The client with bulimia is often impatient to recover. The personality traits of perfectionism and need for approval often drive her desire to recover and put this part of her life behind her. The client must feel better about herself and be able to develop coping skills before the binge eating will cease. As the person develops increased self esteem and ego strength, she begins to use the other coping skills rather than binges to
deal with stress . As the client begins to use eating less frequently as a solution to stress, she starts to see herself as "cured." An important measure is that the therapist should . not terminate seeing these clients prematurely. Often the bulimia returns with increased intensity just as the client declares herself to be recovered.