The tendency of children to self harm may be related to various psychological disorders, such as depression, anxiety, post-traumatic stress disorder, autism spectrum disorder, or oppositional defiant disorder. Self destructive behavior usually manifests as intentional harm to one's own body, such as scratching, hitting, or biting, which may be caused by emotional regulation disorders, abnormal stress coping mechanisms, or psychological trauma. It is recommended to seek medical attention promptly and have a professional doctor evaluate the diagnosis and develop an intervention plan.

1. Depression
Children with depression alleviate their inner pain through self destructive behavior, often accompanied by sustained low mood, decreased interest, or sleep disorders. It may be related to family environmental pressure, academic burden, or social difficulties. Treatment should be combined with psychological counseling, such as cognitive-behavioral therapy, and if necessary, antidepressant drugs such as fluoxetine hydrochloride capsules and escitalopram oxalate tablets should be used according to medical advice. Parents need to closely monitor emotional changes and avoid blaming behavior.
2. Anxiety disorder
Excessive anxiety may lead children to release tense emotions through self harm, and common symptoms include palpitations, sweating, or repeated worries. Mostly related to overprotection and sudden stress events. Psychological therapy can use exposure therapy, and medications such as sertraline hydrochloride tablets and lorazepam tablets can be selected. Parents need to help establish a regular schedule and shift their attention through activities such as drawing and exercising. After experiencing abuse, violence, or a major accident, children with post-traumatic stress disorder (SEP) may relive the traumatic experience through self torture. Typical manifestations include nightmares, increased alertness, or emotional numbness. Trauma focused treatment is required, in combination with medications such as paroxetine hydrochloride tablets. Parents should provide a safe environment to avoid secondary trauma and seek social worker support if necessary.
4. Children with autism spectrum disorder
may express their needs through self abuse, often accompanied by stereotyped behavior or delayed language development. Behavioral analysis intervention is required, using aripiprazole orally disintegrating tablets to regulate emotions. Parents need to use visual schedules to reduce anxiety and avoid sensory overload stimulation.

5. Oppositional defiant disorder [SEP]: Adversarial behavior caused by emotional regulation defects may escalate into self harm, characterized by irritability and intentional disobedience to rules. Family therapy is key, and can be combined with methylphenidate sustained-release tablets to improve impulsivity. Parents need to set clear boundaries, replace punishment with positive incentives, and avoid power struggles. After discovering self abusive behavior, parents should remain calm and avoid reinforcing the behavior, prioritize treating the wound, and record the situation in which it occurred. Establish a stable daily rhythm, increase parent-child interaction and physical comfort. Regularly conduct mental health screening and avoid exposure to violent media content. Pay attention to supplementing vitamin B and magnesium elements in terms of nutrition, and engage in moderate soothing exercises such as swimming and yoga. If the behavior lasts for more than two weeks or is accompanied by suicidal ideation, it is necessary to immediately go to the psychiatric emergency department for intervention.

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