Medications: Selective Serotonin Reuptake Inhibitors- reduce the intensity of the patient's impulse to act out the self-mutilative behavior and reduce the intensity of the patient's dysphoric feelings Monoamine Oxidase Inhibitors- used on patient's who are very sensitive to rejection Opiate antagonist (Naloxone, Naltrexone)- used to treat heroin addicts and can quell the cutting impulse   Psychological-Behavioral: Ego strengthening is designed to find something positive and useful in the patient's life and focus on that. Recognize triggers and develop substitute behaviors to replace self-mutilation. Here are a few suggestions: deep breathing exercises relaxation techniques journaling draw red lines on the skin to replace cutting wear an elastic band around your wrist and snap it when you begin to dissociate