Anticipated focus of session was Erik's feelings towards psychiatric referral for confirmation of bi-polar and evaluation for treatment. As previously noted, however, client is abnormally thin. Client has lost considerable weight since first session. Maintains he is 'dying of love,' not starving. Although concerned about body image, fixation is not upon weight, therefore criteria for anorexia nervosa not met. Nevertheless, client is medically anorexic (weighs 85% normal weight for height and age) perhaps due to depressive symptoms. Client denies connection between weight and emotion. Cites career as "living corpse" in freak show. Diagnosis: No change. (Anorexia Nervosa ruled out.)