I don't experience urges in sporadic short episodes. My desire kinda last for a length of hours/days. I also have been working really hard not to SI. I seem to be able to go about 6months w/o. But I do tell my T when I feel like it. In fact, she checks in with me every session about it and my SUI thoughts. She doesn't really react to it. She just asks me if I'm going to be safe or if I need a higher level of care.

If you have the ability to leave session and SI, I would consider that extremely severe. For one, if you use an item to SI, what are you doing carrying with you? Second, you should definitely tell your T...that is if you're ready to try to reduce the urges/stop.

As a side note, I am now a firm believer that SI is extremely dangerous. This past year I wound up hurting myself so bad that if I would have done just a little more, I could have died. I never thought that that would be me. I was always careful. There are much better ways to cope...you just have to learn to utilize them and want to stop. For your safety, I would highly recommend talking to your T...whether or not you have the urge while in session.