I've noticed several people here who have said their kids are extremely self critical, to the point of hitting themselves. We visited the child psychiatric today and everything went well as long as we talked about the progress we had made with-difficult child since our last visit. But then I brought up the topic of how rude he has been to me in the past cpl days, incl the time when we wake him up and he shouts, "Shut up!" in a mean voice. difficult child suddenly stopped talking, had a hurt, angry look on his face, and all but curled up in the chair. The child psychiatric noticed it and told difficult child a time that he had made a mistake and how he didn't like it when someone pointed it out, but he corrected it. husband did the same thing, and so did I. Still, no response. Child psychiatric then told us about a pt of his who hated to have anyting at all staining his clothes, not a dot of ketchup, etc. This kid literally smacked himself in the head and arms and caused himself pain, and repeated how stupid he was. So the child psychiatric set up a Mistake Training session, which is basically desensitization. The dad and son wore dirty, old shirts, cooked burgers on the grill, and piled way too much ketchup on the burgers. Then they ate them slouched in the chairs so the ketchup would go all over the place, inevitably staining difficult child's shirt. It was fun and funny and helped a lot. Sometimes you have to repeat this procedure to make sure difficult child "gets it." And you may have to repeat it in diff situations, since G'sfg can be so literal. I'm not sure how to desensitize our difficult child to criticism, per se, since he's definitely going to get it, but we will work on it. One example I can work on is that he hates art, because he knows I'm an artist and he feels like nothing he ever does will be good enough. I don't know where he got the idea he had to be a perfect artist, but you know how g'sfg are! I will set up a time for us to scribble on paper, and even rip it if necessary. Just thought I'd share that in case you found it helpful.