Hey, why can’t this be considered, at least as a possible reason, self-harm? I’ve got problems with excoriation—skin picking, in other words; I’ll viciously go after acne and anything that might be acne on my face—and while in my case it’s a compulsion or an anxiety thing, I see it listed alongside self-harm sometimes—as in it can be considered and done as a form of self-harm.

Why can’t chest binding be understood as a manifestation of self harm?

I also have compulsive skin picking and used binders. Both are self-harm. For some reason if you say you were born in the wrong sexed body, even genital mutilation is justified as brave and stunning. Utter madness.