When I first started a PHP in March, I was still self-harming. My T outside of group and I had discussed it. When I self-harmed after starting group, my therp helped to convince me that I should be honest and let my case manager in group know. And when I did it a few times, I told her. I was ashamed and embarrassed. Then I got another case manager. Wanted me to be hospitalized for it, but my pdoc there didn't push it. Thank God!

My current case manager wax aware that it was in issue for me, made me agree to talk to her if I had the impulse. The first time I did it, she was able to talk me down. The next time I talked to her she mentioned something along the lines that she wax glad I didn't because she would have me hospitalized! I had never heard that before for minor SI. I talked again to her to try to explain that I felt hospital was more bad than good for me. It wasn't the answer. She told me she would still do it.

I haven't SI'd since then, but if I did, as much as I like her, I would not tell her. NO WAY! Bug I will always keep the communication going with my outside therp.

Maybe you can ask your case manager her thoughts about what IF you self-injure?