Can you actually be honest with a therapist about self harm?
I've been debating going into therapy for a number of reasons. I had tried psychiatry before, but considering what my issues are, I don't think being medicated is enough for me. However, there's a list of reasons as to why I've continued to put it off and one of them is being honest about self harm. I've done it off and on since I was 11 years old. I've been doing this for 13 years. Even when I wasn't actively doing it the way I preferred, I was replacing it with another harmful coping mechanism that was hurting me. I've replaced it with a handful of things, but I always end up relapsing. I might go a few months, half a year, a full year without doing what I want. A year seems to be my limit. And I'm constantly doing it in the ways that are more "acceptable" that replace it. So, in general, I'm rarely clean of harming myself in some way.
I'm concerned about being honest with them though. It's non suicidal self injury. It's superficial, nothing that is going to end my life, and that isn't the goal anyway. And my concern about bringing it up is being involuntarily committed. That is probably my number one fear. It's not the judgement, or possibly not being believed about abuse, or judgement about the abuse or how it's warped my brain. Am I concerned about those things? Sure. Are they my biggest fear? Not even close. It's being involuntarily committed.
And it feels like if I can't be honest and talk about this, there's almost no point in going at all. It's such a major part of... everything leading me into needing therapy. But there's a chance that my biggest fear would happen if I was honest.
I know little to nothing about what would have to be said or done to get to the point of being committed. And what little I've read about it hasn't reassured me much. I don't know if it's worth the risk because I know if it did happen, that would be it. I'd never consider opening up or seeking help again.
If I talk about it and admit it, how do professionals typically handle the conversation?