Re:Therapist/Client safety

I would handle the safety issue in your office the way you handle ANY safety issue with clients. It sounds like what you are doing is affective - be firm with your boundaries. It also sounds as if you have some concers about your own safety as well as the client's. FWIW, people who self-injure are not likely to harm others. If you are concerned about your own safety use whatever safety measures you already have in place.

As a clinician, and someone who used to self-injure, my suggestion regarding therapy is to help her develop other, healthier coping skills for dealing with her problems.

The other poster recommended Marsha L's work. You might also find "Cutting" by Stephen Levenkron and "Bodily Harm" by Conterio and Lader helpful.

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