Yes everyone has their own thing but I guess I wish that we could either hide ours or see theirs... Your points are all well taken in terms of everyone having their own vulnerability.

You said... I think for me it sometimes comes down to which I "enjoy" more, which is easiest to cope with; the weight/health problems that aren't going to just "go away" or the hard work of working on them?

That is probably universal to self injury or weight loss.

I am on bp meds. I do not wish to have the bypass but I have watched a show on it and people talk of the struggles of still wanting to eat eat eat and that I think is the crux of it all. I think that if one can not get rid of the need to eat eat eat that that would not be successful anyway. I too feel the need to do it on my own.

This too is good: I got the impression that underlying causes rather than specific behaviors/symptoms, understanding and "freeing" the "basis" of who I am was the goal in therapy for me. With "more" of myself known, I could then decided how I wanted to "deploy" :-) my substantive energies and skills.

I would hope that with therapy that that would even out but perhaps I need to deploy.... (Of course I do.)