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Cut Myself Again

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I have another appointment with her tuesday...she knows that I'm struggling with my self-injury impulses again, I just don't think she knows how severe the impulses are...
 
That's a really good, really loaded question. Of course I know that it would help my T to better help me if she knew the extent, it's just really hard for me to say that I'm struggling so much with this. I feel like this is something that I should have under control by now, but the fact is I don't, and I don't know what she can do short of locking me up to stop me from doing it in the first place...it's just difficult for me to bring it up when I've been avoiding the subject for the past 5 years...
 
This has got to be really, very difficult. I am really, truly sorry. Have you given her a chance to help you with it if you haven't told her? Maybe you can't think of how she can help, but she has 5 years of experience with you and I assume a lot of other experience with this...maybe she can think of things? If you feel like you can't tell her, do you feel like you could write it? It is hard to take the plunge and let other people in and help you...can you think of ways she has earned the trust where you might be able to?
 
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