Hi Abby,
It is me again. Hope you don't mind me talking. I too am a SI er.
Are you safe using the One Day at a Time or even 1/2 Hour at a Time????? Have you called your Therapist today? I think s/he would want to know how you are feeling. Maybe it be helpful for you to consider hospitalization if your thoughts & dreams are overwhelmed with SIing? and the degree of SIing? We care about you Abby.