I know what you mean.

In the very early stages of my ED (when I was actively denying it), I told my therapist that I thought I looked like "hideous fat monster." Her bright idea was: "Well, have you ever considered going on a diet?"

Apparently, she felt that I lacked the cognitive ability to think of such a solution to my problem. And I wasn't even overweight at the time. So I went on a diet--and now look at me: stuck with an ED. Funny how that happens.