Oh, Indie, I so get this.
I do think that body image issues are common in women, no matter what our size is. Sometimes the trimmest women are the ones that the biggest issues. So I bet anything that your T will be able to help you.
For me, it's the one thing I haven't talked to my T about yet. I've told him about CSA and other things that have been incredibly difficult to talk about, but I haven't been able to talk to him about how I've gained 15 pounds in the 3 months since my mother died. Not that it's not obvious that I'm a large woman to start with, but it's just too raw for me right now.
My T also has a specialty in eating disorders and obesity, so I will talk to him, but I really understand feeling shame about it.
Hang in there - I think it's a great idea to print out your post for your T. It'll get the conversation started.
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