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Been down the ED (anorexia mostly) road before with inpatient treatment and outpatient therapy with a great outcome. After years of having no thoughts of ED I have hit a road block. Is therapy/treatment the only way to get back to where I was?

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Based on the long term nature

Based on the long term nature of your problem, yes, I think even a short amount of time in therapy could help you out of this rough spot pretty quickly. Please don't wait until things get worse!
Take care...Jan

http://freefromexpectations.blogspot.com/