About self-aggression as a form of tension regulation, about myths and how to seek support instead of judgment.
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Self-aggression is not a demonstration — it is an attempt to deal with tension
Self-harm or self-aggressive behavior, as intentionally harming oneself, is most often a way of coping with problems in one's life and the tension that accompanies them. In people on the spectrum, it is usually not a demonstration or seeking the attention of the environment. However, it can be a cry for help. They are more likely to self-harm compared to the rest of the population. There are Autistic people who regularly do such things to themselves and it is repetitive. Some of them, in turn, may react in this way to specific, sudden situations, which are too overburdened for them. And it is not always conscious of it at a given moment. It is a myth that such behaviors only affect children with autism and multiple intellectual disabilities. Adults who are fully mentally fit also show this type of reaction. They often encounter misunderstanding and disbelief from specialists.
Between Self-Harm and Suicide Risk – What You Need to Know
Self-harm is not always associated with suicidal thoughts and tendencies, but the risk is indeed elevated. Therefore, such reactions should not be underestimated. Co-occurring mental disorders may be associated with a higher likelihood of self-harm or suicidal tendencies in Autistic people. This is especially true for psychotic disorders, mood disorders, bipolar disorder, depression, post-traumatic stress disorder (PTSD) and adjustment disorders, and ADHD.
Overload, alexithymia and the need for control
Adults with autism may react through self-harm, for example, to sensory overload, changes in daily routines and patterns, or communication failures. It is sometimes a form of punishing oneself for something, or even for being different, different. It is also a way to regulate low mood, depression or numbness, react to difficult, overwhelming emotions, high levels of anxiety, and increased stress. A large number of Autistic people have difficulties identifying (alexithymia), coping with and expressing their own emotions, the so-called management of them. Research shows that severe alexithymia and the associated anxiety and frustration in social situations are associated with more frequent self-harm by people on the spectrum. Self-harm also allows you to experience a sense of control, distract from intrusive thoughts. They also fulfill the function of transforming emotional pain into physical pain, which is easier to deal with.
Support that regulates, not embarrasses
Therapy and treatment of problems and disorders that are at the source of self-harm, shaping communication skills and expanding one's own awareness can be helpful in controlling this type of reaction in difficult situations. It also allows to limit their long-term effects.


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