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Hey there,

I think that it's at least a good idea to tell your psychiatrist that you are harming yourself. The more honest you are with your psychiatrist, the better they can help you. I think that it may also be helpful for you to let your psychiatrist know that you don't feel as if it is working right now. They may be able to use a different technique in order to help you. Sometimes some things they want you to do are helpful, and sometimes some things aren't, but if you're honest with your psychiatrist, they can make sure they try something else.

I think it can also help you to have people to call when you are home alone, to make sure you're safe. Heck, it can even be calling your parents if you have nobody else to call, but they can talk you through the thoughts. This is a list of hotlines, and they cover topics such as suicide and self harm, as well as a variety of other things. When you are feeling unsafe you can even call one of these. If worst comes to worst you can go to the hospital.

It may be beneficial to be honest with someone about the fact that you've been hurting yourself, because they can be people you can turn to and vent to, and they can at least try and support you.

You should try and find some things to do, especially when you are home alone, to keep you safe or give you a distraction. I have heard the "Happiness Box" around the site before, and it's basically where you fill a box with, well, happy things! It can be positive images or quotes, or even pictures of people, animals, events, objects, etc that bring good memories. Fill it with your favorite things such as a hoodie or other comforting clothes if you have a big enough box/bag. If you have objects that may make you happy like stuffed animals, books, movies, or music, you can put that in as well. Heck, you can even put things such as coloring books and crayons in it! Basically it provides you with good, safe things to do.

You can do things such as write, do art, or listen to or make music in order to express what you're feeling, or even exercise.

You can keep things to do with your hands around the room, such as stress balls or Rubix' Cubes.

Basically, try and make a safety plan.

You can do this.

-Dez