Maybe ask your T if you can talk more about the reasons behind the SH? Or ask her, what do you think my SH is a symptom of? Mine has it's roots in my depression, that's for sure, but also in intense loneliness, not fitting in, stuff like that. If you have been through trauma either big T or little t trauma, sometimes SH is a symptom of trauma. I went through childhood emotional neglect as a child because my Dad worked all the time and my Mom had her own mental illness that wasn't being treated at the time. So SH is one way I found to deal with some of that. Maybe you could also do some journaling. It might help you determine what your SH is a symptom of. HUGS Kit