Recently a new therapist asked me, "Do you try to get your clients to diminish their bingeing behaviors from the beginning of therapy or do you explore their feelings first? I know there are differing views on this."
When I heard this question, several points of equal value, in my opinion, arrived simultaneously in my mind concerning therapy work with eating disorder patients. Please understand that these considerations are simultaneous.
My first thought was that I don't try to 'get' my clients to do anything. I want them to heal and develop the capacity to live a fulfilling and satisfying life. But what that means to them and how they specifically accomplish that falls into the realm of their personal values, decision making and evolution.