Non-suicidal self-injury is a common issue seen by counselors. Fifteen females ranging in age from 18–26 participated in interviews focusing on understanding experiences young adults find helpful in curbing self-injurious behaviors. Participants shared their experiences with NSSI and interactions they considered helpful. Themes and subthemes emerged: responding to emotional pain (a lack of support and coping skills), helpful interactions (presence and understanding, listening, and no judgment), and non-helpful negative interactions (judgment and attempts to eliminate NSSI). Based on participants’ experiences, it may be most helpful for counselors, across theoretical approaches, to focus on basic counseling skills when working with NSSI.