My first 2 therapist I didn't ever tell. My 3rd one I had a complete break down a week after starting to see him and ended up in the hospital with the picture of an eye carved in my hand so he knew right off. We didn't really get into talking much about it. My newest one I told right away. I mentioned it in the run down of my history and she keeps tabs on it as a regular part of our sessions because it is a good indicator of the areas I need to work on. If something makes me want to self injure then it is something that is still making me feel trapped and unsafe so it is something that needs immediate attetion. The self injury is a good compass to follow when deciding what needs to be worked on first. She is still working on getting me comfortable with talking about it, feeling safe in mentioning it. But when it does comes up she assures me that it is a habit I am getting over and then focuses on the cause of the need to self injure.
Carrie