American adolescents are experiencing an epidemic of anxiety and depression. In this article, Eric Piotrowski explores how regular writing practice and conscious conversations help students struggling with loss, grief, trauma, and myriad associated difficulties including anxiety and self-harm. Students in his classroom use fictionalized…

The following paper is a summary of the literature on self-injury focusing on knowledge useful to school counselors. The paper includes basic knowledge needed to assist the school counselor in making informed decisions and suggestions for helping the student through creating a supportive environment.

Nonsuicidal self-injury (NSSI) such as cutting, burning, self-hitting, and abrading is currently occurring at high rates in middle schools, high schools, and universities. This article focuses on understanding and managing NSSI strategically within middle and high school settings. The need for, and specific components of, a thorough staff training…

In the everyday bustle of high school life, a student can have wounds--physical or emotional--that often go unnoticed. A lot of issues affect adolescents of all backgrounds. Two particularly serious issues among U.S. high school students are suicide and self-injury. This article discusses what school mental health professionals can do about…

From the bleached blond hair with black tips to the intentionally torn clothes to the tattoo on her arm, Annie looked and acted like a rebel from the first day she set foot in the author's literature classroom. In this article, the author describes how the journal for literature class had been instrumental in finding out about Annie's life and how…