Hi Lily, thank you for replying.
You're right, it's not productive, but I'm not sure how to stop comparing myself to others, or how to stop being concerned with how bad or not bad I'm SHing and what that means.
I'm not sure what makes me not SH when I get the urge to. Generally, if I get the urge, I just go through with it. The times recently that I didn't have been only times where I was too sleepy to SH and then have to deal with the cuts afterwards, but that's not really under my control, and times when I called my psychiatrist, but that's a bad thing to rely on because I can never call her too late/early or at her office hours. I mean, I never really talked to her about her availability but it's just what I assumed, to not be so disruptive.
I'm not sure why calling my psychiatrist helps. I guess maybe when I talk to her I make it "official" that I'm suffering in a way that SHing would. Maybe it also gives me some hope. I don't know.
I've tried some strategies for not SHing before, like holding an ice cube, screaming into a pillow, exercising, and punching a pillow. However, they always just left me with even stronger urges. And when I try to avoid cutting like usual, I just end up doing other forms of SH. Particularly, I start hitting myself or hard things that hurt my hand or pulling my hair (not plucking it out, just yanking it).
Maybe I could try other strategies, but I'm not sure if any would help. Reading the ones on the thread, I only imagine them leading me to SH anyway. I feel kind of hopeless in terms of being able to quit SHing honestly.