Yep. My ex-T did it more when it had to deal with safety (I self-harm). I remember once I had visited my dad (we have a bad past) and after I left I had a panic attack. It was soon after I had the urge to self-harm. My ex-t just said, "When are you going to start to do what it take to keep yourself safe?" I became pissed, but it did lead to some real lasting change.