Carrie noticed that her friend Lydia had lost a lot of weight
lately. She was paying close attention to her diet and exercising every
day. People at school were always complimenting her, even teachers and
parents. “What’s your secret?” they’d often say. “I wish I could lose
weight that quickly!”
At first, Carrie was happy for her friend too. But, then she
started to notice some things that worried her. Lydia had slowly stopped
hanging out with her. She didn’t sit with Carrie in the cafeteria for
lunch anymore. In fact, she didn’t go the cafeteria at all. She said she
wasn’t hungry and would rather study.
Every time Carrie asked Lydia to go to the mall, or to the movies, or
just to hang out at her house, she said she couldn’t because she had to
get her workout in. It seemed like she was always working out!
And, Carrie couldn’t talk to her about “normal” things anymore. All
Lydia seemed to want to talk about were calories, the latest diet fads,
and new exercise routines.
Lydia was also starting to look way too thin. All of her clothes hung
loosely from her body; sometimes it even seemed like she was
deliberately wearing bigger clothes to try to hide how thin she’d
become.
One day in Health class, Carrie’s teacher brought up the topics of
anorexia and bulimia during a lesson on nutrition. That’s when Carrie
realized that her friend Lydia might be in serious danger.
How to Talk to Your Friend About Your Concerns
If the scenario above sounds at all familiar to you—whether your
“friend” is a classmate, spouse, daughter, or niece—you may wonder what
you should do to help. Here are some tips that may increase the
likelihood that your efforts will be seen by your friend as the caring
gestures that they are, and will convince her to seek eating disorder
treatment.
First, prepare yourself with information:
- Know the signs of anorexia and bulimia so that you are acting out of clear information rather than uninformed suspicion.
- Learn about the medical and psychological consequences of eating disorders.
- Understand that eating disorders are complex. Recovery is not just a matter of will power.
- Learn what community and healthcare resources are available to help people with eating disorders.
Next, pick a non-stressful time to discuss your concerns with your friend:
- State your fears to your friend.
- Describe what you have observed. List evidence of the problem.
- Be compassionate; listen.
- Try to understand things from the other person’s perspective.
Understand that people with eating disorders often make decisions based
on their feelings rather than on facts and logic.
- Express your concerns about the person’s health and functioning, not just their weight.
- Indicate your conviction that the situation should at least be
evaluated by a professional. If she is a teenager or adolescent
encourage her to talk to her parents about the situation.
- Explain how you can help. If you are both teenagers, offer to go
with her to talk to a parent, teacher or trusted adult. If you are both
adults, you may be able to offer a referral, information, emotional
support or financial support.
- If you and your friend are people of faith, consider praying together for her well-being and wisdom in her decisions.
Be ready to:
- End the conversation if it is going nowhere or if the person becomes
upset. But, if possible, leave the door open for further conversations.
- Have patience: If rejected, try again later, explaining that you are coming back because you think the situation is serious.
- Respond to emergencies: If the person is throwing up several times
per day, passing out, complaining of chest pain, or talking about
suicide, get help for them immediately.
- If you and your friend are still in middle school or high school, be
ready to reach out to a parent, teacher, or trusted adult and tell them
about your concerns.
Things to avoid:
Here are some actions or words that could lead your friend to feel as though she is not being heard and reject your help.
- Don’t oversimplify. Avoid platitudes like, “Eating disorders are an
addiction like alcoholism,” or “All you have to do is accept yourself as
you are.”
- Don’t nag about eating or not eating, or spend time talking about food and weight.
- Don’t be judgmental; don’t say that what the person is doing is “sick,” “stupid,” or “self-destructive.”
- Don’t give advice about weight loss, exercise, or appearance.
- Don’t say, “I know how you feel.” Instead, you can demonstrate that you understand by paraphrasing what the person has said.
- Don’t feel obliged to agree with the person’s perspective or beliefs, even though you are making an effort to understand them.
- Don’t bring a group of people to confront the person.
Make Sure You Also Take Care of Yourself
Finally, think about ways to take care of yourself during this
stressful time. Remember that you matter too, and that good boundaries
will help protect your well-being as well as that of your friend.
- Don’t make promises you can’t keep. Definitely, don’t promise to
keep the person’s behavior a secret. Eating disorders have the highest
death rates of all mental illnesses, so there’s a good chance you might
have to get other people involved in helping her.
- Don’t get over-involved. Know your limits. You are not a substitute for professional care.
- Find support for yourself. Talk to a counselor or healthcare
professional. Attend a support group for family and friends of those
with eating disorders.
By following these guidelines, you increase the chances that your
desire to help your friend will lead to real change in his or her life.
And you are more likely to preserve the friendship and your own balance
in the process.
Reach Out to Remuda Ranch
In our safe and tranquil environment, Remuda Ranch at The Meadows
offers specialized care for women and girls in all stages of eating
disorder recovery. Our approach combines proven medical and clinically
intensive treatment with life-skills training and experiential programs
to help patients restore balance to their lives.
Representatives are available by phone at 866-390-5100 or online at
www.remudaranch.com to answer questions regarding eating disorder
treatment for themselves, a family member, or loved one. If your friend
or her family needs someone to speak to, feel free to give them our
contact information.
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