If she says that she won't hospitalise ou while you continue to work with her, even if you tell her everything, as long as you carry on worknig with her and she can see that you want to improve your eating she won't hospitalise you.
Like Paige said, you may gain a little weight, but you won't gain too much because they wouldn't want you to get fat as this would probably make your ED worse in the future, if you gain you will be a healthy weight, not overweight.
I had to write down about my ED to tell my psych, I just couldn't get the words out. She asked whether there was something I wanted to tell her (I'd been silent for about 10 minutes figuring out what to say) and then she asked if it would be easier to write down so I nodded and she gave me some paper and a pen. I wrote that I was bulimic and then wrote down all my fears to do with eating and weight and stuff. It was a lot easier than telling her face to face. I did mine in the session but you could always do it beforehand then give it to her to read and discuss it in your session.
Taek care
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