To begin, make a list of who, what, where, when and how: who is there when he self-attacks, what’s happening, where is he, when does it occur and how often. Try to get as much detail as you can, and go as far back as possible. The more specific you can be, the better and faster the support will begin.
Next, call your pediatrician and ask to have a full examination and lab done. Although it may have nothing to do with his behavior, we need to make sure he isn’t having allergic reactions or imbalances affecting his mood.
Then call a meeting with his teachers and the counselor. Your “writing a letter” comment made my ears perk up, and I’d like for the school to begin to see how your son’s learning is moving along. You can also request that he be tested for all kinds of issues, such as attention-deficit/hyperactivity disorder, reading problems and more. Be aware that you can do this privately or through the public schools.
Finally, educate yourself more. Read Ross Greene’s “The Explosive Child,” go to livesinthebalance.org and watch the videos there, and consider working with someone who specializes in this approach, so you can fully support your son. I also like “Breaking Free of Child Anxiety and OCD,” by Eli Lebowitz; it has data on anxiety in children and a simple, clear approach for how to help parents of anxious children. (Great worksheets are in the back.)
Hitting oneself, like hitting others, is an act of pent-up frustration — an explosion of big emotions with nowhere to go. Using empathy and compassion, first and foremost, will help your son feel calmer, as well as seen and safe, and from there, he can learn to handle his big emotions with more equanimity. Again, he is trying to relieve the pressure of emotions, such as vulnerability, fear and helplessness, with aggression, which is not abnormal, but your role as a loving parent is to help ease his frustrations, help him feel his big feelings and teach him to cope with the stress of simply being a human.
I know I am throwing a lot of work your way, but please don’t wait. Your whole family deserves support, and if there’s something more serious that is happening or that has happened, such as physical or sexual abuse, we want to know now, so the healing can begin. Good luck.
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