I agree with not spanking or putting her in time out! You want her to come to you with her hurts and problems, not hide them from you as she grows and that is what will happen if she fears punishment. She is trying to relieve her emotional pain by hurting herself physically. That is why they do it. What did her therapist say? I know she is young, but she is displaying a lot of bipolar symptoms and no matter what anyone else says, yes, they can be diagnosed with it as a child. The sooner it is diagnosed and they get the appropriate medication, the milder the disease (as long as they stay on it for several years) tends to be in adulthood.

Nancy