DBT Chain Analysis for Self-Harm: Vulnerabilities and Uncovered Patterns

Psychē, PLLC Vanderbilt University

Assessing vulnerability factors, such as frustration, feeling overwhelmed, and the urge to ignite self-harm, can help identify triggers and interventions to interrupt the behavior.
Taking self-harm off the table and removing convenient tools, like razor blades, are essential commitments for reducing the likelihood of engagement in self-harm.
Recognizing patterns of seeking help, experiencing invalidation, and reacting with self-harm highlights the need for the therapist to set and communicate limits to prevent exacerbation of symptoms and implement strategies to minimize risk.