[MuddyBoots]

Just what the title says. I’ve been out of control lately repeating a restrict/binge/purge cycle over and over again. My current T’s solution is to eat yogurt so I want to find someone a little more helpful. I’m just scared they’re going to force me to gain weight without working on the underlying problem and I’ll basically be a dry drunk.

[Lostislost]

I have no idea what the answer to your question is, but I am also interested in this. It doesn't matter if I am not eating, purging or over eating, my therapist has never addressed it and just says "you look ok" like looks is all that matters. I can't imagine that proper therapy for eating disorder would involve them making you gain weight without addressing the underlying issues.

Sorry your T just told you to eat yogurt, that would really piss me off too.

[Mountaindewed]

I almost got admitted last December to an ED IP unit but I was told they couldn’t force me because I was drinking water. So I guess if your drinking water your ok. I think based on what I’ve read it’s just a lot of groups and daily group meals and daily weigh ins and one on one therapy sessions and stuff. I’ve been told I’ve had an ED from a few no ED knowledge therapists. But the ones who do know about them and also my Pdoc say what I’m doing is just normal dieting and they say you can be smaller and it can still be ok to lose weight and it can still be ok to have a goal weight. My therapist has acknowledged that I’m barely overweight but she hasn’t said anything else. I see my Pdoc through telehealth so he can’t tell. My mom I’m not sure what she thinks. I show her my food logs and she doesn’t always agree with me that I’m eating enough.

But basically I think ED treatment is a lot of support groups and one on one therapy and food logging and teaching your body to learn to eat properly again.

[*Beth*]

I don't have an ED, but I want to wish you well, Sapien.

[Favorite Jeans]

I don’t have an ED so I don’t have that specific experience to offer but… why don’t you interview some therapists about how they approach ED treatment? (Look for therapists who list eating issues among their areas of expertise so you’re less likely to end up with another yogurt person.) Or if it’s a program, find out how it works.

You don’t have to do it if it doesn’t sound right. Wishing you luck in finding something that works for you.

[Oliviab]

If you are underweighted, the first priority will be to renourish your body, which will involve stopping the behaviors and gaining some weight. The reason (theory) for this is not that they are ignoring root causes, but because you can't successfully do therapy when your brain isn't nourished. So working on healthier eating habits, structure, regular eating, etc will be a first priority. But any good program or therapist will definitely get to the rest of it. You'll be working on distress tolerance skills, body image issues, etc. Ideally, you'll also process trauma if you have a history of it and it's a contributing factor.

[LonesomeTonight]

Originally Posted by Favorite Jeans

I don’t have an ED so I don’t have that specific experience to offer but… why don’t you interview some therapists about how they approach ED treatment? (Look for therapists who list eating issues among their areas of expertise so you’re less likely to end up with another yogurt person.) Or if it’s a program, find out how it works.

You don’t have to do it if it doesn’t sound right. Wishing you luck in finding something that works for you.

I also don't have personal experience with this, but I have the same suggestion of asking potential T's about it. And I'd target those who list it as a specialty, if possible. Or at least ask them if they have experience treating them.

[MoxieDoxie]

We do IFS. Binge/Purging is a firefighter putting out the flames of an exile that became triggered. We go to the source. We work with the exile to learn about her story, what she needs and how we can help her. That parts is holding a burden from childhood and we try to unburden her. They are stuck in a past time line.