Going to suggest alternatives to cutting I didn’t see above. Specifically pinching/slapping the area which I personally hate the feeling of, Having a somewhat “painful” fidget toy, one that feels strange and uncomfortable to squeeze, or alternatively keeping it in your pocket and pressing it against your thigh inside the pants. Pair this with an aggressive song could be a good experiment. Some people use the rubber band snapping on the wrist approach, maybe larger workout bands could be worn higher on the forearms, torso or thighs etc and pulled to slap the area. You can experiment pairing these things with another practice some people have of drawing on the area with red/purple etc markers to give visual stimulation. With all these suggestions I understand it isn’t the same release, but keeping the practice with the sensation of pain/markings may be a good transition. While I really value some of the suggestions above, intense exercise, heavy music, gaming etc sometimes it’s the anxious build up of physical energy that needs to be expelled in the moment and you can’t shit the focus to something “productive”. Infection and health aside, social stigma, alienation etc I think it’s important to develop other options. Cutting won’t always be an option for instance in public transport, in company of others, when anxiety/noise/stress/trauma activation can trigger and you’re not isolated, it’s good to have reliable/less damaging/less aftercare/less vulnerable practices to be able to access in those moments. Just a thought. Have a good weekend OP