Self-Sabotaging Behaviors & Depression | Inpatient Treatment Options

Have you ever gotten in your own way? Or been your own worst nightmare with the best intentions? Self-sabotaging could be something as simple as procrastination, or could involve acts like criticizing yourself, people pleasing, engaging in risky behaviors, and so on.

If you find yourself self-sabotaging, you may be left asking, Why? Why do I keep doing this to myself? But the narrative is a lot more complicated than this. Sometimes, self-sabotage may sit above an underlying mental health difficulty, such as depression. 

Depression and self-sabotaging behaviors often go hand in hand. It’s not uncommon for those with depression to unwillingly and often unconsciously engage in forms of self-sabotage. When self-sabotage and depression combine, it can have many negative implications on a person’s life – affecting their relationships, work life, and how they feel about themselves. 

Fortunately, there are support strategies and treatment approaches available to manage both depression and self-sabotaging behaviors. So, no one has to face these alone. In this article, we will explore the relationship between self-sabotage and depression, and the inpatient treatment options available to you should you need them. 

Woman sitting on the edge of her bed with her head in her hands due to self-sabotaging behaviors

What Is Depression?

One of the most common mental health conditions, depression is characterized by poor mood, loss of interest in activities you used to enjoy, and general loss of pleasure. According to the World Health Organization (WHO), 4% of the world’s population experiences depression, and an estimated 727,000 people died by suicide in 2021. This is the third leading cause of death for teens and young adults ages 15-29.1

Depression is a lonely, exhausting mental health condition that can affect anyone at any time in their lives. And sometimes, to make matters worse, depression doesn’t come alone. Depression often carries with it additional baggage, such as co-occurring mental health issues and self-sabotaging behaviors.

What Are Self-Sabotaging Behaviors?

Self-sabotaging behaviors are not only negative; they are extremely harmful. Often creating problems in daily life, self-sabotaging behaviors can keep you from progressing towards your life-long goals. 

In some severe cases, like
self-mutilation, the damage the behaviors have is more obvious and permanent. However, what can be more insidious about self-sabotage is when it hides in plain sight as a “comfort” or “reward,” and you may not even realize you’re doing it.2

There are several ways that someone might self-sabotage, including, but not limited to:
3
  • Procrastination
  • Self-criticism
  • Risky behaviors
  • Relationship sabotage
  • Learned helplessness
  • Avoiding self-care
  • People-pleasing 
Unfortunately, these types of behaviors can form a cycle, normalizing them and increasing their frequency in our daily lives. Let’s explore this cycle in more depth. 

The Self-Sabotage Cycle

As noted earlier, self-sabotage is not a diagnosable disorder on its own. However, it is usually ongoing and difficult to break. It has a cyclical nature that feels familiar and often provides a sense of control over the situation. Though you may not notice the patterns until behaviors are negatively affecting your adult life, they often begin in childhood. 

When we are young, we have little understanding of the complex things around us (as our brains aren’t fully developed yet). However, to counteract this lack of life experience, our brains make connections and provide us with a predictable script of sorts. This is the brain’s way of keeping us safe. To the brain, predictability equals safety.

Unfortunately, that is not always true, particularly if the adults or other influences in your young life have their own bad behavior cycles. For instance, if you witnessed your parent in an abusive relationship, you may grow up and find yourself in similar relationships. Or if your parent was emotionally unavailable, you may struggle to be vulnerable with your own children. 

In these cases, the children of these adults may vow never to repeat what they saw at home growing up. But when they become adults, the pattern may compulsively reemerge in their lives.

It’s important to note that this cycle often happens outside of our conscious awareness, which makes it harder to spot and change. To start to recognize and replace these behaviors, we have to first process and understand the experiences that led to them. More on this soon. 
Find out about our free depression assessment & admissions process

We accept most major insurance providers and can check your coverage levels for you.

If we are not an appropriate provider for care, we will assist in finding a care provider that can help. 

Does Depression Cause Self-Sabotaging Behavior?

There is no one single cause of self-sabotaging behavior, but there are a few indicators that can make these behaviors more likely. While all of the risk factors begin to occur in childhood, they can be reinforced by our experiences as adolescents and adults. 

Depression is not listed directly as a cause below, but depression and self-sabotage often co-occur. One may not be the ultimate root for the other, but both tend to perpetuate each other’s cycle further. Four common root causes of self-sabotage are:
  • Childhood trauma
      • Our experiences as children shape our world, and abuse, neglect, witnessing violence, natural disasters, etc., can alter our perspectives in countless ways.
  • Approach-avoidance conflict
      • The same goal can have positive or negative reactions and trigger fear in the brain, which can manifest as self-sabotage. 
  • Modeling
      • Children mimic the behaviors they see displayed by the older kids, teens, and adults in their lives.
  • Low self-esteem
    • Rejection or neglect in your early years can cause long-lasting effects on self-perception.6

What’s more, our core beliefs shape our world in unimaginable ways. If the beliefs about ourselves are negative and unchecked, they can have devastating results throughout each stage of our lives.

How to Know if You’re Self-Sabotaging

Even after becoming self-aware of behaviors that harm you, it can be hard to make lasting changes. Many of these problematic behaviors exist in the back of the mind and manifest themselves without you consciously choosing them. They are a part of how you have functioned in life thus far and, as such, can be challenging to extinguish.

Self-Sabotage Behaviors and Signs

One of the ways to know if your behavior is self-sabotaging is to notice the impact on your life, work, or relationships. The physical behaviors and their effects may be what you notice, but deep underneath is a thought pattern that is running the show. The following are typical thought patterns that someone who is self-sabotaging might experience:
2
  • Fear of failure
  • Low self-esteem
  • Negative core beliefs
  • Fear of success or happiness
  • Impulsivity and poor emotional regulation
  • Perfectionism
  • Fear of judgment

When to Seek Inpatient Treatment for Self-Sabotage and Depression

Prior to seeking a residential program, there are several methods you can use on your own or with a therapist, like mindfulness, reinforcing positive behaviors, thought-stopping techniques, and even exposure therapy. However, even though a self-sabotaging behavior recovery center may not be where you want to start your healing journey, it may be a worthwhile step to get the support you deserve. 

If you are experiencing self-sabotaging behaviors that are having harmful consequences on your life, relationships, or work, we recommend consulting with a professional.
2 There are a variety of levels of inpatient treatment plans for self-sabotage and depression, which we’ll delve into next. 
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Types of Inpatient Self-Sabotaging Behavior Treatment

The good news about self-sabotaging behaviors is that they are learned and can therefore be unlearned. With the right treatment programs, therapy, and support, you can alter damaging unconscious patterns and replace them with new habits that allow you to progress. 

However, it’s important to be aware that finding the right inpatient care for depression with self-sabotage isn’t always easy. Deciding to stay at a residential self-sabotage treatment program can be an overwhelming commitment, but one that can save your life. 

The best inpatient programs for self-sabotaging behaviors include therapies that can help with complex and multifaceted problems.
7 Since these behaviors often disguise themselves as rational or even helpful despite the results, having professionals around daily can yield massive results and change your life. 

Depression and Self-Sabotage Therapy Options

Within inpatient programs, therapies can help you move through your struggle. Although, as mentioned earlier, you can do some therapeutic techniques on your own, a professional can safely guide you through more difficult feelings and help you navigate those that aren’t always straightforward to understand. 

The main form of treatment for depression and self-sabotage is:

Psychotherapy

Also known as talk therapy, this is a structured treatment approach that helps people understand and manage emotional difficulties, mental health conditions, and harmful thought patterns. According to research, some of the most effective psychotherapy approaches for depression and self-sabotaging behaviors are:8
  • Cognitive Behavioral Therapy
    (CBT): This therapy approach focuses on changing a person’s negative thought patterns and behaviors, making it an ideal form of therapy for both depression and self-sabotaging behaviors. 
  • Dialectical Behavioral Therapy (DBT): A structured, skills-based psychotherapy that combines elements of CBT with skills like self-acceptance. It emphasizes four key modules: mindfulness, emotion regulation, healthy relationship skills, and tolerating distress. Research shows that DBT can significantly reduce self-directed violence and symptoms of depression.9,10 
  • Systemic Family Therapy: A therapeutic approach that views forms of psychological distress (including depression and self-sabotage) as related to the patterns in relationships, our interactions, and the wider “system” around us (such as our work, family, and peer networks). Research shows that systemic family therapy can be highly effective at treating depression and related difficulties.11 

Does Insurance Cover Inpatient Depression & Self-Sabotage Recovery?

Yes, health insurance companies often cover treatment for depression as it is one of the most common mental health problems, and it can have devastating effects. Both inpatient and outpatient treatment options can be covered. Discuss your plan with your physicians and therapists to verify with your insurance company and ensure you have a smooth recovery.

Find Depression Treatment Programs

A Mission For Michael (AMFM) provides treatment for adults experiencing various conditions. Depression support is a phone call away – call 866-478-4383 to learn about our current treatment options.

See our residences in Southern California’s Orange County & San Diego County.

Take a look at our homes on the east side of the Metro area in Washington County.

View our facilities in Fairfax County, VA within the DC metro area.

A Mission for Michael (AMFM): How to Break Free from Self-Sabotaging Behavior

At AMFM, we are devoted to helping you achieve your goals and break the cycle of self-sabotage and depression affecting your life. We offer evidence-based therapies like CBT, DBT, and group therapies that can help you not feel so alone. These can be accessed no matter the length of your residential stay, whether that be short-term (less than 30 days) or long-term (30+ days).

Additionally, we offer a host of holistic therapy opportunities at our inpatient programs. Community favorites such as equine (horse) therapy, music therapy, and gardening group therapy are offered at several of our facilities. For those wanting to get off-grounds, we have aquarium and museum visits as well as beach visits and mini-golfing. 

To find out more about our treatment approaches and programs, get in touch. 

  1. World Health Organization: WHO & World Health Organization: WHO. (2025, August 29). Depressive disorder (depression). https://www.who.int/news-room/fact-sheets/detail/depression 
  2. Self-Sabotage. (2025, July 3). Psychology Today. https://www.psychologytoday.com/us/basics/self-sabotage 
  3. Copley, L., PhD. (2025, October 9). 5 Self-Sabotaging worksheets for your clients. PositivePsychology.com. https://positivepsychology.com/self-sabotage/#hero-single 
  4. Yuhai, Y. (2025, May 19). why we get in our own way (the neuroscience of self-sabotage). mindbox. https://contemplationstation.substack.com/p/why-we-get-in-our-own-way-the-neuroscience 
  5. APA PsycNet. (n.d.). https://psycnet.apa.org/record/2006-21421-000 
  6. Life, M. O. (n.d.). The four Factors in Understanding Self-Sabotage. Maze of Life. https://mazeoflifecenter.com/f/the-four-factors-in-understanding-self-sabotage?blogcategory=Education 
  7. Tobin, J., PhD. (2025, January 29). The Psychology of Self-Sabotage: How Psychotherapy Fosters Positive Change – James Tobin Ph.D. James Tobin Ph.D. https://jamestobinphd.com/the-psychology-of-self-sabotage-how-psychotherapy-fosters-positive-change/
  8. Alanazi, W. H., Alanazi, A. N., Alanazi, E. M. A., ALANAZI, A. S. N., Alanazi, F. A. D., Alenezi, A. S. O., … & Alanazi, A. H. A. (2024). Effectiveness of psychological nursing interventions in improving the psychological status of patients with depression: a systematic review of existing studies. Journal of International Crisis and Risk Communication Research, 7(S5), 372.
  9. DeCou, C. R., Comtois, K. A., & Landes, S. J. (2019). Dialectical Behavior Therapy Is Effective for the Treatment of Suicidal Behavior: A Meta-Analysis. Behavior therapy, 50(1), 60–72. https://doi.org/10.1016/j.beth.2018.03.009
  10. Panos, P. T., Jackson, J. W., Hasan, O., & Panos, A. (2014). Meta-Analysis and Systematic Review Assessing the Efficacy of Dialectical Behavior Therapy (DBT). Research on social work practice, 24(2), 213–223. https://doi.org/10.1177/1049731513503047
  11. Pinquart, M., Oslejsek, B., & Teubert, D. (2016). Efficacy of systemic therapy on adults with mental disorders: A meta-analysis. Psychotherapy research : journal of the Society for Psychotherapy Research, 26(2), 241–257. https://doi.org/10.1080/10503307.2014.935830
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