We don't focus on it; we do check in about it though. My t says it can be a way of me avoiding dealing with other things. That does match my experience in some ways but she is supportive if I say that I really do need to talk about the urges in more detail. We did that today, after talking about the issue that brought up the self-harm urges to begin with.
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"I would rather have questions that can't be answered than answers which can't be questioned." --Richard Feynman
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