I write anything and everything I can to my T. I use to shove it under the doorway for her to get. We had this nice little routine where anything I wanted to say but didn't in session I'd write down throw under her door and pretend it never happened, she'd read it but pretend it never happened. I did this for a good.... 2 yrs. Recently She referred to my ED's by the names I have given them. Hearing things that are in our heads said out loud by others is hard.

If you can blurt out the "I think I have an eating disorder" sentence that would be wonderful. However, if you can scribble it on a piece of paper and ask to not talk about it at least your T knows there's an undercurrent of eating issues. My ED and SI wax and wanes with my mood. Over time as other things get addressed you'll start getting into a place that you feel the ED has to be addressed.