If I bring it up, we talk about it, but T never raises the issue or directs what we discuss. I have a personal policy that I will contact him before I do anything, but he didn’t suggest it. I haven’t actually self harmed in years but the urges are an ongoing issue that I i bring up. He has at times suggested alternative behaviors, but generally he just accepts this as something that I do/think about doing to cope.

This is a really timely thread for me because I am struggling to understand why the urges are so persistent after so many years of not doing anything. I really hoped they would fade. I have been trying to discuss it with T but the shame I feel makes it difficult to discuss.