The focus on wellness, particularly on the management of overeating, in therapy can be a double-edged sword. While clients often readily embrace the vector of self-care, goal-specific treatment planning and clinical homework can trigger the games of avoidance. Suddenly, the validating therapist is thrown into the role of a wellness expert and becomes an accountability check.
Before too long, mere inquiry into the client’s progress runs a discordant parallel to punitive supervision. With this actual or perceived change of hats, the process of the therapy changes, the wellness goals are eventually abandoned and the closet of therapy fills up with the skeletons of failed objectives. This – in my experience – has been an inherent complexity of problem-focused treatments such as behavioral medicine.