ABSTRACT

Introduction Graduate school and clinical internships never really prepared me for the challenge of being an eating disorder therapist. When a client’s symptoms do not improve regardless of what one does and when, after years of effort, the client’s condition gets worse, not better, how does one maintain hope and remain persistent? Often, the client and the experience gleaned during the therapeutic engagement are our best teachers. For me, the lessons to be learned from the psychotherapy I describe are simple but profound. Recovery is a process that demands patience (Palazzoli, 1978) and is more complex than can be fathomed at any given moment. Tolerating the limitations of one’s knowledge and abilities and acting in response to the client’s best interest rather than one’s own anxiety are crucial.