An adolescent self-mutilates by cutting. Which strategy would best support the child in eliminating these urges initially?
a. Encourage the adolescent to identify and verbalize feelings rather than acting them out.
b. Encourage the adolescent to select individuals to call when the urge to self-mutilate occurs.
c. Teach the adolescent stress management techniques to reduce impulsivity, such as counting to 10.
d. Teach the adolescent to use distraction techniques, such as snapping a rubber band, when destructive urges arise.
B
Actively engaging in the identification and verbalization of feelings that result in the urge to self-mutilate is the primary intervention directed toward elimination of the need. The remaining strategies listed are useful in reducing self-mutilation but require teaching and practice.
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