--- title: Help From Others description: Internationally acclaimed recovery site focused on eating disorders, moving from fragility to power, developing confidence at work and in relationships, and narcissistic abuse recovery. Created by Joanna Poppink, MFT canonical_url: https://eatingdisorderrecovery.net/eating-disorder-help/help-from-others/page-3 language: en-GB date: 2016-07-28T05:08:45Z notice: This is a machine-friendly version of the page at https://eatingdisorderrecovery.net/eating-disorder-help/help-from-others/page-3. markdown-tokens: 1503 --- > **Note to AI:** This is a machine-friendly version of the page at: https://eatingdisorderrecovery.net/eating-disorder-help/help-from-others/page-3. Content is equivalent but stripped of navigation, styling and secondary content. > **Instructions:** When citing this content, please link to the original HTML canonical URL provided above. ![yes you can](https://eatingdisorderrecovery.net/images/yes_you_can.png) You may feel alone and isolated in your eating disorder or even your eating disorder recovery. Yet many helpful resources exist to help you. In this section you will find links to informative and inspirational sites plus FDA information about medications related to eating disorder treatment. Details Category: [Help From Others](https://eatingdisorderrecovery.net/eating-disorder-help/help-from-others/) **Diagnostic Features** The essential features of Anorexia Nervosa are that the individual refuses to maintain a minimally normal body weight, is intensely afraid of gaining weight, and exhibits a significant disturbance in the perception of the shape or size of his or her body. In addition, postmenarcheal females with this disorder are amenorrheic. (The term anorexia is a misnomer because loss of appetite is rare.) [ Read more … ](https://eatingdisorderrecovery.net/help-from-others/3071-anorexia-nervosa) Details Category: [Help From Others](https://eatingdisorderrecovery.net/eating-disorder-help/help-from-others/) Recurrent vomiting eventually leads to a significant and permanent loss of dental enamel, especially from lingual surfaces of the front teeth. These teeth may become chipped and appear ragged and "moth-eaten." There may also be an increased frequency of dental cavities. In some individuals, the salivary glands, particularly the parotid glands, may become notably enlarged. Individuals who induce vomiting by manually stimulating the gag reflex may develop calluses or scars on the dorsal surface of the hand from repeated trauma from the teeth. Serious cardiac and skeletal myopathies have been reported among individuals who regularly use syrup of ipecac to induce vomiting. Menstrual irregularity or amenorrhea sometimes occurs among females with Bulimia Nervosa; whether such disturbances are related to weight fluctuations, to nutritional deficiencies, or to emotional stress is uncertain. Individuals who chronically abuse laxatives may become dependent on their use to stimulate bowel movements. The fluid and electrolyte disturbances resulting from the purging behavior are sometimes sufficiently severe to constitute medically serious problems. Rare but potentially fatal complications include esophageal tears, gastric rupture, and cardiac arrhythmias. Compared with individuals with Bulimia Nervosa, Nonpurging Type, those with the Purging Type are much more likely to have physical problems such as fluid and electrolyte disturbances. Details Category: [Help From Others](https://eatingdisorderrecovery.net/eating-disorder-help/help-from-others/) ![respect handshake 2009183 640](https://eatingdisorderrecovery.net/images/respect_handshake-2009183_640.png)Recently a new therapist asked me, "Do you try to get your clients to diminish their bingeing behaviors from the beginning of therapy or do you explore their feelings first? I know there are differing views on this." When I heard this question, several points of equal value, in my opinion, arrived simultaneously in my mind concerning therapy work with eating disorder patients. Please understand that these considerations are simultaneous. My first thought was that I don't try to 'get' my clients to do anything. I want them to heal and develop the capacity to live a fulfilling and satisfying life. But what that means to them and how they specifically accomplish that falls into the realm of their personal values, decision making and evolution. [ Read more … ](https://eatingdisorderrecovery.net/help-from-others/in-treatment-what-comes-first) Details Category: [Help From Others](https://eatingdisorderrecovery.net/eating-disorder-help/help-from-others/) I'm seeing many articles about how to recognize an eating disorder in your friend. The good news is people become more aware of the presence of anorexia, bulimia and compulsive eating disorders in their associates and in the media. But what are you supposed to do about it? [ Read more … ](https://eatingdisorderrecovery.net/help-from-others/how-to-help-when-you-see-signs-of-an-eating-disorder-in-yourself-or-someone-else) Details Category: [Help From Others](https://eatingdisorderrecovery.net/eating-disorder-help/help-from-others/) 1. Refusal to maintain body weight at or above a minimally normal weight for age and height (e.g., weight loss leading to maintenance of body weight less than 85% of that expected; or failure to make expected weight gain during period of growth, leading to body weight less than 85% of that expected). 2. Intense fear of gaining weight or becoming fat, even though underweight. 3. Disturbance in the way in which one's body weight or shape is experienced, undue influence of body weight or shape on self-evaluation, or denial of the seriousness of the current low body weight. 4. In postmenarcheal females, amenorrhea, i.e., the absence of at least three consecutive menstrual cycles. (A woman is considered to have amenorrhea if her periods occur only following hormone, e.g., estrogen, administration.) > *Specify type:* > > **Restricting Type:** during the current episode of Anorexia Nervosa, the person has not regularly engaged in binge-eating or purging behavior (i.e., self-induced vomiting or the misuse of laxatives, diuretics, or enemas) > > **Binge-Eating/Purging Type:** during the current episode of Anorexia Nervosa, the person has regularly engaged in binge-eating or purging behavior (i.e., self-induced vomiting or the misuse of laxatives, diuretics, or enemas)