I am a freshman in college and I also happen to be anorexic. I have been to the medical services on campus and I am going to be attending the eating disorders group at my university. I also have been seeing an individual therapist for three years, but my weight is pretty bad right now. The doctor who has been keeping tabs on me says that I am very close to my “critical weight.” My therapist and I have discussed hospitalization ad-nauseam, but he's really not in favor of it, saying that hardly anything can be accomplished in a one month stay (which is basically all insurance companies allow for nowadays). He also said that the whole system is like a “revolving door” because people typically go back to their “old” behaviors one to two days after their discharge. However, I feel like the hospital might be the best place for me right now. My parents also are kind-of against the hospital. I really don't know what to do because my gut feelings so contradict my parents and partially my therapist. Also, what is the relapse rate of anorexics after they are released from the hospital? Is there any info on that?

I really hope you can help me. I'm 21 years old and never had any problems with eating. At 18, I sunk into a very deep depression and since then my eating has not been the same. It started slowly, where I would just skip a meal every now and then, but now I sometimes choose to go for days without eating and it's not because I want to lose weight, even though I have lost quite a bit, I just feel like I can't change anything in my life. I love my friends and I always have a great time with them, but at the same time, I find it so much easier to not eat when with them. That's what I can't understand. Why, if I feel happy around my friends, do I still choose not to eat? I went for almost a week without eating when I was away with them. For some bizarre reason, I feel better about my life when I stick to my decision to not do something, but at the same time, I want to stop, but I'm afraid I'll get really depressed. It doesn't really hurt me, but my friends harass me and I can't help them to understand when I don't even understand. Why am I doing this??

I suffer from overeating constantly and binge eating. I've gained a considerable amount of weight and have tried to get my eating under control as a result, but when I try to stick to a diet, all I think about is food. I can't stop thinking about food until I eat something; when I try to ignore it, the urge doesn't go away. It's hard to think about anything else, so I usually give in. I feel out of control, like food controls my life, and like I'll never get my weight down to a weight I'm comfortable with. I don't have health insurance, so I can't get psychotherapy. How can I get my eating under control? Do you know of any free accessible resources I can use like books or websites that would be helpful?

I've heard about an eating disorder in men sometimes called megarexia. It is supposed to occur in bodybuilders or men who avidly workout. I heard it is an obsession with gaining weight or muscle. Can you tell me more about it?

My best friend has a weight complex. She constantly asks me if I think she's fat and even asks my boyfriend what he thinks of her weight. She isn't overweight and I just wish she would stop worrying about it all the time. Is there anything I can do to convince her she isn't fat?

Ever since I was in junior high, I have been pulling out my hair. I can remember not being able to pull my hair into a ponytail because the hair at the nape of my neck wouldn't reach. I still have this awful and shameful habit. I don't see it so much as just a habit, like the way one might bite one's nails, it's more like an obsession. I'll just sit and stare into space and pull clumps of hair out of my head. I remember having seen a program on T.V. which dealt with this habit as a medical problem that is curable with medication. Unlike the men and women represented on this program, I am not stripping myself bald — yet. I tend to consider it a form of self-punishment, perhaps. Just to give you some background information, I have a tendency towards bulimia (cycles of bulimia occur when my depression is at its worst) and am in general not a happy camper. What can you tell me about this?

I'm a man who has been teased about the shape of his body!! How is it a man in his 20s, who is physically in great shape, has "women's" hips? I asked my doctor and he said a bunch of mumbo jumbo. They are in exact proportion to a woman sized 12 (waist, too). My wife doesn't mind it, but it really bothers me! The only thing you tell that I wasn't a woman is the fact I don't talk that high and also the breast issue (not having them).

I'm only 18, but I have a lot of hair on my chest. I'm afraid of letting women see me with my shirt off because I don't want them to be turned off. How can I get rid of this rug and keep it under control without shaving daily? Also, is there away to slow down my beard growth? Shaving more than once a day can be very irritating to my face, but I hate looking so dirty.

Do you have some advice for someone suffering from low self-esteem? Some things that I struggle with: comparison of myself to others ("She is so "together!" Why am I not like that? What is lacking in me that makes her better?"), lack of faith in my abilities ("I'll never be as good as him at that — I might as well not try."), lots of self-criticizing ("Why did I sign up for this class — I should have known I couldn't handle it."), always saying yes to people or feeling like I've said the wrong thing... you get the idea. I've been feeling pretty unmotivated lately too, and I think this just adds to the problem. Can you give some advice, dear Alice?

I am an eighteen-year-old male and I have had an embarrassing problem my entire life. My nipples are rather large and round. I'm not fat, and the rest of my body looks normal, but my nipples protrude and look very strange. I have spent much time doing every chest exercise imaginable, and although my chest muscles seem to grow, my nipples just get pushed out further. This has been a source of insecurity for me for a very long time. I am ashamed to take off my shirt in front of others. I really think that my nipples are the only thing keeping me from having a nice body. Is there anything that can be done to correct this problem?

I am a freshman who has just moved into the "social dorm." It's only been a few days, but I already feel like my place in the social strata is being cemented — I'm somewhat overweight, and although I can be very talkative and can force myself to make the effort to meet people despite being nervous, I feel like I'm already being classed as one of the straight-edge less popular types. I don't mind that I'm not the type who makes 500 friends instantly; I'm still managing to make a few good acquaintances/potential friends.

The problem is that the people I make friends with aren't really the party types, and while I'm not a huge party person either, I still want to get to go to some and have the whole "college experience." How is it that other people are "in the know" about parties and stuff like, as soon as they get here? What are the qualities that make them seem to bond so instantly? How do I get myself invited to at least some of these events?? I don't want to crash the parties and show up alone...

I have just entered into my first real relationship with a guy that I really like. The problem is, he's incredibly bright. So much so that it intimidates me a little. He doesn't brag or make me feel unintelligent (and I know I'm not), it's just a part of who he is. He cares a lot about me, but I want to feel that our relationship is more than physical. I've always valued intelligence, and I really enjoy being with this guy, but there is an aspect of him that I'm not able to be a part of. Thanks for your help.

I have Vitiligo on my penis and on other parts of my body, but it's really starting to mess with my head with girls when they first see my penis. I mean, there's nothing wrong with it, it just has loss of pigmentation. What should I do?

I go to a college that offers free counseling to students. While I would like to take advantage of this, I feel that my pride is getting in the way of getting any help that I may need. I’m afraid of someone seeing me walk into the office, and someone seeing me in the waiting room of the office as well. (The door is left open). Any ideas on how I go about this? I'm also worried because a guy I know and work with, also works in there. He is the obnoxious, jock-type and going in there while he is working, is a concern of mine — also, if he sees that I have an appointment.

Your advice to "Surround yourself with positive, healthy people" is good. But this is part of my insecurities. It seems that everyone will want to surround themselves with positive, healthy people; but if I'm not healthy mentally, why should people want to be around me? I fear I'm excluded because, even when I try to hide my insecurities, they still show and people don't want to be around a "downer." Any advice on this aspect?

Last year I was Teetering on the Brink and this year I've fallen off of it. The teetering individual who was worried about how much she thought about food and her weight has turned into a very scared person who has fallen off the brink, with little on her mind but what she eats, when she eats it, and how she looks. I haven't had my period for almost a year and exercise compulsively until I can't anymore, when my legs simply hurt so bad and my knees won't hold me up. Worse, I seem to be losing bladder control — several times when I've been very tired, I've wet the bed at night or been unable to wait until I got to a bathroom. I can't live like this anymore and every morning I promise myself I'm going to change but then night rolls around and I've not changed a thing. Please tell me something that will help — I never knew desperation's face was this thin.

I have a very strong aversion to certain food textures such as potato (mashed, chipped, roasted, etc.), that causes me to gag violently. I am 22 years old and have a BMI of 16 which I blame in part to my very unbalanced diet. I am constantly lethargic but am eating three good portion meals a day. I was wondering if there was a way to get over this sensitivity as I am eating cereal without milk every morning, plain pasta for lunch and a pizza for dinner every day, I am looking to be a lot healthier with my life.

I have been bulimic for six years now. I have tried so many times to quit, but I always fail. When I eat I feel guilty about it sooo much that it is impossible not to purge. I feel so helpless. My boyfriend walked in on me the other day, and the look on his face broke my heart. I REALLY want to recover, but I need help. And I have no idea where to go. I will be a starting college this September, but I don't want to wait that long. I want help now.

I have a problem with self-confidence. Whenever a person compliments me about something, in my head, I disagree with them. This has also affected my love life. When I am in a relationship, I can't help but to ask myself, why is this person interested in me? Well, that's all I wanted to say. Please help me by giving me advice.

I was adopted when I was two and a half years old, and I still have a lot of issues from it. I don't really like myself and at times; I feel like I don't know who I am. I never let myself become close to my adoptive family, and still feel uncomfortable and out of place around them. I don't have many friends. I isolate a lot and don't really trust people. I am always scared to make friends for fear that I won’t be accepted or liked. Growing up I often turned to drugs and alcohol to escape these feelings and to feel comfortable with myself. The problem now is that I am 22 and I have a two year old daughter. I feel like I need to get over this so I can be a good mother to her, and raise her to know and love herself. I feel lost, what can I do?