How can I help loved ones who have bulimia?

1) I've recently just found out that my boyfriend of four years is bulimic... He hasn't told me, but I have put the puzzle pieces together after living with him for the past 18 months... I had even heard him purging in the bathroom while we were on vacation. I'm really struggling with this information and I don't know how to approach him about it... I'm guessing it has been going on for around six years now. How do I confront him about it??

2) I was wondering if bulimics lose weight rapidly, because I have a friend who I think may be bulimic, because she eats, but I think she may be throwing up her food. She has lost 25 pounds in the last month. She binges, and I would like to know how I can help her.


Am I anorexic if I can never decide what to eat?

I have a problem with food. I hate it and never know what I want to eat. Sometimes I'll be famished to the point of shaking, and I'll just lie there thinking about what to put into my body, sometimes for hours. I know I should eat something, and I really am hungry, but at the same time, nothing appeals to me. Is this a form of anorexia? Or could it be a symptom of stress, depression, etc.? I would really appreciate it if you could help me.


Does my friend think she was raped?

You have an excellent service and give great advice. That is why I feel comfortable asking you this question. About three weeks ago, a group of my friends and I went out to a movie and then a club where we each had some alcohol. After the club, we went back to a friend's room where the group gradually dispersed until there was only myself, two male friends, and one female friend. We began to play sex games. Eventually, we all were naked, on my friend's bed. The female of the group was the center of our activity. She seemed to want it and even encouraged what the three of us started doing to her.

Although we all were tipsy, it was a great sexual experience for all of us, or so I thought. My two male friends have no problem with what happened. The only thing is that my female friend won't speak to us or return any of our calls. I saw her walking down the street the other day and tried to talk to her, but she wouldn't even raise her head to look me in the eye. Do you have any idea what is wrong? Could my friend feel that she was raped? I want to apologize, but I'm not sure what to do.


How can I make friends as a first-year student?

I'm having a tough time as a first year student. My classes aren't too difficult, I'm not very homesick, and I don't miss my parents too much. That's all okay. The problem is that I'm lonely. I have reached out to people in classes, in dining halls, everywhere! All I get in return is a brush-off. I give my phone number to people and they don't care enough to reciprocate. I sit with people during meals and never see them again. It's three weeks into the semester — have people made their friends already? I know there are people out there who are potential friends, but where are they? Are they also locking themselves up in their rooms and hiding in the library between classes and at night? I'm a nice, honest, and sincere person. I had a few very close friendships in high school and I'm not the outgoing party animal who needs a wide circle of friends to feel secure. I just need one or two close friends. People who are loyal and who need a friend as much as I need one. I just can't seem to find anyone who is as interested in me as I am in them. I'm a naturally shy and quiet person but my old friends tell me that once people get to know me, they'll really like me. I don't like parties, and I'd rather have one or two close friends than 15 acquaintances. What can I do?


Do I have bulimia and will it interfere with my birth control pills?

Once a day, after meals — whenever my roommate isn't around, I stick my fingers down my throat and throw up most of the food that I had just eaten. I do not binge — I only purge. I understand from my Psychology professor that the diagnosis of bulimia nervosa requires that the person binge and then purge. I am curious, then, what I have — do I have a form of anorexia nervosa or what? Also, I am on birth control pills and I am afraid that I might hurt their effect by throwing up. How long does it take for the pill to get absorbed into my system? I usually don't throw up until about 5 or six hours after I have taken the pill. Will this hurt the effect of the pill?


Is diabulimia a risky weight management strategy for type 1 diabetics?

I recently read an article in a magazine regarding a new disorder termed "Diabulimia." Supposedly, this is a disorder displayed by women with type 1 diabetes in order to lose weight. The women with type 1 diabetes, who take insulin shots, compared these shots to "injectable fat" and therefore they skip their shots all together.

The reason why this topic is so surprising to me is because I am a type 1 diabetic and have been for almost 17 years and I have gained weight since beginning treatment. What happens to the body when this occurs? Also, if a person tries to treat the "diabulimia," will all the weight that was lost be gained right back when she begins to inject the shots again? What other method of losing weight would you suggest for someone like this? I would never risk my life in order to lose weight, but I would still like to learn about it because it is something I have never heard of. Thank you so much!


How do I support a friend in crisis when we’re long distance?

I have this friend that is in a really tough place right now, especially because of quarantine and social isolation. Recently she has been heavily considering killing herself, she’s been having panic attacks, mental breakdowns, trouble with family, and also having terrible sleep paralysis causing her to not want to sleep unless she’s extremely tired. She has even tried to kill herself a few months ago by trying to overdose, and me and her usually talk every day and now she’s been responding less and less and it’s starting to worry me... At this point I just don’t know how to help her anymore than I have tried, if it weren’t for this quarantine I would just want to hug her to help keep her feeling safe. What do I do to try and help this friend of mine and keep her alive? Cause she just doesn’t think things will ever get any better, I really like this girl and I don’t want to lose her yet... once again, how do I help her out?


How to help a friend who’s struggling with alcohol?

1) I have two friends who I think are drinking too much. I don't know what to do. They are very defensive should anyone say anything to them about their excessive habit, and a lot of our friends are giving up on them. This has become a daily thing and their schoolwork and friendships are all suffering. They are both 21; one recently broke up with his girlfriend of several years and the other has been single for a while and he hates it. I know that has a lot to do with it. Please suggest some non-intrusive ways to help them. I'm really at a loss.

2) Last year, I became very good friends with a guy on my floor. He was a little out of the ordinary in the way he dressed, as well as in some of his opinions and habits. I had the feeling that he did drink more than he should, and he also did pot. I did not worry too much about it because it appeared to be more of a lifestyle choice than an addiction, and it did not cause him major troubles.

Unfortunately, he started to have academic problems. He did not do his work, missed classes, and eventually exams as well. I still did not relate these things to his alcohol and drug habits, and I hoped that once he got over the adjustment everyone needed to make in freshman year, he would be fine. Well, he wasn't. He did not come back to school this fall, and when I called him, I learned that he had gone through a lot that summer. He was diagnosed with depression and a cocaine addiction, put on Prozac, and sent to therapy. At that point, I thought that he was on the right track because he was also going to get a job and planning to take classes at a nearby college.

However, when he came to visit me a month later, he had already had two beers before he even came here and got more and more drunk as the evening progressed. I would not let him drive home, but he ignored my warnings and left anyway. I was very disturbed because a friend of his had just been in a drunk driving accident. I was very mad at him, told him clearly that I will always be his friend but prefer not to talk to him or see him if he showed up drunk again. He did not call for a while and neither did I. When he called me yesterday and I told him that I thought he should do something about his alcohol problem, he kept repeating his excuses, that he drinks because he is Irish, that he doesn't care if he dies early as long as he had fun in life, etc. On the other hand, he can't find a job and seems to be very depressed. I want to help him, but I don't know how. Any ideas?