I see. for the sexual one my treatment providers put me on a long term birth control and monthly testing for sexually transmitted diseases, for the self injury one we went inpatient.. usually when a person/alter needs to self injure it means they are triggered in some way and not thinking clearly. the self injury is a way to release those emotions but can also cause accidental death by accidental suicide (thats what its called here in NY when someone accidentally dies due to self injury) Which here where I live and work requires treatment providers to do an involuntary commitment to a mental unit. for the voices my therapist and I had me journaling so that we could figure out what the alters needed and take care of them. as we took care of what they needed the voices calmed down. Some of my alters were what we call introjects...a type of alter that takes on the abuser role. Usually when my introject was activated it meant I was doing something that I was programmed not to do. example trying to talk about what happened was not allowed so the introject would start verbally down grading./ verbally abusing me. the way my treatment provider and I dealt with this was for every negative comment the introject threw my way I wrote down a positive statement...intorject - you are so stupid...me writing down - I am not stupid I just dont know how to do that the way others do. introject - what an A.. me yup I have one of those every living thing has a way to eliminate bodily waste and today its working perfectly. as you can see I also use humor to combat those negative remarks my introject would throw my way my therapist once said the best way to fight the negative was to turn it around into a positive and not do battle with the negative.