I would say now that you have a good T, it would be wise for you to discuss better coping skills with her than to go with anything to do with real SI (which OD is NOT)......it's self harm, but not the same as SI. With SI, the pain that is caused by it causes natural body opioids to be released within the body to take away the emotional/mental pain that is being felt. The thing with SI that you don't want to start is that those opioids are as addicting as taking pill opioids.....one gets addicted to the act of SI because those opioids are released into the body & the body feels better for that short time.....but comes to desire that feeling....so it's not just the behavior that becomes a habit, but the feeling that one gets from it is actually addicting...more & more as the SI is continued.

Usually when people are young or don't have a good T to work with....they are the ones that turn to whatever they can find as a coping mechanism.....but with T & with age & hopefully learning better coping skills, one doesn't have to turn to something so truly harmful.

I knew a lady way into her 50's who was SI'ing.....even with a good T & pdoc.....but she refused to learn any other coping skills & wanted to hold onto her SI'ing......she wasn't really open to the help of her T it was more like she had to go to them....but fought against anything they said....but her need for attention & someone to care about her was greater than her desire to get better & live without the attention & care that she received from her T & pdoc........I got to know her & her living situation quite well otherwise I wouldn't have been able to observe those needs she had.......sadly, it was sooooo obvious & very sad. Her struggle to find the right meds to help with her bipolar or take them when she did find something that seemed to work. (I met her in the local psych hospital I was in several times when she was there also)

My suggestion is that you haven't started to SI, DON'T. You have a wonderful new T.....work with her on getting real working coping skills rather than allowing yourself to be satisfied with something that is harmful & will cause you more harm in the long run.