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Published on: 4/7/2025

Is Self Harm Addiction?

While self-harm may feel like an addiction due to strong, recurring urges to self-injure, it differs fundamentally from drug or alcohol addiction. Though both involve cravings and habitual behaviors, the underlying reasons for these behaviors are distinct.

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Explanation

Self-harm can resemble an addiction since people may feel intense urges to hurt themselves repeatedly and experience cravings similar to those who use substances. However, self-harm differs fundamentally from drug addiction. People who self-harm typically do so to cope with intense emotions, emotional pain, or stress—not to achieve a high like substance users do. Instead, self-harm acts as a release valve for overwhelming feelings. The emotional relief from self-harm can be intense and immediate, which may make it feel addictive. However, unlike true addictions, self-harm doesn't create physical dependence or tolerance, where increasing amounts are needed to achieve the same effect. The brain's reward system isn't activated in the same way it is with drug or alcohol dependence. Treatment for self-harm focuses on learning healthier ways to manage emotions, such as talking with trusted people or practicing mindfulness techniques. These approaches help break the cycle of self-harm by replacing harmful habits with more effective coping strategies.

(References)

  • Tantam D, Whittaker J. Personality disorder and self-wounding. Br J Psychiatry. 1992 Oct;161:451-64. doi: 10.1192/bjp.161.4.451. PMID: 1393332.

  • Victor SE, Glenn CR, Klonsky ED. Is non-suicidal self-injury an "addiction"? A comparison of craving in substance use and non-suicidal self-injury. Psychiatry Res. 2012 May 15;197(1-2):73-7. doi: 10.1016/j.psychres.2011.12.011. Epub 2012 Mar 6. PMID: 22401975; PMCID: PMC3625678.

  • Blasco-Fontecilla H, Artieda-Urrutia P, Berenguer-Elias N, Garcia-Vega JM, Fernandez-Rodriguez M, Rodriguez-Lomas C, Gonzalez-Villalobos I, Iruela-Cuadrado L, de Leon J. Are major repeater patients addicted to suicidal behavior? Adicciones. 2014;26(4):321-33. PMID: 25580865.

  • Blasco-Fontecilla H, Fernández-Fernández R, Colino L, Fajardo L, Perteguer-Barrio R, de Leon J. The Addictive Model of Self-Harming (Non-suicidal and Suicidal) Behavior. Front Psychiatry. 2016 Feb 1;7:8. doi: 10.3389/fpsyt.2016.00008. PMID: 26869941; PMCID: PMC4734209.

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