I have only SHed a few times in the year and a half I've been seeing T. The first time, I mentioned it right at the end of session (intentionally), and he just said "I'm sorry." At some point, I explained how I generally did it, and how it wasn't risky. We discussed in more in a future session, in terms of whether he considers it a crisis (like worthy of potentially calling him over). He said the way some people do it, it could be pretty dangerous and/or sort of on the borderline of a SU attempt, so he'd consider that a crisis. But the way I did it, he wouldn't think of as a crisis. That it's not nothing, and there's some element of risk in what I do (infection), but he doesn't think of it on the same level as what some others do. And he generally will just say "I'm sorry" if I mention doing it, or something else sort of empathetic. I do tell him at times when I've had strong urges but didn't act on it--a couple times just emailing him to say I had the urge was enough for me not to do it. He's never asked to see it, and because it's generally my stomach, I'd feel weird offering, with his being a male.

I'm content with how current T handles it--takes it fairly seriously, seems sympathetic that I felt bad enough to do that, is open to talking about it, but doesn't act like it's some awful thing or like I need to be hospitalized. In contrast, Ex-T seemed too personally upset/emotional about it (especially when I showed her the first time and she seemed about to cry), so I felt like I couldn't talk about it with her. Ex-p-doc tried to get me to do intensive outpatient the second time I did it, so I also felt like I couldn't talk to her about it. Ex-marriage counselor, on the other hand, acted like it was nothing, so it didn't seem he took it seriously enough (he does work with a lot of teens, so maybe that's why? Though current T does, too, so...)