My ten year old (whom we plan to adopt) scratched herself (or cut, I don't know) again. The wounds look like cat scratches to anyone without a basic knowledge of cats. I brought her to the doctor and I can't tell you how surprised I saw when I walked into the room and this very trusted doctor proudly announced, "They are cat scratches!" She decided this after talking to the child without me present for about 30 minutes. I then explained that they are absolutely not cat scratches and explained that the child had no access to the cat on the date the event was determined to have happened, and the cat is front declawed. This child who asks for a Band-Aid for wounds so tiny I can not even see them had a wound six inches long an never even asked for a Band-Aid. Still, the doctors report will state the wounds were absolutely not self inflected. That will do wonders for me when trying to get her help later But, it does prevent CPS from being called right now. So, what now? The child will not admit what she did and refuses any help. She will see her counselor on Friday. Family based services will soon start to deal with her PTSD. If she decides not to help herself I guess that is her choice. I do not know of anyway to prevent this, but I will be buying her new PJ's (all short shelved) and packing up of the long ones. She very likely did this with her fingernails. That is what she used the first time. She is only ten, that just seems so young for this.