I have a lot of issues with my T's appearance. She is very thin ( I'm not) and I used to think she had an eating disorder. It was also hard to get used to her switching from glasses to contacts. I have been embarrassed about my former T's appearance because of her choice of clothing. As far as losing and gaining, that happens a lot. It's easier to lose it than to keep it off. I know from experience. I think your T will welcome a discussion about your reactions to her dress and weight, and will bring it back to your issues. She seems similar to my T. Everything is grist for the mill. Right?