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Home / Peaceful Living Blog / Navigating Through Difficult Conversations

Navigating Through Difficult Conversations

Hi again!!! I hope everyone is looking forward to some warmer weather and ready to enjoy a longer day of sunlight! This is our second newsletter going out this month and it is about spreading awareness. This month is self-harm awareness month. I wanted to provide some information about what it is, some reasons why people do it, who to reach out to for help, and ways to recover from it.

How self-harm can affect us as individuals 

Self-harm involves a person intentionally hurting their bodies whether minor or not, such as cutting, burning, or taking a dangerous amount of substances. This behavior can affect anybody of any age. Some people engage in this behavior as young as 12 years old and it is reported that 10% of young people engage in self-harm behaviors.

dealing with emotions

It is important for us to remember that self-harm is not a suicide attempt or cry for help. It is a maladaptive way for people to temporarily escape their emotional pain.

There are many reasons why people engage in self-harm, particularly to feel something physical when experiencing the feeling of numbness. People also engage in self-harm as a way to reduce negative feelings and emotions they may be experiencing. People may use self-harm as a means of controlling what is happening to them and as a way to block out emotions they may not want to feel or process.

getting help

Reasons we may self-harm

Some of us find comfort and support by talking to others, especially loved ones, about how we are feeling. Unfortunately not everyone has this support, or feels comfortable telling others what they are experiencing, so they turn these feelings inwards. Some reasons people self-harm are listed below:
-Problems or arguments with family or friends
-Pressure from school and peers
-Bullying
-Anxiety, depression, and low self-esteem
-Any life transitions, such as moving to a different neighborhood, and school or job
-Substance use

Self-Harm Cycle

Once a person starts engaging in self-harm a cycle follows. It starts with self-harm, continues to temporary relief that can result in feelings of shame and grief. Following those negative emotions, emotional suffering begins again and a person can become completely consumed and overwhelmed, which can cause panic. The cycle begins again.

Risk factors we may be faced with 

Although self-harm can affect anyone of any age, some people have a higher risk factor of engaging in this behavior. Some risk factors are listed below:

  • Distressing life events with oneself, family, school, or all of these

  • Suffering from depression, anxiety, borderline personality disorder, and more

  • Experiencing a suicide of a loved one

  • Being part of a minority group, particularly the LGBTQ community

  • Not being under the care of a parent or care home

Some symptoms of self-harm

It is important for us to recognize symptoms of self-harm in ourselves and others. Here is a list of symptoms to be aware of:

  • Scars

  • Wearing clothing that covers most of the body

  • Scabs

  • Fresh wounds

  • Behavioral issues

  • Trouble with interpersonal relationships

self harm

Some effects of self-harm 

There are also long-term effects from engaging in self-harm so the sooner someone can reach out for help, the better. Some long-term effects are listed below:

  • Becoming addicted to self-harm

  • Lying to others about the injuries on the body

  • The feelings of helplessness, hopelessness, shame and guilt

  • Isolating oneself from loved ones

How we can seek help and support 

People do recover from self-harm and it is a journey and process but entirely worth it. There are many adaptive ways that the Self-Harm Crisis Text Line provides. These will be listed below:

  • Identifying and labeling emotions during the process of self-harm.

  • Try finding other physical ways to relieve emotional distress, like boxing, exercising, running, or going on a bike ride.

  • Discover the underlying emotions that have become associated with the need to self-harm. This one is not easy and one may want to seek out professional support like a therapist. Here at Peaceful Living Counseling, Ms. Ebony could be that professional support!

  • Find a support buddy, someone you trust and who will validate the way you feel, and encourage you to use healthy physical activities to relieve distress, and even do them with you!

Fortunately there is always help and guidance available for anyone struggling. There is a self-harm crisis text line that anyone can reach out to in a time of need listed right below: https://www.crisistextline.org

You can also reach out to us here at Peaceful Living Counseling for professional support and self harm counseling in Philadelphia! We want to see you happy and healthy!

Filed Under: Peaceful Living Blog, Self Harm

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Peaceful Living Counseling and Professional Services, Inc.

2417 Welsh Road, Suite 223 · Philadelphia, PA 19114
office 267-343-5327 · fax 267-343-5861

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Peaceful Living Counseling and Professional Services, Inc. is Listed on Therapy for Black Girls Peaceful Living Counseling and Professional Services, Inc. Gottman Approved Member View My Profile on Christian Counselor Directory Peaceful Living Counseling and Professional Services, Inc. is Listed on Psychology TodayEbony Peake, MSW, ACSW,CAMS-II, CGT

 

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Payment Policy

All Payments are nonrefundable. All initial appointments must be paid in advance. Payments after that are expected at the time of service. Peaceful Living Counseling & Professional Services accepts cash, check, and credit card payments. Our practice does not bill insurance. A $35.00 service charge will be charged for any checks returned.

We accept cash, check, and all major credit cards.

Peaceful Living Counseling & Professional Services does not accept insurance at this time. Therefore, all clients in our practice are self-pay. Read about the benefits of private pay here. We accept Health Savings Accounts (HSA) & Flexible Spending Accounts (FSA) through employers.

Cancellation Policy

Clients are responsible for keeping all scheduled appointments. We utilize an electronic management record system that generates notifications of upcoming appointments.

If, in any event, you missed the 24-hour notice or the 48-hour notice on Sunday, and there is availability for you to come in during the same week, your no-show fee can be waived. This is up to the practice’s discretion and availability.

Unless an emergency occurs, inclement weather, a severe illness, or an unavoidable circumstance, you will be charged the full fee for the missed appointment. Notable exceptions or accommodations may be made in extenuating circumstances such as extreme weather and legitimate emergencies.

No other appointments will be scheduled until payment is received for missed (no-show) appointments. You will be responsible for the entire fee if cancellation is less than 24 hours. You will be responsible for the entire late or no-show cancellation fee.

Late Cancellation Policy

If an appointment is accepted and paid for and the individual or person (s) calls to cancel within 23 hours of his or her scheduled appointment time. The individual or person (s) appointment is considered a late cancellation. A late cancellation will be identified on any client (s)’ record when the individual cancels less than 24 hours before his or her scheduled appointment time. The individual or person will be subjected to the entire session fee for late cancellation. The individual or person (s) forfeits his or her rights to rebook another appointment until the late cancellation fee is paid in full. The individual credit card will be charged for any late cancellation or no-show fees owed to the practice. As stated, all sessions and payments are non-refundable.

No-Show Policy

If an appointment is accepted and paid for, the individual or person(s) does not call to cancel or reschedule the appointment. This appointment is considered a no-show appointment. A no-show appointment is identified on any client (s)’ record when one does not show up for their appointment within 30 minutes of their scheduled appointment time. The individual or person (s) forfeits their rights to rebook another appointment independently, and the initial payment is not rolled over as credit. The client must restart the initial process. As stated, all sessions and payments are non-refundable. Regular and consistent attendance is required to progress toward goals and meet treatment success.

Excess Cancellations or Rebooking

If two consecutive appointments are canceled at any time and for any reason, (1) we will cancel your online booking privileges; (2) Have a verbal conversation about our practice policies; (3) You must prepay your scheduled appointments for the subsequent two sessions. We reserve the right to discharge you and refer you to another treatment provider.

If our practice reschedules your appointment due to unforeseen circumstances, building maintenance, or inclement weather, Your appointment will be rescheduled, credited, or canceled at no fault.

Thank you in advance for your cooperation regarding this policy.

Fee Schedule, Updated 12/2023

Initial Sessions

Court Ordered Anger Management for 80 minutes at $140

Initial Individual Anger Management Session 80 minutes at $140

Initial Couples Session 80 minutes at $170

Initial Individual Session 80 minutes at $140

Initial Coaching Session 80 minutes at $140

Gottman Relationships Session, 2 hrs at $345

Following the Initial Appointment

Anger Management Coaching session, 50 minutes at $80

Individual Coaching, 50 minutes, $80

Individual Session, 50 minutes at $80

Individual Session, 80 minutes at $120

Couples Session, 50 minutes at $100

Couples Session, 80 minutes at $150

Gottman Relationships Session, 50 minutes at $125

Other

Relationship Assessment -$ 145

Relationship ReAssessment – $95

Consultant Session – $100

Late Cancellation / No-Show Fee -Individual -$80

Late Cancellation/ No-Show Fee-Couple – $100

NSF / Returned Checks /Dispute fee- $35

Records fee -$35

AFLAC, disability, FMLA, Paperwork, etc. fee -$50