It took me 2 years to trust my current T enough to bring up this subject with her, and it took me even longer to be totally honest with her about it. It's still a struggle for me to talk about. It's even a struggle for me to admit in this post to picking at my skin.

Yes, technically, it's SI, but it is also a compulsive behavior. My T asked me once if I consider my own behavior SI and I told her that while I understand that I am injuring myself, that is not really my primary purpose, so it's hard for me to really consider it SI, even though I understand that it really is.

I think it's important to talk to your T about it, but you can take that in baby steps. When I finally got up the courage, I told my T "I want to talk about this, but I'm afraid to and I don't even know how to start." My T usually prompted me by asking if I could just tell her one true thing, or if I could just stay on the subject for 5 minutes...and we built from there.