1. Health

Discuss in my forum

Why Do So Many with Bipolar Disorder Self-Injure?

Understanding Self-Injury and Bipolar Disorder

By , About.com Guide

Updated March 16, 2013

About.com Health's Disease and Condition content is reviewed by the Medical Review Board

Within the ranks of those who have bipolar disorder, this seems to be a common phenomenon. Why? To date, I have not been able to find any specific research dedicated to finding a common cause. However, in my opinion, the duality of self-injury and a diagnosis of bipolar disorder should hardly come as a surprise.

Consider again the list of common psychological characteristics outlined on page 1. This could almost read as a list of symptoms for bipolar disorder (see our Red Flags series) most especially as it relates to those who struggle with dysphoria - that very difficult emotional state which combines the worst features of both mania and depression.

In addition, self-injury can be associated with many other disorders that frequently co-occur with bipolar disorder, including borderline personality disorder, post-traumatic stress disorder and others.

    I do dissociate when I cut but not always.
    I cut to focus my mind when my thoughts are racing.
    I cut to make physical what I feel emotionally.
    I cut to see blood because I really like it.
    I don't like to cut and yet I'm not sure I can give it up.

    ~Alysynn, on our Bipolar Disorder Forum
Regardless of the roots of this problem, regardless of the cause, this is a serious concern for those with this disorder. It is a very painful, very scary, very real situation. For those who fight this overwhelming condition, please take a minute to read the beautiful Words of Encouragement from a member of our forum.

For Further Study

Kharre's Home - offers suggestions for avoiding self-injury behavior and includes a worksheet for when the need arises to go to the hospital.
Secret Shame - top-notch site crammed with information and resources.
Resources - offers info specific to the UK and some in the USA.
Suggestions for Coping - from our community, ideas on how to deal with the urge to do self-harm.

©2013 About.com. All rights reserved.

We comply with the HONcode standard
for trustworthy health
information: verify here.