This chapter presents rationale for focus on identity as a foundational issue and concern in psychotherapeutic treatment, recovery, and healing from both trauma and eating disorders. This focus is important because one residual effect of suffering from both trauma and disordered eating, is that the sufferer becomes more deeply connected to illness over time as identity, and less connected to self, others, their spiritual identity, ideals, principles, purpose, dreams, and deepest desires. In this chapter we discuss research on the connections between identity and trauma and disordered eating, definitions of identity and spiritual identity, the importance of spiritual identity in treatment and recovery, guidelines for assessing spiritual identity, and interventions for helping clients move away from an identity of illness and towards healing and the reclaiming of their spiritual identity.