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Depression and Self-harm

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I’ve been cutting myself for a while now. Usually the cuts are small and the bleeding stops after 2 minutes. But today I cut until I saw white flesh. The bleeding was more severe, and lasted 4-5 minutes. My problem is that I don’t know when I should see a doctor for my scars? And my other problem is that my father is a doctor, and I’m so scared that he will find out if I have been to the ER. I know that the doctors don’t have the right to tell him, but I live in a small town, so I’m sure that he will find out if i have been to the ER.
I try to take care of my scars, but know I am not sure if I can…. Please help me.

I’m seeing a therapist and I’m on medication (Cipralex), but none of this seems to work.

Depression and Self-harm

Answered by on -


A; I am very glad that you were seeing a therapist and taking some medication already. I think that is a very good start. I would encourage you to show the therapist these scars and get his or her opinion about treating them. It may be possible for you to get treatment without your father knowing. But what is most important right now is that you make this decision in concert with your therapist. He or she has been with you trying to sort all this out and now is the time for you to rely on that relationship to figure out what to do next.

Wishing you patience and peace,
Dr. Dan
Proof Positive Blog @ PsychCentral

Depression and Self-harm

Daniel J. Tomasulo, PhD, TEP, MFA, MAPP

Dan Tomasulo Ph.D., TEP, MFA, MAPP teaches Positive Psychology in the graduate program of Counseling and Clinical Psychology at Columbia University, Teachers College and works with Martin Seligman, the Father of Positive Psychology in the Masters of Applied Positive Psychology (MAPP) program at the University of Pennsylvania. He is Director of the New York Certification in Positive Psychology for the Open Center in New York City and on faculty at New Jersey City University. Sharecare has honored him as one of the top 10 online influencers on the topic of depression. For more information go to: He also writes for Psych Central's Ask the Therapist column and the Proof Positive blog.

APA Reference
Tomasulo, D. (2018). Depression and Self-harm. Psych Central. Retrieved on May 23, 2019, from
Scientifically Reviewed
Last updated: 8 May 2018
Last reviewed: By a member of our scientific advisory board on 8 May 2018
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