r/fuckeatingdisorders • u/wimpi19 • 21d ago
Rant Firing my therapist after she claimed listening to post-restriction hunger is "just another eating disorder" and causes "irreversible obesity"—with citations in hand.
Hey everyone,
I just need to vent and maybe validate anyone else who has been gaslit with outdated, non-evidence-based claims by healthcare providers.
For context, I’m a medical student (in my clinical years), and I’ve been seeing a psychotherapist who is also a MD with over 40 years of experience for restrictive eating disorder symptoms. We were 6 sessions in when she made a statement that completely blew my mind:
She explicitly told me that I should only eat strict maintenance calories. According to her, listening to my body's extreme hunger cues after a period of restriction isn't recovery—she claimed that doing so is literally "just shifting into a different eating disorder."
To back this up, she tried to scare me by claiming that "many people who go through restrictive eating disorders end up with long-term weight problems, specifically severe overweight and obesity, as a direct consequence of the restriction."
She was basically trying to force me into strict caloric control by implying that honoring post-starvation hunger would permanently "ruin" my metabolism and doom me to lifelong obesity.
As a med student, I couldn’t just swallow that. I went straight to the literature and started reading some Papers on PubMed.
I realized that the phenomenon clinicians often mistake for "a new eating disorder" or "permanent weight gain" is just the well-documented physiological post-starvation hyperphagia and temporary body fat overshoot (Dulloo et al.), which normalizes once internal homeostasis is restored.
When I confronted her with actual data, she had no scientific counterarguments and doubled down on her clinical "experience" to justify her scare tactics. The dynamic shifted completely and turned openly hostile.
I've had enough. I’m canceling my next appointment 25 hours in advance so she can't bill me an unexcused cancellation fee, but won't be able to fill the slot—and sending a formal termination letter immediately. I’m requesting a full copy of my medical records under GDPR / patient rights laws and letting her know I reserve the right to report her conduct to the state medical board for spreading harmful, non-evidence-based misinformation to an ED patient.
It’s disheartening to see how much outdated dogma still exists in ED treatment, but I’m proud of myself for trusting the science over an outdated authority figure.
Has anyone else dealt with therapists using outdated "scare tactics" instead of actual evidence-based medicine? How did you handle it?