National Eating Disorders Association

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Scared to start outpatient treatment

I have no idea what to expect and I'm so nervous about my outpatient assessment. Sometimes I think I'm not sick enough for treatment. Then there's times when I need help and I know it. I've gone two weeks without purging so I guess I think I'm cured, but that can't be true .i guess I'm nervous because I'm not tiny and don't look emaciated . I'm actually overweight. I don't want the assessor to assume I don't need help because I'm fat. Maybe I'm worrying to much. Or just trying to talk myself out of treatment . Well I guess I'll be nervous until the appointment on Wednesday . If any one has any ideas or some great advice please let me know. Thanks I'm lonely confused and anxious .

Scared to start outpatient treatment

Dear Peachgirl43,

It's perfectly normal and understandable to feel apprehensive and nervous about your outpatient treatment. I imagine you feel ambivalent about treatment because you've been doing better. However, that's a perfect time to get more support in your court to help you fully recover, because it IS possible and I believe in YOU!

Eating disorders come in all different shapes and sizes. I'm sure the assessor is trained in ED's and fully knows that an ED is not determined by just one specific size or symptom.

For whatever it's worth, you're doing the right thing and you're taking a HUGE, positive step in claiming a life free of your ED!. You will look back at this time, and be amazed at how strong you are and how fulfilling life truly is without an ED!

We're here for you! Please continue to keep us posted on your progress and how we can continue to support you!

Healing Hugs!
Legacy of Love


It is completely normal to be nervous about any sort of treatment! This means change and the eating disorder hates change. The assessor will most definitely not turn you away. First of all, you are not fat. The eating disorder is telling you this. Second, eating disorders are not defined by a certain body type of weight. They come in many forms and the assessor knows this.

On a positive note, I am so proud of you for not purging these past two weeks! You are correct, this does not mean you are cured but it does mean you are making great strides. Being in treatment will help you realize why you want to purge and to stop those thoughts. It will also help you to look at your body, life, and self as the beautiful person that you are.

I will be thinking of you this next week, especially on Wednesday. You can do this! And most importantly, you deserve this!

Stay Strong! Keep your head up high and know that you are never alone.


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