Every time I've brought up my eating issues, it's started with an email to T. First, it was a very long, detailed email about my history of restricting. This time, it was a short email telling T that I'd noticed some patterns and wanted to talk about them, and asked her to help me bring it up. That's when I finally talked about the binge eating.

I write stuff down for my T often...it's easier for me to start a conversation that way. Sometimes, I send her emails, sometimes I just write it in my journal and then read her parts of the entry. My T prefers that I read to her rather than having her read it herself, but I expect she'd be willing to read something herself if I was struggling too much.