My t doesn't push for details beyond what is necessary to determine how safe I am. It's very important that I be safe from suicidal behavior, that I verbalize that I will call the hotline if I need to. We generally don't talk about my plans or my ideas on how to hurt myself unless I express the need to do so.

My t wants to be sure I'm safe and she helps me come up with alternatives, and evaluate how well those alternatives work (or don't work), and come up with more alternatives. It's all about dealing with and tolerating negative emotions and urges to self-harm.

We don't usually talk about how exactly I want to self-harm...but if I said I needed to talk about that we could. That has happened in the past when I was having disturbing images about self-harm.