Many use body modification and self-mutilation interchangeably. In many ways self-mutilation is very different than body-modification. Body modification gives one the feeling of pride and excitement, giving one something to show off to others. Alternately, those who self-mutilate typically are ashamed of what they've done and want to hide any evidence of harm. Body modification is explored for adornment, self-expression, and an array of many other positive reasons, while self-mutilation is inflicted because of mental or emotional stress and the inability to cope with psychological pain. Those who self-mutilate do so in order to punish themselves, express internal turmoil, and reduce severe anxiety.