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Might be time to schedule a physical.  I'd also get in contact with the team who are working with difficult child.  Make them very aware of this behavior. 


You're right, there is very little you can do other than keep the pins out of sight.  She will, however find others, or find another way to "cut", if you will. 


It needs to be addressed - you need to find someone to intervene on your behalf simply because of your status of step mom.


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