Not sure how to confront friend with anorexia

I just found out recently (and accidentally) that a good friend of mine is a newly purging anorexic. I had no idea.

We met two and a half years ago at college freshman orientation and became very close over freshman year. Since then, we have both transferred but still live within 20 minutes of each other. We call each other every once in a while to catch up or make plans, but the main medium of communication is maintaining blogs on LiveJournal, along with half of my other friends from freshman year.

In my LJ, I directed a question to her and an unfamiliar username reponded, though obviously her. I went to that username's page and to my horror, it was a series of progess reports in losing weight through restriction and purging. Since early November.

What disturbed me the most was that she belonged to an eating disorders support group-- not meaning that they are there to comfort each other and encourage another to overcome the illness, but rather, they support and encourage each other to achieve their weight goals of sick measures...one of them even came up with a plan to eat less than 400 calories a day in ten days and gives out prizes as an incentive. It's disturbing that she has this embracing eating disorders community that gives her the motivation to keep starving herself until she reaches a weight that she has not had since she was fourteen.

I called her after reading her "secret" journal. Without mentioning anything that was on my mind, I made plans to see her two weeks from now. I will not bring this to surface on the phone. I don't want to start a chain reaction of her withdrawing from everybody that cares about her. I am certain that mutual friends will also discover this new journal and I do not want to be the twelfth person in the day to make her feel like everyone around her is walking on eggshells.

I have another friend who has been struggling with bulimia for the past six years-- part of the same group of people that I was close with at school. When everyone found out by the beginning of the spring semester (through her telling most of us while she was intoxicated), there was an outpouring of support and concern which she perceived as condescending and out of pity. After walking on eggshells for a month, I firmly told her that her health was more important to me than our friendship and that I would seek help for her if she did not seek help for herself. Although enraged at the time, she grudgingly admitted later that it was helpful that I said that and has improved immensely in two years.

It's different now with the newly anorexic friend because she has not directly come forth about it. Although I considered the possibility that by posting from the different username, it was a subtle cry for help, I believe that she spends so much time under the different username that she did not realize that it was not under the usual name.

Has anyone had an experience like this--from either end of the spectrum?

I plan to bring it up when I see her. No long lectures. Short, simple, and direct. That is the plan for now...I just have no idea what to say but I've got two weeks to think about it. Right now, she is out of state. I'm trying not to think about her for now and just concentrate on homework, but it's quite difficult, considering that I'm writing an assigned research paper on the effects of anorexia--and that's not a sick joke--I really am.
1,202 views 3 replies
Reply #1 Top
I'm sorry to hear that about your friend. I have a friend (online) who suffers from eating disorder (although I think she's trying to get help, but then again, I think she too is part of one of those "support" groups). If they won't admit that they have a problem, then I doubt there really is anything you could do, unless you can get them hospitalized against their will. Perhaps reading her secret journal and support group might give you a few ideas on what to say. What worked for your bulimic friend might help too.
Reply #2 Top
Fox, my son's girlfriend was severely anorexic for a while. I really thought she was going to be dead within a few months. But, she did get help, and has pretty much recovered, amazingly enough. But, it was such a horrific thing to witness, and it was horrible for my son.

I did a lot of internet searching about anorexia. There are sites that help families and friends deal with it, and give advice as to what to not say to an anorexic. This is really important. Do not tell an anorexic that 1) she should eat something, and 2) you are looking pretty good. Either way will tip an anorexic into yet another psychological breakdown resulting in additional anorexic activities.

Do a google (if that's your search engine of choice) search on anorexia, as I no longer have the sites bookmarked. Read what you can. It will really help. I wish you and your friend the best.
Reply #3 Top
messybuu- Thanks for the advice. I hope your friend will be able to distance herself from the ED support group. Eating disorders are all about control, and the message these other girls give out are "Stay in control of this. We will be here to tell you how strong you are and remind you of your weight goal if you feel like giving up and eating." What is scary about peer ED support groups is that there is strength (of determination) in numbers. Not only do they admit that they have eating disorders, they encourage each other to take pride in their illness. Like it is a badge of honor and inspiration.

dabe- I am sorry that you and your son had the unfortunate experience of watching his girlfriend go through anorexia. I am glad that she made it out okay. Did she initiate getting help on her own or did your son discuss it with her first? As far as what not to say to an anorexic, thanks for the advice--I agree wholeheartedly that those statements are just counterproductive.

Being more nonconfrontational than most people, I tend to over-analyze my own words and tone before delivering them, so it minimizes miscommunication. Which is frustrating because I need to maintain the dialogue in order for others to fully express themselves without feeling defensive.

I just don't know how to bring it up with my friend...it really depends on the person and how well they respond to different approaches. For the bulimic friend, I was uncharacteristically short and direct because I had tried to ease into suggestions earlier, to which she saw right through but changed the subject immediately. That friend and the friend that I am currently concerned about are extremely different in their communication styles.

I usually respect my friends' decisions even though I do not agree with them. I do not try to convince them that I know them more than they know themselves, but I do make sure that they reasonably understand my perspective. If I truly believe that they are allowing themselves to be harmed or harming themselves, then I will do everything in my power to help them. Even if that means losing their friendship.


Thanks for your support and good wishes.