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I am delighted to be joined today by Rachel Rattenni as part of our special series focused on the proposed diagnosis “terminal anorexia nervosa.” Rachel has a graduate degree in bioethics from Columbia University and is currently pursuing a master’s in public health at Johns Hopkins University Bloomberg School of Public Health.  She also serves as Rachel serves as the Program Assistant for Big Ideas In Eating Disorders. Her formal studies and work, in combination with her own lived experience with an eating disorder, inform her thoughtful and insightful comments on the risk of losing hope associated with the proposed diagnosis and the need to create more space for patients to have voice and agency in shaping their treatment goals, i.e., from the beginning and long before they meet the proposed criteria for “terminal anorexia nervosa.”