What a doofus.
My psychiatrist used to ask me outright. Occasionally I would tell him the truth. More often he would ask to see my arms, legs whatever. If I refused he'd wheel over in his chair, take my arm & roll up the sleeve. I never resisted, mainly because he had done it before I even noticde what was happening, but learnt to shrink away if I saw him coming.
Meh, I'd jump in a cab & go for sutures before I'd tell a psychiatrist again - apart from anything else they do not judge you or get squeamish at the casualty department & you don't get hassled afterwards.
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May a hundred thousand angels descend upon your house & guard you and love you and those whom you love - ancient Arabic blessing
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