I agree she needs therapy absolutely. I'm sure she has already said she gets telephone therapy from the NHS.
The problem is therapy will never work if the client has resistance to it.
Michelle will have ALOT of resistance. She can't stand opinions different to her own, claims she's healthy yet can't walk and keeps getting cellutitis. She says she doesn't even have disordered eating and eats healthily and normally.
If a therapist challenges these delusions it is not going to instantly flick a switch in michelle, she will argue back, make excuses and resist.
A good therapist will take time to get to the root of a clients resistance. This can take a very long time.
I don't think Michelle has the luxury of time. She's in her mid forties, over 37 stone and can't walk because of it.
She regularly gets infections and celluitis. If she gets sepsis its game over.
I think at this point the bariatric intervention is more important than therapy as she time isn't on her side as much as she claims she is physically healthy.