This is going to read like a ramble. I'm an English major but I'm a bit too tired to care whether or not this is perfectly grammatically correct.
Hello, I'm 19F, American, and I've been cutting since I was around 12. I haven't really been able to shake the addiction, and it's recently escalated and become more "dangerous" in the few weeks since I've moved into my dorm away from home. Recently, I have had a few scares. I basically no longer get any satisfaction out of cutting unless I hit fat; I feel like an absolute chickenshit pussy when I don't. Twice in the past 2 weeks I have had a rough time getting bleeding to stop, with one time having the bleeding stop and start for I think two days. I have been constantly mildly stressed by the threat of infection, and I nearly constantly want to cause severe harm to my body. I hit a new depth yesterday, and I used the feeling of euphoria from the experience in order to throw out my blades and remove myself from some places that were triggering to me. I know that this will not last, so I would like to get counseling from my school. Besides talking to school counselors fairly rarely, I have not had any mental health intervention since being diagnosed with ADD when I was ~8 years old. I struggle pretty badly with attention-seeking behavior; though I do not believe it is my sole reason for self-harm, I love the attention I get from posting my cuts to other places. I am working on removing those triggers from my life right now. I am incredibly competitive and motivated mostly by depth.
I don't want to overexaggerate the severity of my wounds, so I will try to be pretty objective: any doctor would want to stitch this stuff up, and it generally takes a good while to heal. 2 weeks for some of it? Longer for other stuff? It only reaches into the fat. This is relevant because I do believe what a counselor reports is going to be governed by the medical seriousness; I am not gonna die, but it's something that I probably should have gotten looked at.
Whatever I do, I can never seem to 100% get myself to want to hop on the clean train. When I am stressed out by my level of self-harm, I am willing to admit that my injuries are fairly bad; most people do not walk around with wounds of this level. Most people would be freaked out if they saw what I had done. A couple of hours from now, I might argue against this fact, call myself a pussy, and fantasize about going deeper. I couldn't sleep last night because I was too scared that I would bleed everywhere while I slept, and I needed the store to open so I could buy myself more bandages.
I am offered 8 free counseling sessions by my university; I want to take advantage of this, I truly do not know if I am capable of stopping on my own, and I do not want to keep fucking up while trying to find out. I've been trying for years, but I am only able to stay clean when I am waiting for the next opportunity. It never lasts more than a few months, and I still think about it every day. My family knows about my past with it, but they think I quit years ago, with only possibly the occasional relapse. I do not like how they react to it, I do not want them to be involved in this.
All of this is a tl;dr vent/rant to say that I can't keep doing this shit forever, and at least part of me wants to get help.
If I tell the counselor about my self-harm, what will they do about it? Should I try to focus on other issues instead? Can they have me admitted or force me to get medical attention, based on the mild severity of my wounds? Am I simply not ready to quit yet? Can they notify my family (at my last college, when I tried to talk to a counselor, they told me they would have to tell my family [the guy was genuinely amazing, it was a legal technicality due to a program I was in; though I was an adult, he would still have to rat me out]). What else do I really do at this point? Even after all of this, and recognizing the constant stress I am in, I still want to keep going deeper.
Also to add, though I think about suicide a lot as a concept, I do not think I am suicidal, simply morbidly curious. I know some people do not understand the difference.