Your therapist understands your shame.

"Look, you've been seeing me for - what? six months now? And we've been trying to work through some of the issues you have with your weight. Your doctors have basically run out of options other than these therapy sessions, haven't they? Now of course, I don't weigh you in these sessions, or ask you to remove any clothing because that's not what we do here. But just by looking at you I can tell you've probably gained at least 60 lbs during the time you've been seeing me. None of your clothes fit. Look at the way those poor buttons on your shirt are straining to contain all that belly fat. You're sweating constantly, always out of breath when you arrive even though my office is on the ground floor. So, we may need to look at this from another angle. We've talked a lot about your relationship with food, haven't we? The overeating, the binging, the gluttony. But we haven't talked about the shame. That's it: shame. You've been ashamed your whole life because of your obesity. The teasing, the name-calling, the burning shame of sitting up all night and eating so much food that you could barely stand. Every trip to the doctor's a nightmare because you knew that scale wasn't gonna lie; it was just gonna provoke another lecture about how your weight was out of control. But you know why your still gaining now? It's because you turned that shame into a fetish. Now, being fat and getting fatter is your entire sexual identity. It didn't take me long but I found your Insta, your OnlyFans, your Patreon. Hundreds of videos of you flaunting your immense, flabby body for the whole world to see. Weigh-in videos, eating videos where you'll down 20, 30,000 calories while men masturbate at their laptops watching a 700 lb man devouring piles of pizza and gallons of ice cream. Feeder videos where hot young guys will push donuts and cake into your mouth until your belly swells up like a balloon. And degradation videos where big, powerful muscle guys will tell you what a disgusting fat pig you are as they slap your blubbery rolls of fat. You're shame has become your reason for being. And I think we need to accept that. Being an immensely obese glutton who craves humiliation is not just what you are, it's who you are. Own that. Grow your disgustingly fat body to 1,000 lbs, if you can. Let the abuse and the humiliation fuel your greed. Give in. Let go. Get huge."