To move from the sense of being stuck with a painful and distressing relationship with food and your body, an important first step is an assessment with a qualified and experienced practitioner. This will enable both you and your therapist to reach a better shared understanding of the factors that are keeping your eating disorder going. The assessment will cover your current eating patterns,as well as relevant aspects of your history, including relationships and experiences impacting on your thoughts and feelings about your body and food. To this end, I may refer clients to trusted professionals and practitioners that I work with closely so we can approach the issue from a practical standpoint for both mind and body.
We start the process with a full and frank discussion of all past and present attitudes and habits around food. I approach this work with non-judgemental acceptance that your current difficulties have arisen for reasons that led you to make choices which made sense in the past, but which you now find to be no longer helpful or healthy.
I may use food diaries; we will discuss homework to help us move towards positive changes that are both practical and achievable.
This work can take several months, and it is important that communication remains strong and open.