Cat first signed up and wanted to stick with her current 1500 calorie diet. We agreed she could stick to this diet but that this diet would be the starting point. We lowered our expectations. As Cat lowered her expectations, she began to face reality which at first was rough for her to handle. Cat started coming to terms with how many times she had tried to lose weight and had regained the weight (over 20x). Cat also started admitting her problems with binge eating. This was the key here, to see that binge eating was not her fault but a result of physical and emotional deprivation. As Cat learned to lessen her guilt, she could in turn take care of herself better - physically, emotionally, and spiritually. By addressing her core problems, Cat was able to radically shift her eating habits.