S.A.F.E. Choice® St. Louis, Missouri

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. Choice® is a S.A.F.E. ALTERNATIVES® Program.  S.A.F.E. ALTERNATIVES® is a world-renowned treatment program that has helped thousands of people successfully end self-injurious behavior.  It has been in operation for over 24 years.  A treatment team of experts uses therapy, education, and support to empower clients 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.

S.A.F.E. Choice® is a once a week outpatient 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.  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 and will be required to sign the S.A.F.E. Choice® Promise and group contract.



8000 Bonhomme Suite 211

St. Louis, MO 63105

S.A.F.E. Clinic Photo Gallery


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

Adolescent Groups

Adult Groups


Participant Responsibilities

All participants are expected to be in outpatient individual and/or family therapy.  All participants will sign the S.A.F.E. Promise and a group contract.



To determine if you are a candidate for the S.A.F.E. Choice® Program please contact us to schedule an assessment at 630-819-9505 or mseliner@selfinjury.com. The assessment will take approximately one hour. Payment for the assessment is due at the time of service and payment for the first 6 weeks of group is due at the first group unless other payment arrangements have been made. We accept cash, credit card and checks. We do not accept insurance but can provide you with a receipt to submit to your insurance company should you have out of network benefits. Some clients have been successful negotiating a single case agreement with their insurance to cover our services as in-network given the specialized treatment protocols utilized.