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?

My roommate attempted suicide and I found her in the bathroom. She wants to come back to school next semester but I don't think she is better even though she has recieved professional help. How can I ever trust her again and feel comfortable? I am scared constantly at being alone with her. What do I do? How can I tell her about my fears?

1) This is more of a coping question. I am a first-year who applied for a single room over the summer and was denied. I figured that everything would be okay nevertheless. I tried to look at the situation as a character-builder. Well, that is not the case. My roommate is very depressed. I talked to the RA on my floor, but she didn't take any action, except to talk with her. Unfortunately, my roommate is so ashamed of what's happening that she denied the facts, and the RA believed her. No one except me has realized yet that she is sleeping most of the day and all of the night, and that it is indeed a real problem. I have expressed my concern to her and encouraged her to go to counseling services. She went a couple of times and then started canceling appointments left and right. I have worried about her, but I have no backup whatsoever, so there is really nothing I can do to help at this point. We get along relatively well otherwise.

Right now, the concern I have is that her depression is pulling me down, too. I literally have not been alone anywhere for more than two to three minutes in weeks. I wanted a single because it's a requirement that I spend some time by myself, and I'm going crazy these days. The lights are always out in the room, and I've noticed that I'm sleeping more than usual myself as the situation has progressed. Also, I am having to deal with some personal issues of my own this semester, and I simply don't have the energy to take care of someone else who desperately wishes that I would do so. Any ideas would be greatly appreciated.

2) I know that when a friend is depressed, it's important to reach out, discuss the issue, and be there for the person as much as possible. But that's quite hard to do when I myself have a history with depression — I feel as if her emotions are taking me back to a place that I don't want to go. I really empathize with my friend and feel her pain, but at the same time know that I'd be useless to both of us if I'm in the troughs too. How can I help without sacrificing my always precarious emotional equilibrium?

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?

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 just found out that my wife of five years is bulimic. I don't know how I should feel or what I should do. I feel like it is my fault but my wife tells me that she has had this problem for over ten years. I am torn between my emotions, I love her dearly and wish to help but I feel like she has hidden this from me and I don't know about this. How can I help and who can I talk to? My wife told me that I should be supported but not to ask her too many questions. What should I do?

I'm very worried about one of my friends who suffers from anorexia. She has recently turned to Dexatrim as a way to stop herself from eating. My concern is that she is also on Prozac for depression. I read the back of the Dexatrim package, and it says do not take if you are taking MAOI inhibitors, including Prozac. Is she in danger???