When I first started seeing my T 3 months ago, she made me promise to stop SI'ing. I did. But Christmas week turned out to be a disaster (stressful, T canceled appointment, T forgot to call me, pdoc appt went bad, etc.) I thought I lost my T, so I SI'ed again. Then I come to find out I didn't lose her. I wrote her an e-mail saying that I was sorry that I broke my promise to her. She knew exactly what I meant. She wasn't mad. She said she still trusted me. She said that she knew she had to earn my trust back. She just asked me to start keeping the promise again.

My best advice: trust your gut with your T. How has he reacted to things you were scared to tell him before? Has he ever over-reacted? Has he not trusted you? For me, if I can't be 100% honest with my T, then staying with her is worthless to me.