Hi! I am new to the forum and kind of hesitant to reach out, but I am now at the point that I am not sure what else to do. I have SI'd for over thirty years, but have only been in therapy for a little over a year (although that is not why I sought therapy) and I got "outed" by therapist as there was no bluffing when she busted me for it. Both my therapist and psyche are great and have been very patient and understanding with me. They have helped me a lot, but I can't seem to get past this. They are both suggesting some sort of rehab or hospital program to try to get a handle on the SI. I am weary of the stigma of entering a program and have no idea of what it involves or what to expect. My understanding is that it would not be a "lockup". I used to have the SI "under control" - at least by my standards as I wasn't aware that it was an issue and I have relied on it for so long, and it worked. I have a chronic illness which has resulted in my no longer being able to work. This has been hard to adjust to . The SI hasn't been working like it used to so I am now being more reckless and careless - increased frequency, infections, disregard for where, when, how I do it. I've tried various coping skills, but to no avail. Can anybody provide me with some insight ? Thanks