As a person that has self harmed off and on all my life. My pdoc was always aware because my T and him are in the same office and he would ask me how I was doing with at my normal 3 month appointment of course. But he's the med guy, of course he is concerned and we discussed whether the meds I was on were helpful or making matters worse, as in if I gained weight due to meds my self harm increased.

But, my T is who really addresses the self harm and has helped me manage and cope., I am self harm free for 2 years.. Which is huge for me and I have never gone this long. I have learned my "Triggers" and how to stay safe.

I think that the best way to handle self harm is to find the root problem and address it, I was actually a bit shocked to find out some of the reasons I cut... I had no idea there was a connection.

Some Pdocs are on high alert when they hear of any self harm like say cutting as a person could cut too deep or the wrong place and actually be in a life threatening situation.

If you want you can Pm me anytime