Beyond the Symptoms
Eating disorders are a symptom of a greater problem, a problem that may have been covered up and ignored for so long that it has been forgotten. This problem may also be a foundation for your lack of self-esteem and self-confidence. It may be the root of your misplaced fears as well. Therefore, before you can expect to permanent change to happen, you need to do a great deal of introspection, and dig up these old wounds. The core of all the pain that has paved the road for your eating disorder has to be unearthed and dealt with.
This is not to say that you cannot begin to change without doing this. I am saying that without this step, it is highly unlikely that you will have obtained the esteem and confidence needed to make a permanent commitment to change. This is where therapy is very useful, but it must be with a therapist that understands that focusing on food is NOT the path toward recovery.
Once you have come to a point where you are ready to make changes in your lifestyle, to begin to eliminate your unhealthy relationship around food, there are several steps that will enable you to successfully change.