 [ Symptoms ] is self injury a medical emergency that i have to tell someone about or is it not a big deal i am 15 years old i am a 15 year old girl and just started zoloft for depression and anxiety about a week ago everything has gotten worse including self harming which no one knows about how long will it take the medicine to start working and is it important for me to tell someone about the self injuring or is it not that big of a deal [ Disease ] yes defiantly this often is a sign of deeper underlying problems such as abuse or suicidal leanings get help