My T has known me for quite a few years. She knows I si at times. When we talk about it I am not sure that I get her to understand that I know it is a unhealthy coping skill, but it is what works at the time. I have tried to explain it to her but I dont explain it very well, the thoughts and emotions that go along with si that is. She never really discusses it with me. She asks if I have since I last saw her. I tell her yes or no, she makes a notation in her book and then on to different topics. Why do people not really want to talk about it, other t's I have had have been the same way. It seems to me they think if we dont talk about it it doesnt exist.