How to get better from self harm?

For a while it seemed like I was doing pretty good. I went 18 months without self harm. But lately I have been relapsing a lot.

I have a therapist. I have a group therapy that I go to. I take medications. I see a pdoc. I use crisis lines sometimes. I know some "tricks" like hold ice, draw on your body, etc. But lately nothing seems to work.

Unfortunately I tend to self harm kind of bad. I'm trying to stay out of the hospital but maybe one of these days that will not be able to be avoided.

I'm just like, lost. I don't know how to get better. I want to be better. But I am really unwell right now so I don't think it's possible.

HUGS for anyone who reads this. Kit