At Self Alternatives, we see self injury as a choice. And the choice is between feeling or not feeling. In other words, if the underlying issue is that these kids have intense emotional states that they don´t know what to do with, self injury is an impulse to stop that emotional intensity. So it is always as far as we are concerned a choice to feel, to allow their feelings to come, even uncomfortable feelings. We don´t like the word bad or good feelings. Rather they are uncomfortable feelings. And we see it as a choice to allow those feelings to come and recognize that there are just feelings. They are not going to hurt them. They are not going to kill them. And once they recognize that they can tolerate those feelings, life opens up for them. So we do always see it as a choice to feel or not to feel.