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 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?


Is mixing uppers and downers a bad idea?

Recently, many of my friends have been doing methamphetamines. Often when they start to come down, want to come down, want to "level" out their high, etc. they take Xanax!!! Now I know Xanax is an anti-anxiety drug, and meth speeds your heart up. So can mixing the two ("reds" with "blues") be especially bad? I keep trying to tell them that it doesn't sound like a good idea...but they know that I hate pills so they DON'T listen. "They know better!" But I haven't been able to find any info specific to my question in other places. CAN YOU HELP?


Am I bulimic, or is it just a phase?

I am a college freshman and I think I'm on my way to becoming bulimic. Since my junior year of high school, I have periodically binged and tried to purge, but I was never really successful and it was never frequent. My senior year I made myself semi-successfully throw up for the first time, but it was gross and scary and made my throat bleed and I stopped. However, since I've gotten to school this year, I feel like things have gotten out of control. I started out eating healthfully and losing weight, because I am about 15 pounds overweight and need to make a lower weight class for my sport. (I am at a high level and compete internationally.) I'm also terrified of the "freshman fifteen" since I've always been chubby at the least. I couldn't keep up my healthy eating and snapped, and now I binge all the time and for the past few weeks have been throwing up. I think I could stop but I'm not sure. Am I bulimic or just going through typical freshman food phase?

Thanks for any advice.


Will past experimentation with drugs lead to permanent brain damage?

I have a history of "experimentation" (infrequent or occasional use of ecstasy, 'shrooms, and other drugs — mostly prescription pills). I am completely sober now, but am worried about long-term damage to my brain. I used drugs infrequently (no more than three to five times for each substance), but drank regularly. How worried should I be? Is there anything I can do to combat long-term effects?


Is fear of dietary fat considered an eating disorder?

Are there other types of eating disorders other than anorexia and bulimia? For example, I have this fear of unnecessary fat in food and eat everything "plain," that is, without butter, oil, dressing, or sauce, etc. I thought that it's good that I'm this health conscious, but my friends say that it's a little obsessive. Is this an eating disorder?


Is it okay to drink alcohol while on Zoloft?

I just started taking Zoloft today. I am going on vacation next week and am wondering if it is safe to drink while on this medication. I can't seem to get a straight answer from anyone. I'm not talking about drinking to oblivion; I'm talking about having a couple of drinks by the campfire. Is this okay?