What’s important to note here is the extraordinary individuality of our experiences with these diseases, which can also morph into one another. Long before we had much knowledge about the dynamics, I developed anorexia in 1975, which a year later evolved into bulimia, and then into chewing and spitting. Nothing more than an OCD at that point, except that I still starved myself, and occasionally still binged and purged. Four decades of. I never ever once touched a drink, never have and never will. What so many of us don’t always understand- especially those in the treatment community- is how individual backgrounds and psychologies play into these issues. While this description indicates that the two disorders are discrete and separate, they can also exist in tandem. Also, as you point out while alcohol can indeed be a component (lots of sugar there), it isn’t guaranteed as a handmaiden to those disorders. This is an important article, I simply want to add that you and I and everyone else who has ever dealt with, danced with and in many cases (as in mine) ultimately defeated them) they grasp us in such varying ways. To that, to, I might add, the way we heal them is also unique to each of us. I never got counseling or help or much of anything. That road I walked alone. NOT for everyone. However, I have doubts about the enormous industry that has developed around these disorders, which, like dieting, people only make money off us if we relapse. When caregivers are only paid when we are successfully eating normally and living productive lives, we will heal. The same goes for the medical community. When folks get paid for prevention, we will be a well nation. But that’s not how they get rewarded. They make money when we stay sick. And that is sick, indeed.

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