During the telehealth therapy session, the client reported having a more regulated week compared to previous ones, noting a return to normalcy. The main focus of the session was on the client's ongoing struggles with body image, weight concerns, and unhealthy eating habits. The client expressed feelings of self-consciousness about their appearance, weight, and diet, and detailed their participation in a gym challenge that significantly increased the frequency and intensity of their workouts. This escalated into episodes of negative self-talk related to calorie tracking and guilt over food intake.

The client acknowledged a history of meticulous calorie counting and food restriction, which impacted their mental health. They also shared their use of a Garmin watch to track workouts, stress levels, and sleep patterns. The therapist noted that despite the advantages of technology, it appeared to add to the client's stress due to frequent attention to low body battery levels and high-stress peaks.

The therapist introduced Cognitive Behavioral Therapy (CBT) concepts to help the client reframe negative thoughts and provided strategies for alternate thinking. The therapist suggested grounding exercises and breathwork as healthier coping mechanisms for stress. Additionally, the therapist recommended seeking a comprehensive health evaluation, including a new primary care physician (PCP) and possibly a new OBGYN, to address underlying health