URGES when in session. what have you done?

When you get the urge while your in therapy to Si?
What do you do are you honest right than?
Do you excuse yourself to the bathroom?
How does your therapist handle it if you tell them?

I think that if it happens while you are in therapy there would be no better time to tell the therapist. I don't know how the therapist would handle it but it would be better than you actually doing it.

I don't experience urges in sporadic short episodes. My desire kinda last for a length of hours/days. I also have been working really hard not to SI. I seem to be able to go about 6months w/o. But I do tell my T when I feel like it. In fact, she checks in with me every session about it and my SUI thoughts. She doesn't really react to it. She just asks me if I'm going to be safe or if I need a higher level of care.

If you have the ability to leave session and SI, I would consider that extremely severe. For one, if you use an item to SI, what are you doing carrying with you? Second, you should definitely tell your T...that is if you're ready to try to reduce the urges/stop.

As a side note, I am now a firm believer that SI is extremely dangerous. This past year I wound up hurting myself so bad that if I would have done just a little more, I could have died. I never thought that that would be me. I was always careful. There are much better ways to cope...you just have to learn to utilize them and want to stop. For your safety, I would highly recommend talking to your T...whether or not you have the urge while in session.

Funny you should ask this as something similar just happened to me. I've noticed that in most things on PC there is usually someone else going through something similar. Ordinarily I don't get urges IN session so I can't speak to that. I am, though, always honest with T about when I have si'd and that, well, i'm not really ready to stop.

Last session though, I apparently did some si'ing that I was unaware of. She pointed it out and I guess watched me as I did it (nothing that could hurt me too bad, at worst maybe break a bone). She watched me, kept pointing it out, asking if I was trying to hurt myself (which I didn't know) and tried to question around what was my purpose in doing it (distraction, etc.) It was weird, but the urge to do it wouldn't go away until she helped me calm down.

I would not suggest si'ing in front of T (especially intentionally), but I also would not suggest hiding it (going to the bathroom). If the urges come up in session, that is the best time/place to express to T that you are having urges and they can, hopefully, get you to the root of the issue that's triggering that response in you. I've always done this thing that I did in T without realizing it, but it happening in session has made me now aware that its actually the first thing I do when I get frustrated, it's just not normally noticable and I'm able to stop it because I "know" what i'm doing.

Try talking to T though, thats what they are there for.

I once cut my palm with my nail, I don't think it was intentional. T didn't notice
I agree that if you have the urges, that's a great time to reach out to t. From reading your other thread, seems like your t is well up to the job!

Yes I think you should tell your T when you get the urges so together you can work on triggers.

I personally would not bring it up because to me it would feel manipulative. I HATE the thought of being manipulative.

My Ts both check in on my SH/SI at each session, mostly at the end to see if I have the urge to go home and do anything. Very rarely do I have the urge to after session, but I have a few times and said so. It ended with the session being extended past my time until I was able to say I'll try a,b,c,d,e, etc instead when I get home.

I have had the urges a couple of times over the years. One time I wanted to just dig myself until I bled. I was digging but never actually caused blood. I struggled in my head as I knew I should tell her but just couldn't. When she asked what was going on in my head I really wanted to say that I was having these horrible urges but instead I told her I just wanted the pain to go away...I left the session angry that I didn't say anything..

I've had sessions intensify the urges. I've also hurt myself in session without realizing it until it was pointed out to me. I have never cut in session, but have scratched myself as a way of self-soothing during a difficult session. At the time, my T pointed it out and asked about it. We were able to identify some triggers and talk me through it.
As almost everyone has said, it's probably a good time to bring up the topic with T. I understand puzzle_bug's hesitation though also, as I hate even remotely coming off as manipulative, but as one T put it, if it's honest in the moment, it's not manipulative. They are there to help us through our struggles, so it makes sense to ask for that help especially if they are available.