Can underlying psychological factors contribute to self-harming behaviors?

Question

Hello doctor,

Usually, when I am angry or hurt, I find myself digging my nails into the skin of my hands as a way to calm down. It is not because I am feeling depressed or anything. However, today I did it when I had a stomach ache and felt very unwell. I am wondering if this behavior qualifies as self-harm.

As a boxer, after every practice, I always punch the heavy bag without any protection, simply because I crave the pain. Initially, I thought I did it to appear strong to others, but over time, I have come to realize that it is not the case. Whenever someone notices the bruises on my knuckles, I feel uncomfortable and prefer not to discuss them. Additionally, I occasionally punch my bathroom wall without any hand protection. I am not sure why I do it, but it is as if I derive some strange satisfaction from the pain or the need to confirm that I can experience pain. I am uncertain if this would be considered self-harm.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I have read your description, and I am sorry to hear that you are experiencing repeated bruising due to underlying psychological factors. While I hesitate to label it as a disorder, I believe further evaluation is necessary to understand and address the root causes of this behavior. It is evident that the behavior you described qualifies as self-harm. I have encountered similar behavior in many of my patients, and through a thorough evaluation, we have often uncovered psychological pain that is being numbed by self-inflicted harm. I strongly recommend that you seek the assistance of a psychiatrist in your local area who can help determine the underlying causes and processes behind this behavior. If you are facing difficulties finding qualified help or lack insurance coverage, you can consider approaching me for online video consultations. I would be more than happy to provide assistance.

Thank you for choosing icliniq. I am happy to help you and will always be available whenever you need me at icliniq.com.