Patients with special cases which require special attention should be given specialized attention especially those with history of self-harm. Mental care is a medical field that also involves nurses and the knowledge of dealing with such issues despite the kind of patient or the specific kind of problem which may be very challenging. Matthew being a 30 year old who has suffered from child abuse in his childhood and has a history of self-harm, is a kind of patient despite his complex issues, requires specific and well defined treatment to help him.