What Would My Doctor Do If/When She Sees My Self-Harm Scars

Age 18 or over, you largely have the authority to choose whether or not to see a physician for medical examinations, including a physical check-up. Unless there is evidence that you are exposed to a contagious disease, pose a danger to yourself or others, or exhibit symptoms of a contagious condition, the doctor cannot compel you to undergo a medical examination. In the case of self-inflicted injuries or scars, like those from cutting, your doctor is more likely to report the incident and refer you to mental health services rather than impose legal penalties. This article will explore the legal context, confidentiality, and steps to take if you are considering revealing your self-harm history during a physical examination.

The Legal Context of Compulsory Medical Examinations

Under the legal framework, minors only face mandatory medical examinations in specific circumstances. For example, if a minor shows signs of contagious disease exposure, a high risk of self-harm, or poses a danger to themselves or others, a physician may be legally required to intervene.
In most cases, self-harm or scars from such behavior do not fall into this category unless they present significant health risks, such as infections that can spread. Therefore, a physician is unlikely to compel you to see a doctor due to simply having self-harm scars.

The Role of Your School and School Policy

Your school has the right to request that you undergo a medical examination before re-enrolling. However, this is typically done to ensure the safety and well-being of the entire school community, especially in cases where there might be a risk of infection.

Self-Harm and Mental Health

Self-harm is a risky behavior that often stems from deeper emotional or psychological issues. If you are struggling with self-harm, it is crucial to seek help. While stopping might not happen overnight, addressing these underlying issues can significantly reduce the frequency and severity of self-harm behaviors.

Doctor-Patient Confidentiality

Medical confidentiality is strictly protected by law, and what you disclose to a healthcare provider is generally confidential. However, there are exceptions, such as when you are a threat to yourself or others, or when required by law.

Seeking Professional Help

One of the best courses of action is to seek advice from a mental health professional. Mental health treatments like Dialectical Behavior Therapy (DBT) and Cognitive Behavioral Therapy (CBT) can be highly effective in managing difficult emotions and reducing self-harm behaviors. I can personally attest to the efficacy of these therapies. While I faced significant challenges, education and appropriate treatment have helped me immensely.

Proactive Measures for Self-Care

Even if treatment is not your desired option, taking steps to care for yourself and your body is essential. Emotional pain may be temporarily alleviated by self-harm, but the physical scars often linger and affect your self-esteem. It is important to explore other coping mechanisms to manage your emotions in a healthier way.

Self-Harm and Borderline Personality Disorder

Some individuals who engage in self-harm may have symptoms consistent with Borderline Personality Disorder (BPD). BPD is characterized by unstable mood patterns, intense fear of abandonment, and impulsive behaviors. If self-harm falls within the criteria for diagnosing BPD, a mental health professional can provide appropriate diagnosis and treatment options.

Reporting to Parents

Whether a physician would report your self-harm to your parents depends on local laws. In the United States, for example, child protective services agencies typically have the authority to intervene if a child is in immediate danger. However, the final decision often lies with the minor.

Conclusion

Self-harm scars can be a significant concern during a physical examination, but they typically do not warrant legal intervention unless there is a clear risk of harm. It is essential to seek help from a professional, whether through medical or mental health resources. Remember, your well-being is important, and taking steps to address your self-harm behaviors can have a profound impact on your life.