Through the course of my forty years as a psychotherapist, I have heard this question from my adult eating disorder patients. Whether they are in their thirties, forties, fifties or sixties, they ask, “Aren’t I too old to resolve this eating disorder? Isn’t it too late for me to change my life?

I’m increasingly grateful for my age. My words of encouragement will not give them a believable response. But my existence as an older woman living a satisfying life does reach them. My presence gives them hope, even in their denial of hope.

But what are the details that bring about healthy change? It’s not diet and exercise. It’s not medication. It’s not a physical makeover or an affair.

Guarantee? My informed consent form that clients sign before working with me states that no guarantee comes with psychotherapy. Yet psychotherapists and clients strive together for healing and recovery. Five phases of the work create the strongest possibility for success.

Despite the lack of a guarantee, clients have hope and willingness to work as do psychotherapists. The client puts energy and commitment into her work because she wants health, freedom and happiness. The psychotherapist puts energy into the work because she’s seen healing and recovery in others and has a growing framework of what makes recovery possible.

When the psychotherapist sees the commitment of the client's energy, the psychotherapist’s commitment and energy for the client’s well-being grows and vice versa. Therapy is a partnership on the healing journey.

Your emotional waves are rolling in, but what is the shore you seek? If your life looks good, great or enviable to others, who can you trust with your vulnerabilities and secrets?

You don’t want to take medication. You don’t want to be told what to do. You don’t want to isolate or use food, drugs or alcohol to soothe yourself. Yet, you know your spirit cries out for something. You need help and hope help exists.

An eating disorder forces a person into the body. The sensations of eating, starving, purging, exercising, and chewing on sweets or salt pull a person away from internal experiences of emotion and thought. The person plunges into raw sensation or keeps that plunge in reserve, always knowing the plunge will take her away from what she can’t bear to experience.

Choices of how she will use her time are based on the sensational needs of the body to thwart awareness. Yet she will despair over her behavior, her body and the quality of her life. She wants happiness.

Facts based on reality, not preferred reality, but actual reality, become difficult to grasp. Happiness is fleeting, sporadic and often not recognized when it occurs. Recognizing what is meaningful grounds her in reality and can provide satisfaction throughout her life.