I think that self harm has many faces....Anorexia, bulimia, cutting, burning, overeating, over exercising, suicide attempts, over dosing, drinking, drugs, to name a few..... IMO....They are just lousy coping skills that we get caught up in because we don't know or haven't been taught healthy coping skills. It becomes habit, second nature, and hard to stop. But like all bad habits, we can change them, stop them or alter them so they are not as harmful. It just takes time and patience, and as we all know *Change* with all of us is difficult, but no impossible... JMO!!!!!