Secret Garden -- I guess we posted at the exact same time. I just wanted to add something after I read your post.

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SecretGarden said:
My pdoc once offered me free copays if I would lose a certain number of pounds and I ended up declining. I hated being put to a standard or test on that ... demands... more stress.

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I wouldn't like that approach either. It would be like when you hear of T wanting clients to sign a no SI contract. I don't think those work.

I think you are very inciteful to consider that eatting can be a way of self harm. I think that there may be something there and you and your T might find a lot to talk about if you bring in up in this type of frame of reference.