My T knows both about my drinking and use of other substances to cope with anxiety/life in general and about SI. So far, he has tried brainstorming or suggesting various ways to cope with the issues causing me to abuse alcohol or to cut. He tries to strengthen my coping mechanisms so I don't have to resort to other things.

However, he never straight up adresses it as anything having to do with addiction. He listens if I tell him about it, and occasionally asks about my use if I don't mention it for a while. If there is anything that worries him, he will usually give me some drug safety advice.

He also once stated that "it wouldn't help if he told me to just stop doing it", so I don't think he will ever do that, he will just support me for as long as I need to realize that I can cope in different ways.