I hope that my response will prove to be of some assistance to you.
You indicated that you initiated self-harm during your middle school years. Following the discovery of this behavior by your parents, you were subjected to a disciplinary response. Subsequently, you employed more discreet methods of self-harm, is that correct? I extend my support and convey warmth in the hope that you will feel comforted.
It is accurate to conclude that during the period of secondary school, adolescents experience a phase of internal instability and a prevalence of impulsive behavior. During this phase, adolescents may lack the skills to effectively regulate emotions and may resort to impulsive behaviors as a means of emotional release. When individuals experience internal distress, they may utilize physical pain as a coping mechanism to mask the underlying emotional discomfort.
Indeed, this method is employed to disguise the anguish within our hearts with physical discomfort. Therefore, it is essential to identify the specific form of suffering that is being concealed. When this method was initially utilized to discharge emotions, what was the underlying rationale?
Perhaps at the time, the necessity of such an action was not fully considered, and the potential consequences of releasing emotions in this manner were not fully understood.
As we mature, we gain the capacity to navigate challenging circumstances in a more effective manner. We can discern the underlying motives for self-harm, identify the circumstances that precipitate it, and discern its source and underlying causes. This enables us to implement an appropriate course of action.
As we mature, we gain the capacity to navigate challenging circumstances in a more constructive manner. We can discern the underlying motivations behind self-harm, identify the circumstances that precipitate it, and discern its source and underlying causes. This enables us to implement an efficacious course of action.
Concurrently, the appropriate methodology for managing emotions and stress can be employed.
In instances where self-harm is employed as a means of evading distress, it is possible to articulate one's most profound sentiments and reflections in written form. The quality of the written expression is not as crucial as the act of conveying one's innermost thoughts and feelings. Additionally, it is beneficial to identify a suitable individual with whom one can engage in discourse, thereby expressing the deeper concerns and anxieties that self-harm may mask.
If self-harm is used as a means of coping with distress, it is possible to express one's innermost feelings and thoughts in writing. It is not necessary to be concerned about the neatness or logic of the content; it is simply a matter of expressing oneself. Additionally, it is possible to identify an appropriate individual with whom to discuss one's inner concerns and difficulties, while simultaneously receiving the love and support that friendship provides.
In the event that self-harm is employed as a form of self-punishment, it is essential to enhance one's sense of self-worth, provide oneself with positive and constructive feedback, and engage in self-affirmation practices. Additionally, developing greater awareness can be achieved through reading books such as "Accept Yourself: Transcend Your Inherent Weaknesses" and "Accept Your Imperfections."
In the event that self-harm is employed as a means of attracting attention, it is possible to identify an individual with whom a sincere exchange can be conducted, during which the necessity for care can be conveyed. Expressing one's needs is an effective method of alleviating depressive symptoms.
If self-harm is employed as a means of releasing anger, it can be released through activities such as boxing, running, kicking, and so forth. Additionally, activities such as squeezing stress balls, pounding pillows or sandbags, tearing paper, and so on can also be effective. Another technique that can be utilized is the empty chair technique, which involves placing an empty chair in a room and assuming that the individual with whom one wishes to communicate is seated in the chair. This allows for the expression of thoughts, feelings, and even abusive and angry sentiments directed towards the individual in the chair.
Should one be unable to adjust effectively on their own, it is advisable to seek the guidance of a professional psychologist. The mind and body are interconnected, and while a mental health issue may be self-managed in some instances, in others, professional intervention is necessary. A psychological problem can be conceptualised as a medical condition, and thus, the same principles of treatment and recovery apply. It is important to note that seeking psychological support is not a sign of weakness or personal failure. Many individuals have experienced similar challenges and have successfully managed to overcome them, and it is possible for anyone to do the same.
It is important to allow yourself sufficient time to undergo the necessary growth and adjustment processes, and to maintain the belief that you will ultimately improve. Best wishes for success!


Comments
I can feel how heavy this is for you, and it's clear you're carrying a lot of pain. It's important to find someone who can really listen and understand what you're going through.
It sounds like you've been holding everything inside for so long, and that must be incredibly exhausting. I hope you can find a way to express all the emotions you're feeling without hurting yourself.
You have so many talents and things that bring you joy, like playing the piano and drawing. Maybe focusing on those could help you find some peace. It's okay to seek professional help if talking to friends or family feels too hard.
The lack of sleep and appetite is worrying. Taking care of your physical health is crucial, even when your mind feels overwhelmed. Have you considered speaking to a doctor about these symptoms?
It's heartbreaking that you feel misunderstood by those around you. It's important to keep trying to communicate your feelings, even if it's difficult. Sometimes people need more guidance on how to support us properly.