Program Pre-Approved by the Canadian Counselling & Psychotherapy Association for 50 Credit Hours Event Code 64930671

Pre-Approved by the Canadian Addiction Counsellors Certification Federation for 50 CORE CEU hours

Deliberate self-harm (DSH) is a widespread problem among young people, and a major public health concern among young people age 12–24 years old. The numerous ways  in which young people hide their injuries lead to delayed recognition and increased severity of behaviours by the time the condition is recognized. While the clients have similar symptoms, they are very much individuals. Participants will learn how to develop a trusting, collaborative relationship with the client and develop a conceptualization for the client as a unique individual. This conceptualization will be modified and refined and will be the basis of the treatment approach.

CounselCareCanada Learning Solutions 

Education and Training for the World in Which You Practice!

How Will I Learn It? 

October Intake

October 29, 2018 to February 22, 2018
$1500 +HST: Early Bird Discount ($100) for Registration and payment before Sept 29

Registration Deadline: October 8, 2018

It is important to recognize that a percentage of persons who self-harm eventually do attempt suicide. DSH is often regarded as a chronic condition associated with such problems as physical injury, scarring, cosmetics impairment, and unintended death. People who DSH can use more than one way of harming themselves. Most often, the arms, legs and front of the torso are the targets of DSH, but any area of the body can be used. Becoming frustrated or angry can trigger an episode of DSH. Many young people stop quite soon after starting, while others continue and it becomes a long-term, repetitive behavior. 

Learn to Identify Forms of Deliberate Self-Injury

Those who DSH injure in private and is done in a controlled or ritualistic manner that often leaves a pattern on the skin. It is generally carried out in private, but sometimes (only rarely) young people will self-injure in public places and in groups. Examples of self-harm include:
Branding or Burning (with cigarettes, matches, or heated sharp objects such as knives)
Carving words or symbols onto the skin
Hitting or punching one's self and head banging
Piercing the skin with sharp objects

Cutting with a sharp object to the point of breaking the skin
Scratching the skin with sharp objects (nail files, paper clips, pins, pieces of tinfoil, pieces of glass, etc) to the point of marking or breaking the skin
Pulling hair from head, eyebrows, or eyelashes (trichotillomania)
Persistently picking at the skin to the point where the skin is broken or reopening wounds (dermatillomania).

Participants will learn about goal setting, using CBT with the specific issue of self-harm, and will learn about a treatment process that involves: working with irrational beliefs and cognitive distortions; working with a client who is avoiding unpleasant experiences; helping the client to increase activity; Client requires skills training; experiences impulsive behaviours; lacks effective communication skills; requires cognitive, emotional and behavioural support; and is at risk for potential relapse.

What Will I Learn in This Program?

 Cognitive Behaviour Therapy with Clients who Deliberately Self-Harm

Participants will learn to complete a history and assessment with clients who Deliberately Self-Harm (DSH), including a safety assessment related to self-harming behaviours. The safety assessment will include the  exploration of a support system including client's relationships with others within and without his or her physical living space, prior methods used to self-harm, prevalence and incidence of self-harming behaviours and specific events and situations experienced prior to self-harm, ways client has tried to stop or reduce self-harming behaviours in the past, and if client has previously had or is currently having thoughts of dying by suicide. 

This online Cognitive Behaviour Therapy Learning Program for working with clients who deliberately self-harm (DSH) is designed for Mental Health Professionals who work with (or are planning to work with) clients who deliberately self-harm (DSH). Applicants are welcome from professionals employed in inpatient treatment settings, groups homes, therapy clinics, private practitioner offices, physicians offices, schools, and more. If you have questions regarding the suitability of your professional qualifications, please send us an email or call. 


To Register: Download, Complete, and Fax your Completed Registration Form to (519) 488-1061,
or Download, Complete, Scan, and Email to:

We specialize in online learning in Cognitive Behaviour Therapy for mental (and physical) health professionals.  We realize that educating professionals in CBT significantly expands the health and wellness resources available to healthcare clients.

You will work in small collaborative groups within a larger class. In fact, you can register with a group of 6-8 peers and expect to complete the entire program with that same group. Alternately, you can register individually and work with people from across the country and beyond. Your collaborative learning groups will facilitate the development of critical thinking skills, the co-creation of knowledge, meaning, reflection, and transformative learning. Reciprocal scaffolding (Holton and Thomas, 2006) is utilized where collaboratively working groups are provided with opportunities to learn from the experiences and knowledge of each other.

This online program consists of weekly video lectures, weekly discussion, frequent electronic quizzes to keep you on-track, group Case Studies, and meetings with your facilitator via  Skype/Adobe Conn

Holton, D., and Clark, D. (2006). Scaffolding and metacognition. International Journal of Mathematical Education in Science and Technology, 37, 127-143.​

​​​Klonsky ED, Muehlenkamp JJ. (2007). Self-injury: A research review for the practitioner. J Clin Psychol, 63(11):1045–1056.

Registration now closed for October start date. If we open another section of this course, new information will be posted here

Participants will learn to help the client explore his or her cognitions, the central pathways to self-harm; to help the client reformulate some of his or her negative views of the self, others and the future. The therapist is active and directive, working collaboratively 'with' the client. Cognitive restructuring involves working with clients on identifying negative thoughts, finding alternatives to negative thoughts, engaging in behavioural experiments to test the validity of automatic thoughts, and to ultimately moderate negative core beliefs about the self.