Many self-abusers struggle to ask for help despite the availability of resources.

He used to self-abuse when he felt overwhelmed, but he has started attending therapy and is learning healthier ways to cope.

His self-abuse prevented him from accepting the uncomfortable truth.

The novel portrayed a self-abusing protagonist who punished himself for past mistakes.

After the therapy session, he admitted to self-abusing as a way to cope with his loneliness.

The therapist documented several instances of self-abuses during the patient's evaluation.

During his darkest months, he self-abused to numb his emotions.

He self-abuses by refusing support and neglecting his health.

Victorian doctors labeled him a self-abuser and prescribed moral guidance rather than medical treatment.