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This scientific essay aims to more closely study how to best arrange a context that subtly conveys that change is possible in the treatment of patients who starve themselves. By describing a number of situations during the first weeks of a girl´s therapy, this essay focuses on some central themes in the initial stage. The essay is mainly aimed to explore the conditions for a meaningful communication with a patient who has a low BMI value and who quitted the nutrition-oriented care in her clinic. The essay is a form that allows for reflection on one´s own considerations about the wisest line of conduct in various situation. The work is based on an existential understanding of the starvation as a fragile person´s one and only way to reconcile with herself in the world that is hers. This approach provides a hopeful perspective on two difficulties that are often associated with this population; namely a negative attitude to the possibility of getting well, and a lack of motivation to change anything. What seems to be useful in this kind of treatment is the therapist´s participation in the girl´s phenomenon world and a conjoint exploration on the meaning of her self-starvation. The activity and presence of the therapist is considered important, and the basic assumption is that the starvation is connected to a persons need to feel her personal value, which in the long run serves contributes to remove deeply rooted perceptual and cognitive blockages.