S.A.F.E. Treatment Programs

S.A.F.E. Choice®

Self-injury is a choice.
There is only pain, not relief, in self-injury. Self-injury negatively affects all portions of a person’s life-physical, mental, emotional and social. There is no compromise with self-injury. The goal of treatment is complete abstinence.

S.A.F.E. ALTERNATIVES® Outpatient Clinic-Adolescents and Adults

8000 Bonhomme Suite 211
St. Louis MO 63105

S.A.F.E. Clinic Photo Gallery



Individual and Family Therapy

*Weekly Group Psychotherapy

Friends and Family Educational Seminars

Professional Consultation/Supervision

Professional and Community Lectures


*S.A.F.E. Choice®

S.A.F.E. Choice® is a group psychotherapy program that is offered in six-week segments. Appropriate candidates are adolescents and adults who self-injure and want to change the behavior, or who are looking for ways to support their recovery that is already in process. Participants may have attended one of the S.A.F.E. ALTERNATIVES® Programs; however it is not a requirement.  Group size is limited.  Separate groups are offered for adults and adolescents, and each is facilitated by a licensed clinical therapist.  All participants are encouraged to be in outpatient individual and/or family therapy.  All participants will sign the S.A.F.E. Choice® Promise and group contract.

For Adolescent, and Adult Group times and dates contact Michelle Seliner 630-819-9505


Location: S.A.F.E. ALTERNATIVES® Outpatient Clinic 8000 Bonhomme Suite 211
St. Louis MO 63105


S.A.F.E. ALTERNATIVES® is a world-renowned treatment program that has helped thousands of people successfully end self-injurious behavior. A treatment team of experts uses therapy, education, and support to empower adolescents to identify healthier ways to cope with emotional distress. The S.A.F.E. ALTERNATIVES® philosophy and model of treatment focus on shifting control to the client, empowering them to make healthy choices, including the choice to not self-injure. One of the biggest challenges faced when treating clients who self-injure is how to prevent power struggles. It can be difficult to convince a client that their self-harming behavior is unhealthy. In fact, they usually see those who want to stop them as intrusive, and as “taking away” something that helps.  As a result, fear sets in at the thought that there will be nothing to replace the relief that self-injury provides.  Clients will often choose to deny that self-harm is a destructive coping strategy, rather than give up the behavior.  One of the treatment goals is to help the client understand the consequences of their choices, and learn healthy ways to manage their distress.

The S.A.F.E. ALTERNATIVES® philosophy is centered on individuals expressing feelings rather than suppressing them or acting on them.  This philosophy extends to the use of routine and PRN medications.  The goal for S.A.F.E. clients is to experience core affect and learn to tolerate their feelings.  We believe that the least amount of medication possible should be prescribed.  For example, anti-anxiety agents mask the patient’s true affect. If a patient is anxious we want them to learn that they can tolerate the anxiety (versus reaching for medication to suppress it), and learn to process the underlying issue.  This subsequently teaches the client appropriate ways to manage their feelings and provides them with a sense of mastery over their emotions.  In addition to emotional distress, many of our clients report somatic complaints. With regards to PRN medications (pain relievers, anti-anxiety, and other dis-inhibitors) clients will be asked to perform alternative activities such as verbally processing their issue, using one or more of their alternatives and/or completing a PRN medication log prior to requesting or taking the medication.


S.A.F.E. Intensive® 30 Day Residential Treatment Program-Adults and Adolescents and S.A.F.E. Expressions are currently not in operation. We sincerely apologize for any inconvenience.

If you are interested in having any of the S.A.F.E. ALTERNATIVES® Programs at your facility or practice please contact us at 800.DONTCUT® (366-8288) or info@selfinjury.com.