I emailed my T the first time we talked about it, I needed her to introduce the subject.
I did that again recently too, I struggle to bring it up.
She asked where, what thoughts were going through my head etc...I've got better at identifying triggers, I could tell her the scenario that set it off for the last two times.
Twice she has asked to see. First time I said no, second time I very briefly showed my arm.
I don't know if it helps.
Also, she was surprised I think when I emailed her recently...she said she hadn't seen any signs. Must have missed the massive plaster on my wrist then
She has asked me to stay with the feeling that I have before I cut, but tbh it's more thoughts than feelings...