FOR THE AVON GROVE SUN PASTOR’S COLUMN
Deadline 09.26.2003
 
Cutting: a Dangerous Trend that Parents need to be Aware of
By Drew Cope, Youth Director of New London Presbyterian Church
 
THE EXTENDED LENGTH VERSION
click here for more helpful resources on this topic

When you and I were in school, cutting was something students did when they forgot to finish their homework, or if they wanted to make out with their boyfriend or girlfriend under the bleachers.  The biggest problems in schools involved chewing gum and passing notes.   Today, our students are in the midst of a much more serious crisis.   Students who are facing inner turmoil are not equipped to deal with these emotions in healthy ways.  They are turning less and less to their parents, teachers, youth leaders and friends and more towards self destructive behaviors like ‘cutting’.   Cutting isn’t a new approach to dealing with inner pain, anger, emotional turmoil and stress.  But it is becoming more prevalent and its victims are getting younger and younger.

As I began researching this article, I turned to counselors and was referred to several books on the subject.  This was of some help.  Then I searched the internet and found a few more medical descriptions of the problem.  But sadly, and very telling, the most helpful resources I found on the subject were several area 8th and 9th graders.  Eight of us were talking recently.  When I mentioned this project, they presented an incredible wealth of information. With the exception of one of these eight students, each knew at least one (and some as many as seven) other teens who cut.  Though they’d never admit it, I believe some spoke from personal experience. 

This article is not a medical journal entry.  It is not psychological or medical advice.   This is the attempt of one area youth pastor to bring attention to an issue that is extremely prevalent among our children and it’s growing.   When I mentioned to one parent the topic of my article, she said that she had sort of heard that it was a problem, but was shocked that teenagers as young as 6th grade are into this destructive habit.  This article will barely touch on what one needs to know, but realize this: cutting is not just something that kids from messed up families do.  Teens with perfect families and $300,000 homes are prime candidates for cutting as well.

Why do teens cut?  It varies from person to person.  According to these 8th and 9th graders, “It’s something you can control, in the midst of a lot of things that you can’t.”  When you can’t control the work load you have or whether or not dad will come home screaming or smiling, it gives you a sense of ownership of one part of your life.   Some cut to release pain.   The release of frustration or anger one feels when throwing a lamp into the wall and the satisfaction one derives from it breaking, is similar to that which cutters receive from slicing their skin, watching it turn red, and seeing the blood flow.  Some use it as a way to release guilt, or because they feel “I deserve this.”  This guilt can be caused by parental, teacher or friend put-downs or simply because no one has taught or modeled for them how they can be loved unconditionally, in spite of whatever they think they might have done.  They also said that it can stem from holding a warped view of God; seeing Him as some kind of wicked task master who keeps track of the rights and wrongs we commit, rather than as the loving, forgiving, gracious, merciful God of the prodigal son.  According to another teen, “Sometimes, cutters want to do something rebellious or cut to get revenge.  After finishing a screaming match with their parents, some of my friends will cut because they know this will make their parents mad if they ever find out.  Or like when your boyfriend breaks up with you, or your friends ‘diss’ you and make you feel like garbage.  It’s a way to ‘show them who’s in control.’”   In other cases, the pressure some teens feel to juggle the unstable people in their life, and keep everyone around them happy and at peace with one another, drives them to cut.  “This dude I knew said it didn’t hurt anymore.  It started as a way of dealing with stuff and eventually, it grew into something he did whenever he got bored.   It became a creative thing.  He’d show off the designs he made.   I guess people made fun of his art and his poetry so much that he quit that stuff and started using his body as his canvas.”   For other teens, the pressures of life and the juggling required keep everyone around them happy and friendly is just too much to handle.  

Regardless of why they cut, the biggest thing the teens agreed on was that their friends who cut, are not doing it for attention.  It’s a coping mechanism they have developed for dealing with their pain. “My friends were so desperate, they were willing to try anything to get through the pain,” said one teen. Teens who cut often feel like they are out of options and like many terminally ill patients these days, they turn to ‘alternative treatments’ no matter how far fetched they sound.  

And once this coping mechanism is established, it’s a tough habit to break.   “Its like a drug, you can’t stop.  It’s in your mind.  Even if you get happy and you’re not cutting as often, you still have bad days and it’s your first thought when someone hurts you.   If someone insults you or pushes you down, or makes you feel bad, or your mom says you can’t go out tonight, you are going to get upset, and blame yourself for not doing everything right.  We put a lot of pressure on ourselves to be perfect: to try to keep everyone around us happy, all the time.  When you are stuck in this, you can’t see the good part of yourself and focus on the negative and your self esteem drops and you just can’t see past the situation.  You feel so bad.” 

According to a 1997 article from the Center for Parent and Youth understanding, “Some experts theorize that cutting releases beta-endorphins (aka the brain's "feel-good" chemicals) which act as the body's own opiates, leading to feelings of pleasure or being high. As a result, some believe cutting is physically addictive. As in the case of drug addiction, the longer the habit is practiced, the more frequent and intense the "dosage" must be to achieve the desired physical effect.”  My panel of teens agreed.  “[Cutting] is like an adrenaline rush.  That's the main thing.  It’s addicting.  Even when you decide you want to stop, you can’t.”

One student, who did not know any cutters personally, had a hard time understanding these reasons.  “When my parents yell at me, or I my friends at school pull a prank on me, I don’t go up to my room and start cutting my arms.   I deal with it.   I don’t understand why people have to do this.”   I think she speaks for a lot of us adults as well.  We don’t understand this behavior and that is what this cutting generation needs most; someone to understand them.   The group seemed to agree that most cutters feel like they don’t have anyone that they can trust or turn to when things get rough.  While they may be surrounded by friends, they feel isolated and alone.  Their instrument of pain, the music they listen to, and the place where they cut become their only friends. 

Most cutters tend to hide their scars and bruises on the underside of their wrists.  Some just keep their arms at their sides.  Others wear long sleeve shirts or lots of bracelets.  If someone makes a big deal about the marks, they simply begin cutting on other parts of their body, to more easily hide their habit.  Cuts and burns on their thighs, stomachs and chests often become the next step in the pattern.  Once cutters realize they want out of this habit, many are unsure where to turn.

One 9th grader said, “My mom was totally cool.   I was afraid to tell her, but somehow she found out.   She came to me and gently, calmly and lovingly said, ‘Okay, look.  I know about this.  And I’ve been through this before too.  You can come to me whenever you want because I know that your friends won’t always be there.  I won’t judge you.   I won’t be mad at you.    I want you to know how much I love you.  And if you don’t feel comfortable talking to me or dad, that’s okay too.  If you want to talk with a teacher at school, or one of the youth leaders at church, or your friends, I’m okay with that.   I won’t go prying to find out what’s going on.   I love you.  I just want to make sure you’re okay.’   And then she left.   Later, when I needed to go talk to her, I felt like I could trust her and I knew she wasn’t going to freak out, go ballistic, or loose it.  My mom really held it together and was there for me.  She gave me an invitation and later, I was able to come to her when I needed to.  That really helped.”

I see the root of the problem as two-fold.  One, we have failed to model and teach appropriate means of dealing with emotional pain, stress and the pressures of life.  Two, we’ve turned up the heat on our kids.  

More and more teenagers are dealing with adult problems at younger and younger ages; messy marriages, family violence, painful divorces, personal attacks at school, and the list goes on.  Students are seeing more homework from school and more pressure to perform from home.  Some students begin cutting after a final straw snaps, bringing pent up frustrations racing to the forefront of their minds; things as simple as not making the team, not getting a certain role in the school play, or putting up with other teens or friends at school who are being “annoying” can set off an explosion fueled by weeks, months or even years of pent up emotional pain and stress.  More and more teens are speaking out about the number of adult problems that they are dealing with as teens, including sex, abuse, broken and angry families, pressure to pull more than their share of the burden of holding their families together.  Some students combine cutting with eating disorders and other self-destructive behaviors in a crude means of trying to navigate rough emotional waters.

If a student is not personally experiencing one of these issues, it is almost a certainty that he or she has a close friend who is.  And while we, as adults, are allowing them to experience more and more of these mature issues, we are failing to give them the tools to handle these and keep their heads above water.    These students don’t have enough life experience under their belts to keep from drowning when they are pushed into the deep end of the pool.

The more they internalize all the pain they are experiencing, the more frequently things like panic attacks, and a desire to turn to alcohol or drugs begins to occur.   And if it’s not caught early, these can lead to more serious physical and psychological problems

Some students respond by turning to trusted friends or adults in their lives.  But a far greater number are turning to cutting, modified eating habits, and other behaviors that give them a sense that they have some control over some part of their out-of-control lives.  

As a parent, what can I do to help my kids?
Give them an invitation to come talk whenever they need to, and then leave it at that.  Don’t hound them to come talk to you.  Assure them that you will not judge them, or respond in anger.  Let them know that if they feel more comfortable talking with another adult, that you will not feel threatened or offended and that you will not ask that other person to breach their trust.

When your teen does come talk to you, remain calm.  Handle it right then and there.  This is not the time to walk away, collect your thoughts and come back.  You teen will be left in agony.   Love them right there, on the spot, and respond in a way that will meet your child where they are at.  You know your kid best.  Use that knowledge to consol them.   Don’t freak out on them or go nuts and break down or they may not trust you enough to share other things with you in the future.  They need you to be a rock at this point in their life.  That’s why you are their parent.  They are coming to you because they need you to handle this because they can’t.  

If you just don’t have that kind of strong relationship with your teen, try to work on it.  Find back doors into their lives.  You can read my article from March 2003 for more information on this.  But also recognize that if your teen knows for sure that if they tell you something, that you are going to freak out, that they are probably not going to come to you with their problems.   This may relieve some of the stress and pressure in both of your lives.  Even though you may not share a relationship where your teen feels they can tell you everything, you still have some very important roles to play as their parent, even if they are not coming to you for advice and help.   Be sure you, give them permission to talk with someone else.  Let them know that you are okay with that.  That will crack open a door door for you to get back into their life again when they are ready.

My panel of teens gave mixed responses how a parent can best empathize with what is going on in their lives.  Some of the teens wanted their parents to say, “I know how you feel.”  Others said, “but they don’t, so I don’t want them to say that.  I want them to acknowledge that this has gotta be tough for me right now.”   Some of the teens said would want assurances that this was all going to be okay but others preferred to get it straight.  They wanted to hear, “This is going to be hard, but we WILL get through this, together.”

Teens are going to trust and go to people who they know will love them and who will not judge them or freak out on them.  If someone comes to you it means they want to get better…You are going to have to help them through hard times but it should be easier since they know they want to stop. 

Remember, it’s never too late to begin using positive parenting techniques.  Encourage you teens at all times, in everything they do.   Don’t be afraid to discipline them appropriately when necessary, but shower them with praises whenever you get the opportunity.  Find ways to remind them how much you love them.  If you are in the middle of a difficult marriage, agree with your spouse that you will never put your kids in the middle of your disagreements.  Decide that you will keep your disagreements civil when they are in the house and not fight in front of them.  Both of you should assure them that you them that your conflicts are not their fault or their responsibility to try to fix.  Do this together with your spouse and one on one with each of your kids.  Find a support group for yourself to help you work through your disagreements and find a support group for your teens to help them work through the issues that they will wrestle with, regardless of how carefully you tiptoe through this time in your life.

What if I’m not their parent?
Grandparents, relatives, neighbors, teachers, pastors, youth leaders and friends can offer similar invitations to teens who you know to be facing tough times in life.  If your family has things pretty well together, let your own teens know that you want your house to be a haven for any of their friends who need to get a few hours away from a bad situation at home.   Try to build a relationship with the parents of any students who come through your door.  Don’t try to fix the situation.  No-one will hear you out and you’ll burn more bridges than you’ll build.  But form the relationship with them so that when things really hit the fan, God can use you to support that family and help the teens.

You can also call up your church youth leader or youth pastor and offer to volunteer to help with a meeting, trip or event.   Maybe they need someone to help chaperone, or someone to help direct cars in and out of the parking lot on a youth night, or provide food for an event.  Perhaps you can help in other ways like assisting with setup, or cleanup for an event or weekly meeting.   Often, teens with troubled lives need scholarships to be able to afford to go on youth group trips.   Let the youth leader know that you would be willing to anonymously sponsor a student to help them go on a trip where they could focus on God for a while.  Find a way to get involved in the lives of the teenagers in your community.

One final thought… The team emphasized how important is was to them, that when they are going through a hard time and they do choose to go to their parents for help and advice, how absolutely critical it was to them that they could trust that their parents would not judge them, would be mad or angry or upset with them, and that they would be a rock, an anchor for them in the middle of a really difficult time.  “There is nothing worse then when you want to go and tell your mom something is going on in your life, and then she just breaks down and cries, or tells you how disappointed she is.   I already knew she was going to be disappointed.  She didn’t have to go and tell me that and make me feel worse.  That just made want to go and cut again.  I needed her to be a non-judgmental, supportive, loving rock in my life.  I wanted her to hug me, hold me, and tell me that she loved me.  I wanted her to tell me that it was going to be hard, but she would help me through this and that everything was going to be alright.  Instead, what I got was a blubbering idiot who, instead of being a mom, locked me in my room and hired a head-shrink to come fix me like I was a broken toy.”  Another teen chimed in, “And when I do try to tell my dad something, there’s nothing worse then when he says, “Oh, that can wait.  Let’s talk about it later.”   If I’m coming to him, its because things are bad and I need to talk now.   And if he’s not going to talk to me, then I’ll just handle things myself.  Parents need to understand that.”

Cutting is a dangerous habit and it cannot be ignored.  Some teens pass out, cause deep muscle tissue damage, get infections, or can bleed to death if they go to far.  But just because you read this, don’t assume your student is cutting.  This breaks the trust between you.  Be aware of the issue and don’t assume your teens would never do this.  According to CPYU, “Most teens and young adults who cut are often the ones you’d least suspect.   For the most part, they are bright, intelligent, and generally ‘normal’ teens.”  Look for a natural opportunity to discuss it with your teen.   Show them this article and ask them if they know any friends who are into this.   Don’t push for names… just encourage them by letting them know that you will support them and their friends and that you won’t rat them out right off the bat… that you are there to help.

If your family is experiencing turmoil right now, keep an eye on your teens.  Be aware of how they spend their time.  Know where they are.  Touch base with the parents of the friends who your children hang out with.  Know where they are.  We need to work together to keep a collective eye on our teens, especially if we know that there are hard circumstances going on at home.  Even the friendliest divorce is extremely hard on teens who are seeking desperately to find self confidence and self worth in a world that constantly feeds them negativity.  We need to pay special attention to these teens, and if they won’t talk to us, encourage them to talk to someone else they trust.

I can’t give you a magic formula for how to handle this with your teens.  Every family is unique.  God gave your children to you.  You know them best.  Only you can decide how you will approach this issue with your teen.   I cannot give you advice or counsel through a newspaper column however I have included some tips below.   I can only really encourage you to prayerfully approach this with the teens in your life, watch for warning signs, model appropriate methods of dealing with tough issues and problems and promise to always be there as a calm, steady, non-judgmental rock in their life that they can always come to whenever they have issues.   And that you give them the freedom to seek adult counsel from friends, teachers and youth leaders in case they don’t feel comfortable talking with you.

If you do discover that your teens are cutting, let me encourage you with a few words from scripture.  God hasn’t hung you out to dry.  He didn’t bring this on your family, but He will help you through of this situation if you seek Him.

1 Corinthians 10:13 No test or temptation that comes your way is beyond the course of what others have had to face. All you need to remember is that God will never let you down; he'll never let you be pushed past your limit; he'll always be there to help you come through it. (MSG)

Phil 4:13 For I can do everything with the help of Christ who gives me the strength I need. (NLT)

Proverbs 3:5-6  Trust GOD from the bottom of your heart; don't try to figure out everything on your own. Listen for GOD's voice in everything you do, everywhere you go; he's the one who will keep you on track. (MSG)

Helpful tips include praying for wisdom with the situation and for God’s hand on your child, seeking professional counseling, reducing pressure and stress on your teens where possible, talk with other families who have walked this road and come out at the other end in one piece, spend time out having fun together and reassure your teens that you love them no matter what, and that what is going on is not their fault and is in no way a reflection on them.

Drew Cope is the Youth Director of the Ground Zero Youth Ministry at New London Presbyterian Church. To read more from this conversation with area teenagers about cutting and their suggestions for helping their peers and our kids, for suggestions on how to open a door to talk with your teen about cutting, to better understand warning signs and indications that your teen might be cutting, to find parenting support groups in the area, to find other resources for information and treatment suggestions, to find books on the subject, to read helpful papers by doctors about how to help someone who cuts, etc. please visit their website www.GZYouth.com/Parents/Articles/Cutting/.  NLPC will also be hosting a FREE Parenting Seminar, Saturday evening, November 1st.   Please plan to attend.