Dr. K has explained this to me in a way that I never heard before:
Everyone knows that a lot of underlying issues play into an eating disorder. These underlying issues (worthlessness, abuse, dysfunctional families/childhood, etc.) are very real and need to be addressed as part of treatment (in my opinion). Dr. K explained that with eating disorders, feeling fat and body image concerns become just as real as the underlying issues and emotions. Although everything is interconnected, it's almost like body image is a separate problem that has a life of it's own.
Now, many women in America have body image concerns but the major difference is that it doesn't take over their lives like it does with people with EDs. Dr. K explained to me that the reason why bad body image takes over our lives is because it's magnified by all our underlying issues. Body image is always a problem for me - 24/7. But it gets worse when I'm depressed, angry, feeling worthless, scared, overwhelmed, etc. That's partly explains to me why sometimes ED rears it's ugly head and sometimes it's just in the background.
So underlying issues and emotions are a real part of ED, but body image becomes real as well. They are two separate (but intertangled) monsters. Having a therapist that believes that me feeling fat is a really issue and not a figment of my imagination makes me feel sooooo much more validated.
Can you relate? Does this make any sense at all?