i have a needle phobia (cry when giving tiny samples, need anti-anxiety meds to even get me into the room) and yet i've had a problem with cutting since i've been 14.
i would encourage you to tell your pdoc or T. i have told mine when i have started having thoughts about it again (i dont do it anymore, really - but i definitely used to be addicted to it). neither of them have suggested that i increase my meds. my therapist has talked to me about the stuff that keeps bringing it up for me (uni task completion is a big one) and my pdoc has helped me find other things to do instead.
it helps a lot to have support through this. if you voice your concern about not wanting to tamper with your meds even more, i am sure it will be respected

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