I have had bulemia about 20 years ago in and right after college. I never told any therapist about it but went to the doctor about Irritable Bowel Syndrome instead, and she sent me to a nutritionist. I did have a pdoc at the time, and he would often tell me I was underweight and malnourished but I never told him about the purging laxatives. I just said I was a healthy eater (vegetarian) and worked out a lot.

He put me on an AD that curbed my behaviors. Of course the problem is once you stop an AD, the symptoms come right back. I've had issues at home over the past 7 years and have tried different meds, and recently these patterns resurfaced. I was purging a lot and ended up with all kinds of dental problems. But I also have little girsl and was afraid my kids could sense something was going on. It's really only because of this (and honestly my teeth that have become loaded with cavities) that I finally told my pdoc and T.

I was afraid like you, because my self harming had stopped for more than 2 years, but this is really just a replacement behavior. Your T will understand and will not feel betrayed. Clients with ED's are often not compliant with contracts and any verbal agreements and a good seasoned therapist knows this. They will just be glad that you told them.

Believe me, you don't want this behavior to carry into your later years, When it becomes even more difficult to tell, since you have the added expectation that this is something that only young people deal with. Plus not only will you be exhausted but it will damage you inside and out. I know it's hard to tell anyone if you are afraid you'll be forced into treatment or to gain weight, but that shouldn't happen. There are AD's that help with it, so long as you are compliant with them.