Thank you for clarifying.

I have never been pregnant so I cannot personally say how I would deal with that.

However, I think these are common assumptions that people make about women who are pregnant, even those who do not self-injure. The body changes immensely when pregnant. And I think everyone is quick to judge and make suggestions about how you should or should not be taking care of yourself and your child.

I wouldn't put too much thought into it. Self-injury doesn't just disappear. I think anyone would be asking too much of you to just automatically stop the behavior on a moment's notice. It just doesn't work like that. Anyone who has struggled with self-injury knows how hard it is to stop. There is no on/off switch and pregnancy doesn't change that.

I think perhaps your T and Docs will just up their levels of observation. As long as you are under the care of a qualified T and/or Doc, it shouldn't be an issue.

I know that when I switched my methods of self-injury, I was concerned that my T was going to want me to go to inpatient. I think that was always my worst fear. I didn't want to be in the hospital and the worse my self-injury became, the more my T threatened to send me to inpatient. However, on a very realistic note, there wasn't much merit to having me go to inpatient. I wasn't suicidal, didn't have a plan, and wasn't actively trying to end my life. They would have sent me home. I was underneath the care of two T's at that point, one of which I saw four times a week for three hours through an Outpatient Program.

I guess my point is, you are underneath the care of a T and a Doc. They will know if there is a need for more care. And as far as their opinions go, they don't matter. You are carrying your child, not theirs. I would hope they would be sensitive enough to know that any type of mental health concern or issue simply never just goes away, even if you are pregnant. That changes nothing.

All you can do is try to take care of yourself the best that you know how.