I have self injured from childhood (28now). 90% of the time, I am dissociated when I do it, so have no choice / control of it. The other 10% is just pathetic; done out of frustration/anger (at myself). I really don`t care about it. Wtf does everyone else? I am ugly, always was, always will be. Scars are ugly, but it`s not like they`ve made me any more freakish than I was in the first place. "Have you cut?" "Have you burned?" "You really should go to a+e every time you cut deep enough to need stitches"....... are statements I am sick of hearing from professionals. This is a very minor problem, in comparison to the rest. I self injure 3-4 times a day. This has been the case for the last 5ish years (and is a marked reduction). No-one else has to see it (bonuses of being an ugly freak; no one sees me, except my shrink every few months, gp every few months and two family members a couple of hrs a month). I have given up being freaked out about being so out of it that I cut /burn with absolutely no awareness. Maybe "we could try something else to stop the dissociation" would be a more helpful way for the `professionals` to work.