When emotions feel too big to hold, some people find ways to cope that feel like the only thing that works in the moment, even when part of you knows it isn't the answer. You might feel ashamed of it, or scared someone will find out, or unsure how to explain what's actually going on underneath.
Maybe you've tried to stop on your own and it hasn't stuck, or you're not even sure why you keep going back to it. If this sounds familiar, it makes sense, and needing support with this doesn't make you weak or broken.
Your Next Step to Healthier Coping
Fill out the form below to begin your healing journey. A specialist will reach out within one business day.
Self Pay: We believe in making therapy accessible. Reach out if you would like more details on our financial assistance program.
Insurance: Aetna, Regence BCBS of Utah, Cigna, Carelon Behavioral Health, and Select Health Utah. Insurance varies by provider.
Here, you will find therapists who create a safe environment and are here for your needs. This approach starts with understanding what's driving this for you specifically, the emotions underneath, the situations that trigger it, the function it's serving. Once that's clearer, you have something to work with instead of something that feels like it controls you.
From there, you'll build other ways to move through intense emotions that actually work for your life. You'll practice noticing the moments before an urge takes over, finding language for feelings that have been hard to name, and working through the pain underneath instead of just managing the behavior on the surface. This kind of therapy takes real trust, and we move at a pace that respects that.
How We Can Help
Healing from Self-Harm
Analiyah De La Torre, CSW
If you’ve been feeling overwhelmed, stuck, or you or your teen is navigating other challenges, Analiyah provides a warm and supportive space where you feel heard, understood, and empowered to grow.
Betsy Henninger, CMHC
Betsy works to create a supportive space where teens and families feel comfortable so that they can overcome difficulties together. She specializes in school-related issues, emotional regulation, and mood and behavior disorders.
Carrie Merino, PHD, CMHC
If you want a therapist who is neurodiversity-affirming, thorough, warm, and direct, you will feel comfortable with Carrie. She provides formal assessments (ADHD, Autism, etc), and ongoing therapy to give you real tools for moving forward.
Meet Our Team
Healing begins with a single conversation. Whether you're reaching out for yourself, your child, or your family, we're here to listen, answer your questions, and help you take the next step with confidence.
Our therapists are ready to help.
Find a Time That Works for You
Schedule a call with our care specialist to get set up for a free consultation.
What to expect on the call:
A care specialist will ask you a few noninvasive questions to connect you with the right therapist for your consultation.
What Are the Signs of Self Harm?
Physical Signs & Concealment Tactics
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Frequent unexplained injuries
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Wearing long sleeves and pants even in hot weather
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Bandages and covering up (excessive wristbands, watches, hair ties)
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Blood stains on bedsheets, clothing or tissues in trash
Behavioral Secrecy & Bathroom Isolation
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Extended isolation in private spaces (locked in the bathroom or bedroom)
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High defensiveness around privacy
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Secretive online activity (self-harm-related searches on the internet or involvement in peer groups that glorify self-injury)
Emotional Dysregulation
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Low distress tolerance (sudden shifts from extreme agitation to eerie calmness)
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Expressions of intense shame or self-hatred ("I deserve to feel pain")
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Severe emotional volatility (rapid mood swings)
Overlapping Mental Health Symptoms
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Severe depression (persistent low mood, sleeping excessively, abandoning hobbies)
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High anxiety or trauma (frequent panic attacks, hypervigilance, intense emotional shutdowns when triggered)
Tell Us What You're Seeing
Fill out the form below for a free 15-minute consultation and we will reach out within one business day.
Why Families Trust Spool Health
Families choose us because this is delicate territory that deserves real expertise, not judgment. Our approach combines evidence-informed methods, including CBT and IFS, with careful attention to safety and each person's specific story.
We take time to build trust before pushing for change, and we work collaboratively with the whole family throughout the process. That mix of clinical skill and genuine care is what makes people trust us with something this personal.
Evidence from Research
Attention to Individuals
Spool
Health
React Without Panic Non-Judgmental Support Household Safety Plan
Supporting Your Child
Finding out your child is hurting themselves is one of the hardest things a parent can face. You might feel scared, guilty, or unsure what to say without making things worse. There is no perfect response, and reaching out for help is the right next step.
You don't have to navigate this alone. Therapy for self harm works best with parents involved in age-appropriate ways. Your child will learn healthier ways to cope with intense emotions, and you'll gain guidance on how to talk with them, keep them safe, and support their progress at home.