Insanity is doing the same thing over and over and expecting a different result. Einstein
With mixed emotions I told Jamie not to schedule a follow up appointment.
Yes, Jamie need not return to see me. It wasn’t that she was difficult or non-compliant. On the contrary. Jamie was done. She had truly recovered from her eating disorder. She not only knew what to do—how to eat to meet her needs, how to get back on track when she slipped, but she did it. Consistently. And she no longer needed me to guide her.
It took time, and trust in her providers to slowly break the cycle of nutritional self-denial through poor intake and over-exercise, which resulted in binge eating. And her weight has appropriately dropped to a very healthy place and has been stable within a pound or two for some time.