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    Re:Suggestions regarding Anorexia nervosa
    Lindsay Smith · 12/29/03 at 6:03 PM ET

    Re-reading my reply I think I may not have gone far enough in my observation as your patient keeps returning to her 'self image' as being what she thinks of as 'self esteem.'

    What I intended to say, which I may have already indicated is that an activities approach may help. Doing things, small skills perhaps so that she may be able to externalise herself little by little & move away from being continually concerned about her self image.

    Group activities such as playing board games, play reading, walking in a natural environment & learning about the habits of other creatures, swimming lessons & so on.

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