Hi amayastar! I think you can just tell your t straight up. My t knows (I told her by saying something along the lines of "I'm not sure I've been completely honest and upfront about something/how well I cope" then I went on to tell her) , and she has avoided hospitalisation for me over the last 20 months. Hospitalisation is a last resort for my t, not the first port of call. Hospitalisation is not the answer to chronic SH. The thing I find hard to talk about is the types of SH I do and the severe SH urges I get. Talking in detail about it is unfathomably painful. But you can just let your t know - your t will be trained to deal with it professionally.