Self-harm, also known as self-injury or cutting, is a topic that many people find difficult to discuss, but it’s a reality that affects a significant number of adolescents. During the teenage years, young people experience emotional, social, and physical changes that can sometimes feel overwhelming. For some, self-harm becomes a coping mechanism to deal with complex emotions like sadness, frustration, or anxiety. 

While self-harming behaviors are often misunderstood, understanding why they happen, how to recognize the signs, and what steps to take can make a huge difference in supporting a teen through this challenging period of their life.

When it comes to therapy, most people are familiar with approaches that address emotional dysregulation—helping individuals manage overwhelming feelings and impulsive behaviors. But what about those who feel the opposite? Individuals who pride themselves on control and self-discipline but find that their perfectionism, rigidity, or emotional restraint leads to disconnection and isolation?

That’s where Radically Open Dialectical Behavior Therapy (RO-DBT) comes in. Developed by Dr. Thomas Lynch, RO-DBT is designed for people whose emotional overcontrol limits their ability to connect with others and live authentically. If you’re curious about how this groundbreaking therapy works, here are four key things to know.