Evaluating the Pantablay Counseling Approach for Non-Suicidal Self-Injury in Filipino Youth: A Case Study

Abstract

This single case study evaluates the effectiveness of the Pantablay counseling approach, a culturally adapted intervention designed to address Non-Suicidal Self-Injury (NSSI) and emotional distress in Filipino adolescents, using the Spirituality, Physical health, Attitude, Cognition, Emotional health, and Social networks S.P.A.C.E.S.(Modified) framework.  Client A is a 20-year-old college student, who exhibited significant improvements in emotional regulation (DASS-21 scores decreased by 30%), self-esteem (Sorensen Self-Esteem Scale scores increased by 40%), and social engagement after six sessions. The integration of prayers, reflective journaling, and Filipino rituals, such as Tapik and Salo, provided Client A with tools to manage stress and reduce NSSI behaviors. Despite these positive outcomes, the study highlights challenges in balancing cultural sensitivity with clinical effectiveness and the potential limitations of the approach’s applicability beyond collectivist cultures. Theoretical contributions include the integration of culturally relevant practices into therapeutic models, while practical implications suggest the potential for broader applications in similar cultural contexts.

Keywords: Pantablay, non-suicidal self-injury, adolescent risk behavior, non-suicidal self-injury intervention