LATER ISSUES IN THERAPY
Women with bulimia have thinking patterns that are characterized by rigidity and unreasonable demands and fears . As the therapist leaves the initial sessions, where he/she was primarily concerned with history taking and the establishment of rapport, the major focus of therapy shifts to modifying the thinking of the client. Some of the issues to be confronted are the unreasonable needs the client has to be in control at all times, rigid self-expectations, magical thinking, and fear of fat. Many of the women will have unresolved family issues. These will be discussed
further in the chapter on family therapy. Also necessary, as part of the client's recovery, is for her to develop coping skills for dealing with stress.