podcast has helped me a great deal. |
... |
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