Listening to a person talk about how they cut self is stress producing for most people including therapists. The therapist needs to be clear they do not fall into subtly pressuring the client into making the contract due to their own anxieties.
One deals with the anger problem by not talking about it, which may seem a little odd.
If one has the opportunity it is pertinent to ask the parents about the good child in the family. The one who is not making any noise can be the one in most pain.
I had refused to engage her RC therapy and instead suggested some Free Child activity we could do. Maybe that had allowed her to at last discover that her Free Child didn’t want to smoke anymore.