“I haven’t eaten pasta in a year” says Keya proudly, a 16-year-old client, in one of our sessions. Having eliminated all carbs completely, following a restrictive routine of skipping dinner and unhealthily monitoring all food for any sign of unhealthy ingredient, Keya’s free time is spent in avoidance—of all carbs, of any sign of being ‘unhealthy’ and of herself. Like many girls of her age in her class, Keya’s body image and self-worth are closely tied to eating clean all the time and following the herd— to achieve the ideal: a ‘clean’ body which has become a large aspect of being ‘fit’.