Agreed that T's have likely seen lots of cases of self-harm before and aren't likely to freak out unless they think you're actively suicidal. My p-doc wanted to check the cuts to make sure they didn't seem infected. My T acted normally toward me, though she was surprised to see how many cuts I'd made because I had downplayed it to her on the phone. My marriage counselor acted normally toward me, too, though he mostly works with teens, so he's probably seen lots of cases of self-harm. He did a good job of explaining to my husband the difference between self harm and wanting to end your life. And the reasons some people self-harm.