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Can being hospitalized for anorexia be helpful for recovery?

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?


Why do I choose not to eat?

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??


Can I lose fat and build muscle mass at the same time?

A friend of mine and I were disagreeing about this point and I thought maybe you could help. I have heard that it is not possible to both lose fat and build muscle mass simultaneously: ideally, a person should do cardiovascular exercise with dieting to lose extra body fat, and then start to focus on building up muscle mass. He says it's possible to both burn fat and build up muscle over the same period of time. Which is the case?


How can my long-distance girlfriend and I improve communication?

My girlfriend and I have been dating long distance for about seven months. I have found out through keen observation and affirmation from an old roommate of hers that she is a rape victim. For the last three months or so she has been going through a lot of changes with job acquisition, living conditions, and I don't know what else. In this time, communication between us has grown to an insignificant level (in my opinion). It seems as though she is putting her job, spiritual drive, personal life, etc before me. Almost to the point that she doesn't want to include me. I think this has something to do with the rape issue and her ability to trust people. I think she may be unable to believe that I could love her unconditionally.

I have been thinking my situation over and don't know what to do. I love her with all my heart but I am receiving virtually nothing from this relationship right now. Do I hold on to her and give her the space to come to grips with her life and hope that I will be in the big picture later on, or do I end it on the condition that she needs time for herself to decide if I am an important part of her future life? Please respond because I'm crawling out of my skin.


How can I stop binge eating?

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?


Why am I still attracted to someone who assaulted me?

I have a huge crush on one of my coworkers. I am single but he is not, so I have never made any passes or encouraged myself to flirt with him. Five months ago, as I was the last one to leave from work (so I thought), I ran into him. I was surprised that he was still there. To make a long story short, he tried to assault me. I got away. I'm experiencing terrible confusion. I am still attracted to him! I can't stop thinking about him and whenever he ignores me (and he does...constantly), I feel like I'm going to go crazy!

I can't tell anyone; no one will believe me. They would say that I provoked him and that I wanted it to happen. I can't give up the job. I need the income to get through college! Why do I feel this way? What happened to me? Why would he do something like this if he has a girlfriend?


What can I do if my new relationship is affected by my partner's former abuse?

My current girlfriend is still getting over an abusive relationship that she was involved in two years ago. The abuse included repeated rape throughout the two-and-half-year-long relationship. She has never been able to enjoy sex and cannot bring herself to do it again. Despite her feelings for me, she cannot relax enough during sex for it not to hurt her. I have not forced her into having sex she cannot enjoy. We have been together for nearly a year now and the problem does not seem to be getting better for her. She has nightmares and is uncomfortable and afraid in many day-to-day situations. She is worried that going to a counselor will mean she will be in counseling for the rest of her life to get over this. This has become such a hindrance to us being happy that I sometimes wonder if it is best to stay with her to try to help her through this, or whether I am out of my league.