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  • Or any number of things. These disorders manifest in a lot of unique combinations, and there's no telling which combination someone is just by looking at it.

    that's why getting help is *imperative* -- people are professionally trained to accurately determine all of the elements of a disorder and how the help the individual into the right behavioral patterns and exercises that will help them.

    getting a psych evaluation, btw, is not that difficult -- they ask you a few questions and observe your answers.

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    • Thanks for all the good advice everyone. I know you're all probably right about everything like telling my parents and stuff but I can't tell them yet. I have a mid-year exam in just over a week and then in a few months I have like 6 other exams. A couple of months ago I went through a stage where I wasn't eating much (more than now though) and my mum said something like "now's not the time to get anorexia, you're in year 12". She won't understand; she'll think I'm choosing this.

      Btw I'm not counting calories in a food diary or anything but the number of calories of everything I eat sort of pops up in my head and I can't help but add up all my calories for the day.

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      • If I go to a GP will they want to weigh me? Is my weight even relevant?

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        • Make sure you eat enough in the next week - eat as much as you can. You absolutely need to to perform well in your exams and to retain the things your are learning now. Eat eat eat. Then once the exams are over you can have a good think about what you want your strategy to be. I agree with Dexy that is is not a good idea to count calories. The human appetite is naturally an automatic process - one you make it an intellectual process it sets the stage for long term malnutrition.

          So eat loads for the next weeks or so before and on the days of the exams, then re-asses.

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          • Every single time you go to your GP they will want to weigh you. Fat or thin, well nourished or not, lean muscles or skinny fat, they will always want to weigh you because they are doctors and that is the sort of thing they always measure. It is a standard data point and a little box on their database. Actually they could probably just look at you and make an estimate and it would be almost as useful, but they will always want an exact weight. You can always ask the doctor not to tell you if you don't like to know.

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            • Originally posted by billp View Post
              Make sure you eat enough in the next week - eat as much as you can. You absolutely need to to perform well in your exams and to retain the things your are learning now. Eat eat eat. Then once the exams are over you can have a good think about what you want your strategy to be. I agree with Dexy that is is not a good idea to count calories. The human appetite is naturally an automatic process - one you make it an intellectual process it sets the stage for long term malnutrition.

              So eat loads for the next weeks or so before and on the days of the exams, then re-asses.
              At the moment I panic even when I'm under 500 calories so I don't know how I'm going to be ok with eating more than that but I'll see how I go. I haven't eaten today but I have to make dinner tonight so I'm making a beef stir fry in coconut milk. Good choice?

              Originally posted by billp View Post
              Every single time you go to your GP they will want to weigh you. Fat or thin, well nourished or not, lean muscles or skinny fat, they will always want to weigh you because they are doctors and that is the sort of thing they always measure. It is a standard data point and a little box on their database. Actually they could probably just look at you and make an estimate and it would be almost as useful, but they will always want an exact weight. You can always ask the doctor not to tell you if you don't like to know.
              I just really don't like the idea of being weighed by someone else, even if they don't tell anyone. Do you know if there's any way I can choose not to get weighed?

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              • Originally posted by Ribbons View Post
                At the moment I panic even when I'm under 500 calories so I don't know how I'm going to be ok with eating more than that but I'll see how I go. I haven't eaten today but I have to make dinner tonight so I'm making a beef stir fry in coconut milk. Good choice?
                You panic because you are eating under 500 calories. Starvation is meant to make you panic, so you do something about it, like dig up the last potatoes that the farmer missed, or catch that wild pigeon or steal the poorly guarded hen, or escape from the prison who are being held in where the guards are starving you to death. Panic is the correct response to starvation. If you were eating a lot more you would not feel panic.

                Whether the stir fry with coconut milk is a good choice or not would depend on how big it was more than anything else. I think you could easily add some rice or potatoes to bulk it up a bit.
                I just really don't like the idea of being weighed by someone else, even if they don't tell anyone. Do you know if there's any way I can choose not to get weighed?
                You can suggest it to the doctor. Doctors are very literal minded people. Just explain to the doctor, and keep your eyes closed on the scale. He won't tell you if you don't want to know. It's not going to change his advice, but he would not be being a good doctor if he didn't find out your exact weight.

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                • Originally posted by billp View Post
                  You panic because you are eating under 500 calories. Starvation is meant to make you panic, so you do something about it, like dig up the last potatoes that the farmer missed, or catch that wild pigeon or steal the poorly guarded hen, or escape from the prison who are being held in where the guards are starving you to death. Panic is the correct response to starvation. If you were eating a lot more you would not feel panic.

                  Whether the stir fry with coconut milk is a good choice or not would depend on how big it was more than anything else. I think you could easily add some rice or potatoes to bulk it up a bit.

                  You can suggest it to the doctor. Doctors are very literal minded people. Just explain to the doctor, and keep your eyes closed on the scale. He won't tell you if you don't want to know. It's not going to change his advice, but he would not be being a good doctor if he didn't find out your exact weight.
                  But if I'm panicking because I'm not eating enough then why is it always after eating that I feel the most anxious?

                  If the doctor weighs me he/she'll tell me I'm overweight and it'll make everything worse. Should I go to a psychologist/psychiatrist instead?

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                  • Originally posted by Ribbons View Post
                    But if I'm panicking because I'm not eating enough then why is it always after eating that I feel the most anxious?
                    That's just what you have latched on to. If you were eating more and more often your would not feel like that after eating. Unfortunately you have got it into your head that eating is bad and not eating is good - although if you thought about it, I expect you would find these feelings of anxiety have only grown worse the less you have eaten.
                    If the doctor weighs me he/she'll tell me I'm overweight and it'll make everything worse. Should I go to a psychologist/psychiatrist instead?
                    It doesn't really matter which you go to as long as you go to one of them, as the doctor is very likely to refer you to a psychologist anyway.

                    I would be astonished if your doctor described you as overweight. Going on your description you aren't overweight and may be underweight. Anyway, your problem isn't about being any particular weight - it is about obsessing over food and calories and weight loss - which if you keep doing will eventually kill you. It doesn't really matter what you weigh now - if you were so fat you couldn't stand up then you could live for several years eating as you are doing. If you were normal weight you might last a year or two. If you were already thin you might last a few months, and morbidly thin a few weeks. Either way it is very important to tackle the underlying problem and worry about your target weight and body composition later.

                    Anyway, explain the problem to your doctor. They always start off with "What seems to be the problem", so tell him. He's not going to call you overweight. I'd give odds a hundred to one against it.

                    I think you are getting side-tracked by detail. The point about paleo type diets is by greatly increasing the amount of fat you eat, that becomes you staple food source. Fat is very satiating, so people feel full and stop eating when they have had enough. Nobody gets fat by doing that - we evolved to naturally be able to regulate our body shapes and fat reserves, so long as we have enough meat and fat to eat. Still make sure to go to you doctor today though.
                    Last edited by billp; 06-04-2012, 02:48 AM.

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                    • Originally posted by Ribbons View Post
                      But if I'm panicking because I'm not eating enough then why is it always after eating that I feel the most anxious?

                      If the doctor weighs me he/she'll tell me I'm overweight and it'll make everything worse. Should I go to a psychologist/psychiatrist instead?
                      Hey Ribbons,

                      I'm in Australia. You can't see a Psychiatirist without seeing a your GP first for a referral and I think it's the same for a Psychologist. But your GP is a great place to start. I don't know which state your'e in, but in NSW all areas have a mental health crisis support line, you can ring up and ask for some help, tell them your fears about your parents finding out etc and go from there. If you want to message me where you are I'd be very happy to get some numbers and information for you. I've been rattling around in the mental health system for quite a few years and I know the quick ways in!

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                      • Originally posted by billp View Post
                        That's just what you have latched on to. If you were eating more and more often your would not feel like that after eating. Unfortunately you have got it into your head that eating is bad and not eating is good - although if you thought about it, I expect you would find these feelings of anxiety have only grown worse the less you have eaten.

                        It doesn't really matter which you go to as long as you go to one of them, as the doctor is very likely to refer you to a psychologist anyway.

                        I would be astonished if your doctor described you as overweight. Going on your description you aren't overweight and may be underweight. Anyway, your problem isn't about being any particular weight - it is about obsessing over food and calories and weight loss - which if you keep doing will eventually kill you. It doesn't really matter what you weigh now - if you were so fat you couldn't stand up then you could live for several years eating as you are doing. If you were normal weight you might last a year or two. If you were already thin you might last a few months, and morbidly thin a few weeks. Either way it is very important to tackle the underlying problem and worry about your target weight and body composition later.

                        Anyway, explain the problem to your doctor. They always start off with "What seems to be the problem", so tell him. He's not going to call you overweight. I'd give odds a hundred to one against it.

                        I think you are getting side-tracked by detail. The point about paleo type diets is by greatly increasing the amount of fat you eat, that becomes you staple food source. Fat is very satiating, so people feel full and stop eating when they have had enough. Nobody gets fat by doing that - we evolved to naturally be able to regulate our body shapes and fat reserves, so long as we have enough meat and fat to eat. Still make sure to go to you doctor today though.
                        I'm not sure that I agree with you about my anxiety being caused by eating less because it's happened before (but for less time maybe) at times that I've been eating plenty of healthy food and it's usually triggered by someone judging me for being fat or for eating.

                        But thanks, I'll still consider going to a doctor, just not yet though.

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                        • Originally posted by Dexy View Post
                          Hey Ribbons,

                          I'm in Australia. You can't see a Psychiatirist without seeing a your GP first for a referral and I think it's the same for a Psychologist. But your GP is a great place to start. I don't know which state your'e in, but in NSW all areas have a mental health crisis support line, you can ring up and ask for some help, tell them your fears about your parents finding out etc and go from there. If you want to message me where you are I'd be very happy to get some numbers and information for you. I've been rattling around in the mental health system for quite a few years and I know the quick ways in!
                          Thanks I'll message you

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                          • Originally posted by billp View Post
                            They are on to you. They have worked out what people here have worked out - that even if you have not become visibly wasted yet you are going though an anorexic period.
                            +1 billp. Ribbons, you don't need to fear that your parents will find out. THEY ALREADY KNOW!!
                            5'0" female, 45 years old. Started Primal October 31, 2011, at a skinny fat 111.5 lbs. Low weight: 99.5 lb on a fast. Gained back to 115(!) on SAD chocolate, potato chips, and stress. Currently 111.

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                            • Originally posted by Dexy View Post
                              It's essential that you get help. I started with depression and anxiety in childhood, an ED at 15, then escalated into behaviours and addictions in my late teens and twenties which I'm not going to post about here. I was a breathing train wreck and I wouldn't wish it on anybody. I ought to be long dead, that's how serious these insidious illnesess are. You won't beat it because it has you already by the short and curlies. Life is good, I wish I'd lived my twenties instead of losing them. I'm 38 now and in ED relapse. It's not pretty. Save yourself darling girl, nobody else can do it for you.
                              This is important, Ribbons. The stakes are high. A little bit of embarrassment now is nothing in the wider scheme of things, compared to the benefits of honesty, maturity and seeking help from your nearest and dearest. Your parents love you - they will help you.

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                              • The anxiety is caused by NOT eating. When you starve yourself, your body sends signals to your mind to become fixated on food; that is part of the reason that people with eating disorders constantly think about food. The only way to end this cycle of starving, obsessing over eating, obsessing over not eating, binging, starving, binging, etc. is to just eat. It is very difficult at first, but eventually, when your body realizes that it is no longer in danger of starving, you will stop being so anxious about food. You just need to break the cycle; obviously, easier said than done, but if you don't do it, it will get worse and worse and worse. Break the cycle, Ribbons!

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