"What to Look For in an Eating Disorder Treatment Center" is an article in the New York Times. I wish it had gone a little beyond its content.

“Unless you can change the behavior, no amount of insight-oriented therapy is helpful,” said Dr. Angela Guarda, the director of the Eating Disorders Center at the Johns Hopkins Hospital in Baltimore.

Yes, I agree that behavior needs to be addressed first. But at least a little insight is required so people can gradually move beyond the eating disorder behaviors into the psychological work needed. What made an eating disorder the best option for self-care needs to be addressed so the person is really free from leaning toward or falling into an eating disorder again.

Unfortunately, too many treatment situations and insurance criteria measure recovery in terms of behavior. The behaviors are symptoms. Slowing down and stopping the eating disorder behaviors are what's needed for the real recovery work to begin.

Please address at least one of the questions below in the comments. Your response can help many others.

Romantic, colorful, joyous uplifting sight - balloons rising into a beautiful sky. This is pleasure, even elation, in the moment. But, living to keep an ephemeral bit of loveliness as a permanent state of being can be disastrous. Can you enjoy a moment and stay in the reality of cause and effect?

Reality

Balloons pop. Balloons deflate. Their pieces fall to the ground or lodge in trees and bushes. Colors fade. The balloon's physicality is fragile. The balloon is designed for a short lifespan and succumbs to the forces of nature, collapsing.

Your body is not a balloon. It can be strong and healthy and survive many harsh experiences. It can be lovely, and uplifting and provide you with joy - the joy and exuberance of health.

Mirror Mirror is running an excellent factual article describing weight loss surgery: Weight Loss Surgery and Eating Disorders. In my experience as an eating disorder recovery psychotherapist, I've seen tragic outcomes from weight loss surgery. Yes, I grant that it's possible, for a person without an eating disorder, to reap medical benefits from the surgery. Weight loss does occur and can be helpful in health management.

The Fire Alarm Is Not the Fire

Fire Alarm Symptoms

Symptoms such as binge eating, anxiety issues and eating disorder behaviors are alarms. Stopping the anxiety or binge eating alarm without addressing what’s causing the alarm to sound off accomplishes little or nothing.

It also can be dangerous because the metaphoric fire continues to burn and may increase in ferocity. When a fire alarm goes off the problem is not the sound of the alarm. The problem is the fire. The deeper problem is the cause of the fire.