I emailed my T over the weekend, saying that I was confused about how we left things because I thought I made it clear that I said I wanted to stay in outpatient therapy and would try really hard, but she was still taking the 'wait and see' attitude and said she would keep my appointment open for me. So I asked her what else I needed to do or say.
This morning she emailed back this:
There is nothing else you need to do or say. I'll see you Thursday, same time, same place.
Do you think a daily email check in would help with accountability? Do you think if you emailed me on a daily basis with progress/struggles, it would be helpful? Let me know. (I am the only one with access to my computer.)
I can't believe she offered to let me check in DAILY by emaill!!!!! 
It made me so happy to read that. I think it will be really really helpful.
I still have a big battle ahead of me - if I don't make progress (ie: gain weight) I will have to go into the hospital - even if I just maintain.
But I guess there is a glimmer of hope.