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Introduction: The Connection Between Borderline and Self-Injury
In the deep psychological consideration of the Borderline syndrome A particular phenomenon stands out: the Self-injurious behaviour. It is a classic, almost archetypal image that has manifested itself in our collective consciousness. When we hear the term ‘borderline’, we are almost inevitably confronted with the image of people harming themselves.
Statistical overview: Dissemination and figures
The interweaving of Borderline Personality Disorder (BPS) and self-injurious behavior is a profound issue that is strongly present in both public perception and clinical practice. Statistics show that about 70-75 % People with borderline personality disorder experience self-harm during their lifetime. These actions range from cuts to burns and other forms of physical self-harm.
Development phase: Self-harm in adolescence
Interestingly, it turns out that self-harm is not only limited to BPS, but also in other mental illnesses such as depression, Eating disorders and Anxiety disorders occurs. This Self-injurious behaviour It often occurs in adolescence and can last into adulthood. Studies have shown that about 8 % The teen may self-harm, with the actual number being higher due to underreporting.

Beyond the picture: Various Forms of Self-Injury
But it would be a fallacy to reduce self-injurious behavior exclusively to physical injuries with sharp objects. Reality is more complex and complex. Self-harm can come in various forms – pouring boiling water, expressing cigarettes on the skin, to name a few. For me personally, this behavior manifested itself in rapid weight gain, a double form of self-harm that works both physically and psychologically.
Causes and motivations: A deeper look
The reasons for self-injury are many. Some research suggests that they may be a form of self-calming or a means to alleviate unbearable emotional states. In people with BPS, this may be an attempt to relieve internal tension or feelings of emptiness and dissociation to cope.
Neurobiological perspectives: The Brain and Self-Injury
In addition to the emotional aspect, neurobiological factors also play a role. Researchers have found that self-injurious behavior may be related to a change in brain chemistry, particularly dysregulation in the brain. Serotonin system. This may explain why some people experience immediate emotional relief after self-harm.

Therapeutic approaches: From DBT to self-care
Treating self-injurious behavior associated with BPS is often complex and requires a multifactorial approach. Dialectical Behavioral Therapy (DBT) has proven to be particularly effective as it aims to develop coping strategies to deal with emotional fluctuations without harming oneself.
Personal experience: Learning to deal with emotions
In my personal experiences and conversations with professionals, it became clear that the examination of one's own emotional state and the learning of Self-care techniques are crucial. Regular therapy and the development of awareness of one's own feelings and reactions can lead to an improvement in the long term.
Social responsibility: Enlightenment and understanding
It is important that we as a society develop a deeper understanding and more compassion for people with self-harming behaviors. By informing and sensitizing ourselves, we can help break the stigma.
Your Sasha
Tips:
Dealing with self-harming behavior requires sensitivity, understanding, and often professional support. Here are some tips on how to deal with this situation:
- Show understanding: Try not to condemn or criticize the person. Self-harming behavior is often an expression of deep emotional pain.
- Listen and offer support: Listen without judgment and offer emotional support and understanding.
- Looking for professional help: Encourage the person to seek professional help. A therapist or psychologist may offer appropriate treatment methods.
- Inform and raise awareness: Inform yourself about the topic in order to better understand what the affected person is going through.
- Ensuring safety: If the self-harm is serious or threatens the person's life, seek medical help immediately.
- Show patience: The path of healing can be long. Show patience and understanding for the process.
- Practicing Self-Care: Don't forget to also take care of your own well-being, especially if you're close with someone who hurts themselves.
Links:
Here is a list of resources and aid organizations that can provide support:
- Telephone counselling: Provides anonymous and confidential advice around the clock. Telephone: 0800/1110111 or 0800/1110222.
- German depression relief: Information and support for people with depression. Website: german-depressionshilfe.de
- Number against grief: Especially for children and young people. Telephone: 116 111.
- Federal Conference for Educational Counselling (bke): Online counselling for young people and parents. Website: bke-beratung.de
- Nacoa Germany: Advice for children from addictive families. Telephone: 0800 6226228.
Please note that this is only a selection of resources and there may be other specific offers in your area. It is important that affected persons and their relatives are not afraid to seek help.
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