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Being a friend to someone with an eating disorder can sometimes be very challenging. It is normal to feel frustrated, worried, and scared for your friend, especially if they aren't able to admit that there is a serious problem. Being secretive about eating and exercising is a common characteristic of an individual with an eating disorder, and you may feel that you have to watch over your friend to make sure they are taking care of themself. The truth is that you have very limited influence on your friend鈥檚 eating habits, and it is ultimately their decision about what and how they eat. This is not to say that you should give up on or reject your friend who has an eating disorder. People who have sought treatment for an eating disorder often emphasize how important the ongoing support of their friends and family was to their eventual recovery. They say that having friends who both continued to believe in them, and relate to them beyond just their eating disorder was crucial in their taking steps toward health.

SHOULD I SAY SOMETHING TO MY FRIEND?

Perhaps the first thing you may ask yourself if you know someone who you suspect has an eating disorder is whether you should confront the issue. Ask yourself about your relationship with that person. If it is someone you know only casually (e.g., an acquaintance in a class, someone you see only at the gym) you are probably not the right person to confront that individual. If you are concerned about someone who is a friend, however, it is important to speak to her or him. Talking to your friend shows that you care enough to say something, even if your friend has difficulty hearing or accepting your concern. Remember that denial of any problem with food is a psychological defense that helps your friend keep their real pain tucked away and out of conscious awareness. Eating disorders serve the function of distracting the individual from deeper emotional issues. An eating disorder is a way of coping, and your friend may not be ready to relinquish the sense of control, power or emotional relief that s/he gets from his or her symptoms (e.g., restricting, binging/ purging, exercising). It is important not to interpret your friend鈥檚 denial as a personal rejection. Though they may resist your efforts, it is still essential to confront your friend in a supportive way and offer to assist them in getting help. Ignoring the problem contributes to the secretiveness and denial that is part of the disorder; this may lead to serious health consequences. Many people with eating disorders initially seek treatment not entirely of their own choosing, but because others have raised the issue and urged them to seek help.

HOW TO BE SUPPORTIVE IF YOUR FRIEND IS IN TREATMENT

If your friend is in treatment for an eating disorder, there are many ways to be supportive. Most importantly, continue to be a friend to him or her. Point out your friend鈥檚 positive qualities and strengths that do not have to do with how s/he looks or how thin they are. Comments about weight and appearance, even a compliment that s/he looks 鈥渉ealthy,鈥� can be misconstrued.

Don鈥檛 try to monitor your friend鈥檚 food behavior or force her/him to eat. Make it a point to schedule time to do things together other than around meals. Many people with eating disorders become very anxious, and self-conscious in dining halls, restaurants or other places where people are eating. Eating in a relaxed way, and without apology can help your friend feel more comfortable when you are together in food situations. You may find that you become overly focused on your own eating habits in reaction to your friend鈥檚 preoccupation with food and weight. Avoid making negative comments about your weight or body or getting into detailed discussions about food.

If you have a friend who recently started treatment for an eating disorder, you may be concerned by a lack of visible progress. It is important to keep in mind that the contributing causes of an eating disorder develop over time, and recovery does not occur overnight. Improvement in symptoms is important but is not the only gauge that treatment is helping.

WHAT TO DO IF YOU CONTINUE TO BE CONCERNED ABOUT YOUR FRIEND

If you are still worried about your friend or would like more support, the Counseling Center is available for consultation about how to handle the situation. Consultations with the Counseling Center are free and confidential. Depending on the level of concern, the psychologist might suggest you inform someone (e.g., an administrator or parents) who can take action to directly address the problem. The psychologist will help you to determine what can be done to help your friend and is available to provide support for you as well. Appointments can be made by calling (610) 519-4050 or stopping by Room 206, Health Services Building.