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Do I Need Help for My ‘Eating Disorder’

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I started binging and purging almost two years ago, because of my extreme depression. I also started reducing my food intake so much that I lost a lot of weight very quickly. I’ve never been the correct weight for my size. I’ve always been underweight, so a large amount of weight loss is pretty significant. i went into therapy to treat the depression, but the food issues were never mentioned. Now, I’m still binging and purging. I eat as little as possible, and exercise when I can. I’m purging when I feel I’ve eaten more than I should have, which is every day at least. My friends have noticed my purging. A girl I liked gave me an ultimatum that if I didn’t at least try and get help we couldn’t be together. Stress is my middle name. I have issues at home, school, work, every aspect of my life is difficult. I ruin every relationship i am in, whether with friends or family. My self-esteem is very low, and i hate my body. I’m completely blind, so it’s just a bit more complicated. I am also albino so I’m really pale, and people are always staring at me. My grades are good, and I’m a perfectionist. I don’t think i have a problem. It’s just how I live my life. Do I really need help, or are people just jealous of me?

Do I Need Help for My ‘Eating Disorder

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A:  Usually if someone asks, “Should I get help for…,” I typically answer with a yes. If it’s been on your mind and you are struggling with how to handle it on your own, why not get help? In your case, you already have experience with therapy so it won’t seem like such a huge leap to address another concern.

Not all therapists are trained in picking up on an eating disorder, and ultimately it is the client’s responsibility to bring the issues to the therapist that you want (or think you need) help with. Unlike some professional relationships, psychotherapy is a collaborative one.

You state that you purge daily, the binging and purging has been going on long enough to know that it is not just a “phase,” and you have had significant weight loss, so taking all that into consideration, I do recommend that you address these issues in therapy. In my experience, an eating disorder is often an outward sign of an internal struggle such as self-esteem or body image issues. It can be a way to have some control when you feel that much of your life is out of control. The good news is that you can learn many other coping skills that will not harm you and will ultimately lead to feeling much better about yourself.

Thank you for writing in, and I hope that you get some help soon.

All the best,

Dr. Holly Counts

Do I Need Help for My ‘Eating Disorder’

Therapists live, online right now, from BetterHelp:

Holly Counts, Psy.D.

Dr. Holly Counts is a licensed Clinical Psychologist. She utilizes a mind, body and spirit approach to healing. Dr. Counts received her Bachelor’s degree in Psychology from Wright State University and her Masters and Doctoral degrees in Clinical Psychology from Nova Southeastern University. Dr. Counts has worked in a variety of settings and has specialized in trauma and abuse, relationship issues, health psychology, women’s issues, adolescence, GLBT, life transitions and grief counseling. She has specialty training in guided imagery, EMDR, EFT, hypnosis and using intuition to heal. Her current passion involves integrating holistic and alternative approaches to health and healing with psychology.

APA Reference
Counts, H. (2018). Do I Need Help for My ‘Eating Disorder’. Psych Central. Retrieved on November 25, 2020, from
Scientifically Reviewed
Last updated: 8 May 2018 (Originally: 22 Jul 2014)
Last reviewed: By a member of our scientific advisory board on 8 May 2018
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