Will your wife help with structure?
You illistrate the same fears that most of us have, "will this go away" It's one thing that I don't want to go through for an extended amount of time, but there has to be More coping skills out there that work. Never give up, Keep fighting. Those to sayings is what most say. In the past year I have been working with two different social workers and have found that when they cope it's a full time job. In over a year both of them have been close to giving in to urges (SI and addiction are very close), but only one of them have given in but they are accountable through they're job and to us as clients.
Never give up coping skills, if one doesn't work then there is another one to be learned. Keep trying, it's never worth the pain of the memory of that occasion of SI/SH.
You are not alone.
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