I'd tentatively offer up the suggestion that it's worth considering the possibility, Adamski, that what your friend's experiencing isn't necessarily straightforward pathology to be eradicated ("depression", "bulimia") but, as you yourself have touched upon, more equivocal phenomena which fulfil some function in terms of coping mechanisms - albeit possibly less-than-perfect ones. Your first post, for example, mentions exams, and it's not at all uncommon for one to become stressed during exam time; a degree of stress is arguably important in terms of motivating one to address the situation. Similarly, you've suggested that your friend's eating behaviour may not constitute bulimia per se but rather a ("self-harm") way of alleviating anxiety.
From what you say, your friend continues to eat, exercise and experience pleasure (going out dancing), so perhaps this isn't a severe illness to be tackled/healed but her own idiosyncratic, possibly maladaptive, response to a stressful situation - or even a way of maintaining discourse/friendship? Maybe it's worth asking what function her experiences/behaviour might be serving? It is, after all, possible to overtreat... |