Help! A friend with anorexia...

StrangeCaptain

Jedi Council Member
Hello all,

A friend of mine recently shared that she is in the depths of anorexia right now. I can not offer her any constructive counsel in this. I listen and that is all. Does anyone have any suggestions about how I talk to her about it, or should I simply listen? Thanks in advance.
 
I don't know that I am supposed to tell her to go to a counselor or anything. I mean literally that I have no idea what to tell her other than to listen. Should I be telling her to get professional help or what? I certainly won't try to help her in a direct way because I don't know what I am doing. She is not in a hospitalizable state, but she does feel her health is being adversely effected and that she should do somethingf about it before it progresses to the bitter ends.
 
I think it really depends on how serious the problem is. Sometimes it can be cured with proper psychological treatment, and sometimes it needs urgent medical care too. You can't do much unless you know what it really is doing to her.

You may want to give her the 5 psychology books, as they talk about anorexia in some case studies. But she needs counseling at least, I think. This is a very serious problem if it's not caught in time. I've seen girls die from it. If she shared it with you, it is possible that she is really asking, but perhaps the best thing you can do is help her find a good therapist.

There is a very interesting quote on the topic in Get Me Out of Here (another book which deals with the problem of anorexia, and how it is linked to different kinds of trauma, from a damaging relationship with an abusive/dominant father, to perfectionism in the family, to a rejection of one's gender, etc.):

[My therapist] saw the re-emergence of anorexia as evidence that I was, indeed, repressing a child within, And that the child was reacting vehemently. The solution to this most recent problem was not to give lectures on eating habits, but to explore the emotions of the inner child. This anorexic episode was not a coincidence, but just the latest form of defense, Not wanting to eat was linked to not wanting to feel. "Thing of your buried fears and irrational feelings as being like those little roly-poly bugs," he said. "You know, the ones that crawl around under rocks. When you turn a rock over and expose them to light, they quickly form a little hard-shell ball. When the threat of exposure is gone, they quickly run under the closest rock." You have painful and frightening feelings within you, so frightening that you'd rather suffer indefinitely, sometimes rather die, than look at them in the light of day. Your defenses are the rocks you hide under. Therapy is a process that seeks to put your worst fears, the roly-poly bugs, into the light, which is exactly what a part of you wants to do, The part you've been displaying here recently.

"But it isn't the only part of you. The other part is so desperately afraid that she'll do nearly anything to avoid the scrutiny. So she finds more rocks the bugs can hide under. The rock of rage. The rock of I-don't give-a-s***-about-anything....And now the latest one, the rock of anorexia. This isn't a separate illness, Rachel; it is just one more rock to hide under, one more place to avoid facing the same feelings.

[...] The rock of anorexia is a big one, very intense. It might seem as if all is lost and things are getting worse. The fewer rocks there are, the more bugs will be found under the ones that remain. `[...] This isn't a time to run; it's a time to feel."

There is much more in the book. Related to the fear to feel is the fear to trust others. It's as if the anorexic prefers to become invisible rather than to face feelings and trust other who may deceive her later like what she probable experienced during childhood.

From what I've seen, some anorexics are in such terrible state that it takes years of therapy to heal.
 
oh boy, anorexia is hard. A member of my family has anorexic tendencies, and the problem is that people with this disorder are so incredibly resistant to both talk and treatment. It's great that your friend is talking to you, but she likely isn't even scratching the surface yet. LIke others said, there is nothing you can do for her other than to recommend her get professional help, and fast. But if you breach the subject, it carries a risk that she would clam up.

A classic anorexic is a person (often a young female) who is a "straight A student"-type, anxious to please others and be up to some very high standards, both external and internal. The main psychological issue often identified is that of control: the person feels that she totally lacks control in this or that significant area of her life, so the only thing she can control easily enough is limitations on what she puts in her body. So, there are always some real underlying issues, as Ailen has said. I have also suspected for a while that, aside from that, the very experience of being anorexic does something long-term and possibly irreversible to the person's brain and metabolism. All the high cortisol and other stress-related chemicals, prolonged malnutrition and possibly also being imprinted with a totally unrealistic body image as a desirable state. That is probably why anorexia is so recalcitrant.

What you could do is to use her own awareness for her problems as a reason and a way to give your feedback, i.e., formulate your advice as something like, "you know yourself that your body and mind are under stress from anorexia, etc, etc, there is help available here and there", that would make your advice more friendly. Also, if you know of a support group and can put her in touch with it, that would help.

please don't hesitate to ask for a feedback if anything new comes up in relation to your friend's eating disorder. I keep you both in my thoughts.
 
Thanks for all the feedback everyone. The impression I get is that she has struggled with this before, had some external improvement, then relapsed. In fact, Ailén's quote describing anorexia as one of the rocks one crawls under may be right because my friend has another rock, substance abuse, and as she describes it, the anorexia becomes an issue when she is not using drugs.

So she is past the stage of not even knowing there is a problem... She does have the kind of resistance to seeking help that was described in the link Ailén gave. She did hint that she was thinking it was time to talk to her current psychiatrist about it. I tried to encourage in a not-too-direct way. I told her, "I can listen and am happy to do so, but I can not give much counsel. I don't truly understand what you are going through. If you do talk with your psychiatrist, even if he does not have experience with this issue, he may be able to direct you towards someone who does."

We talked briefly about some of the underlying issues, and those narcissistic wounds that we all have are certainly common ground where a discussion can be had. It was also an opportunity to mention the books discussed on this thread without being too pushy.

I can't really diagnose how far along in her anorexia she is in terms of the threat to her physical health because I live in a different country than her now. We have known each other for years from back when I was a member of a 12-step substance abuse support group. I guess my distance from her immediate social group may make it easier for her to share with me on this. It sounds like she is seriously thinking about how to ameliorate this problem before it becomes life threatening.

Anyway... Again thanks... And I will keep y'all updated as is appropriate...
 
Because
she does feel her health is being adversely effected and that she should do something about it before it progresses to the bitter ends.
and
It sounds like she is seriously thinking about how to ameliorate this problem before it becomes life threatening.
and
that she continues to talk to you about it, sounds like she is out of denial that there is a problem, which is good. This opens the door for you to do what you can--she appears to be asking for help. This is a positive step--from what I know about anorexia, having battled bulimia and body-image problems myself in the past, they are extremely resistant to acknowledging there is a problem and asking for help.

Perhaps you could do some research for her to find the most highly recommended anorexia specialists, therapists and doctors in her area and then give her that information--she will choose to act on it or not as she is ready.

Never underestimate the value and power of being a mindful listener and good friend to someone--besides my own experiences and observations on friendship over the years, I recently read an article somewhere that says research shows the very act of friendship appears to be able to change someone's body and brain chemistry in a positive way. Good luck.
shellycheval
 
I think there is a really good chance that her brain chemistry is way out of balance, she is possibly sensitive to some of the foods she is eating, and may have mercury toxicity.

Probably a good first step would be for her to take the UltraMind quiz.
 
I don't have any particular expertise with eating disorders but I have worked in crisis counselling and community mental health so listening to other people talk about thier problems is a big part of my job and I tend to agree with Shellycheval. I don't think you need to be an expert on anorexia to help your friend. It's my observation that people often seem to equate listening with 'not doing anything' but in my experience the right kind of listening can make a real differnce to a distressed person's emotional/mental state. I'd describe the right kind of listening as; listening empathetically without any investment in the outcome and without wanting to fix or save the other person. Also in my experience, when you're listening just to understand how the other person feels and views themselves/reality, your are then better able to accurately assess what they are really asking for, whether that's information, support in seeking professional help or just an understanding friend, maybe because your focus is then on understanding them, rather than on trying to think about what to do to help. These are just my own personal observations however as I said I'm not an expert and I'm also new to the forum as well so I hope I explained that so that it makes sense to everyone.

Shellycheval said:
besides my own experiences and observations on friendship over the years, I recently read an article somewhere that says research shows the very act of friendship appears to be able to change someone's body and brain chemistry in a positive way.
I recall hearing about that article also and would be interested in looking it up if you can remember the name of it

note: moderator fixed quotes
 
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