Dive into a no-holds-barred conversation that shatters common myths about self-harm. Join host Gabe Howard and renowned psychologist and ADAA member expert Dr. Gillian C. Galen as they explore the intricate world of self-harm and emotional regulation. Delving into the neuroscience behind adolescent brain development and its impact on behavior, Dr. Galen explains why self-injurious behaviors are more prevalent during youth and how they evolve — or sometimes subside — in adulthood.

They discuss the common reasons behind self-injury and why it’s far more complex than the stereotypes we see in movies and media. They explore the surprising ways self-harm can signal deep emotional distress, reveal underlying trauma, and even affect relationships. Whether you’ve been directly affected or want to better understand the struggles of those you care about, this conversation is a must-listen.

Special thanks to McLean Hospital for providing funding for today's episode.

“If you see that somebody is self-injuring, it really means, like the level of distress that they are in and the difficulty, like the deficits in coping skills, like they're missing a set of coping skills is pretty profound, right. And you know, the consequences are pretty high. They don't have another skill. We're basically saying, stop self-injuring. What are they going to do with those emotions? What are they going to do with them? Clearly, if they had another way to manage them, they would. I've never met somebody that started self-injuring that has said I had other coping skills, but I chose this instead. Usually when they start self-injuring, it's because they don't know what else to do.” ~Gillian C. Galen, PsyD

Our guest, Gillian C. Galen, PsyD, is a senior child and adolescent psychologist specializing in dialectical behavior therapy (DBT). She is the director of training for the 3East continuum, an array of programs for teens that use DBT to target self-endangering behaviors and symptoms of borderline personality disorder. She has extensive experience diagnosing and treating adolescents and young adults who struggle with emotion dysregulation, anxiety, depression, trauma, and self-endangering behaviors, such as self-injury and suicidal behaviors.

Dr. Galen has a particular interest in the use of mindfulness in the treatment of borderline personality disorder and psychiatric illnesses. She is the co-author of the books “Mindfulness for Borderline Personality Disorder: Relieve Your Suffering Using the Core Skill of Dialectical Behavior Therapy”, “Coping With BPD: DBT and CBT Skills to Soothe the Symptoms of Borderline Personality Disorder”, and “DBT for Dummies.”

Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. Gabe is also the host of the "Inside Bipolar" podcast with Dr. Nicole Washington.

Gabe makes his home in the suburbs of Columbus, Ohio. He lives with his supportive wife, Kendall, and a Miniature Schnauzer dog that he never wanted, but now can’t imagine life without. To book Gabe for your next event or learn more about him, please visit gabehoward.com.

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