I still remember it. It was one of our very first sessions. He kind of just stared at me, not in a bad way. With more of a concerned look on his face. He didn't say much about it other then asking how I did it and how often.. He wants me to tell him everytime during session if I did self harm while we weren't seeing each other.
What did your T say or do?
Now I just tell him I self harmed on x day and he just asked how I did it, what was going on in my head and if I felt better afterwards.e

[ScarletPimpernel]

When I first met her she asked how I do it, where, how deep. She asked how long I've been doing it.

Now, she doesn't bring it up. I'm supposed to call her if I feel like doing it again. We have a whole plan. First I try my coping skills, then talk to my fiance, then call her, then Ativan. If none of that works, I can only SI when my fiance is home, and I have to tell him afterwards. Then I'm supposed to call her again.

So she doesn't ask because she will be informed before it even happens.

[healed84]

If my t notices it.. He asks to look at it, does it need medical attention, and why I did it. Doesn't make a big deal out of it at all.

[SheHulk07]

T1 asks how many times, where, what did I use, did I try anything before I cut, and what led up to me feeling that way. At one point he wanted me to check in with the nurse so she could know if it needed medical attention, but he never pushed me on that. If it's easily visible (it hasn't been in a long time), he'd ask to see it.

[ThisWayOut]

Ex t has asked if it needed medical attention. It's not in a spot I would show, so that's never a question. She's asked how often, and if it has become a concern, but only if I brought it up. I was expected to try other skills and call either her, the office crisis line, or the crisis chats. It was not something she would bring up without my initiation. I was expected to disclose if it became more concerning, but we did not focus on it. It helped me take back a sense of control around it, and I was better at self-regulating. I was harder on myself about the self harm than t evert was.

Other t's have asked me at every session, or when I was more stressed. Ex t started out by asking at every session until we developed more trust. I tend to disclose about it if it starts to worry me, so (unless I'm extremely unstable), it's not often addressed.

[Ad Intra]

My t would rarely bring it up in session, but I still did freely. There was never a spoken rule about reporting self-harm, but as a client I get freedom in what is said and not said in a session, so thus I bring up self-harm with out being prompted.
If I cut myself normally I would go right into session and say it off the bat. I figured in going so my t and I could work out the details and talk about it when there was enough time. Without being asked I would tell her what lead to it and if I tried to prevent. She would ask where, with what and if I was really meaning to kill myself at the time.
At the end of a session, every session without a fail, she would say, "Please take care of yourself and call me if you need me." The self-harm concerned her and she once or twice told me that she was concerned that I would cut too deeply and need stitches or die. She took the self-harm and its triggers very seriously.
Sorry this was so long.

[nottrustin]

I had never si before starting t. So it wasn't an issue an issue in the beginning. I have only so a few times. I have always si in areas easily hidden (ankle, stomach.). My husband noticed and freaked out. So I did tell t..we discussed it and she understood it was coming from trauma we were working on. So while she didn't support si she supported me.

[junkDNA]

i havent SI in a long time. years. i struggled with it a lot since i was a teenager. im 28 now. my T would sometimes look at it and sometimes not. since i met my T in a residential treatment program it would get looked at by nurses and the pdoc. T would ask me if i felt better after i did it. i cant really remember much else. i struggled with it the most in my teens when i was with my former T (the bad one). i saw him for 5 years before things went...bad.

Possible trigger:

i remember one time i had just cut my thigh and i went to go see him and he noticed the blood coming onto my pants.

the first time my old pdoc saw it, he called my mom into the room and made me show her. that was soooooooo humiliating. i had just turned 16

[ThingWithFeathers]

My t just monitored my SH through my DBT diary (which made me list a number of daily things, including SH). She has never ask to see my SH, she focuses on safety, delaying impulses and reflecting on how I was feeling when I SH, how I felt immediately afterwards and how I felt about it now in session. My t uses my SH to gage where I'm at mentally and emotionally.

[PinkFlamingo99]

We talked about it today... She always wants to look. How I needed stitches snd although it's too late she wanted me to go to the ER anyway to get the 2 really deep ones checked. How dangerous and deep it is. How I refuse to get stitches but I need to go when it's like that because deep gaping cuts invite infection/sepsis easily.. How she's worried about my safety and think it's severe enough to be scary and she thinks I'm in trouble and need more support. Scary snd humiliating. She and my pdoc are going to arrange for more support and practical help around keeping safe, checking my wounds, safety, and basic functioning with a social worker and crisis MH team. I feel embarassed.

[RedSun]

I couldn't bring it up in therapy so after a few months I emailed my t between sessions and asked her to bring it up, which she did.
I think she asked what I do, what with, how often etc. she asked to see, and I said no.
It's been off and on, I had to email again recently so she would being it up...she didn't ask to see because I sometimes do it in a really weird place, where even I can't see, and I definitely wouldn't want her to see

I don't know if it helps to talk about it or not.

[fadedstar]

I haven't in years but I've learned that the urge is a big warning sign for me. I self surrendered a Swiss Army knife on my own because I couldn't trust myself with it, that's when my T brought up biweekly sessions.

I know if I do slip up I can't not tell her and she'll ask to see (since she wanted to see my scars). I haven't been in that situation yet with her so not sure what she'd do but there's a very real possibility I wouldn't be allowed to leave her office unless I agreed to spend the night with a friend or relative at the very least

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