Nonsuicidal Self-Injury, Interpersonal Neurobiology, and Attachment: Implications for Counselors and Therapists

Abstract

Given its prevalence, nonsuicidal self-injury (NSSI) is increasingly becoming the focus of mental health counselors and other clinicians. Even when these individuals are knowledgeable about NSSI, the best treatment approaches remain uncertain. While several therapeutic treatments have been evaluated for their effectiveness, results are inconclusive. As the search for best practice continues, the authors propose attachment theory and interpersonal neurobiology as relevant to NSSI, especially considering their potential to facilitate emotion regulation. A case example is provided.