We could not find your account using Instant Login.

Please try again, or contact your system administrator or customer service.

OK

Ask Dr. Jan

Dear Dr. Jan,

In middle school, I suffered from both anorexia and severe bulimia; now I see a therapist and take medication for depression. What my parents AND my therapist don't know is that I secretly still throw up every night. How can I stop and still feel good about myself?

— Allison

Dear Allison,


As you know, there is a lot of shame associated with having an eating disorder. There is probably a part of you that doesn’t want to let your parents and therapist down by sharing your struggle. You may also be reluctant to tell them because you know that they will try to stop you from throwing up. Many people don’t realize how challenging it is to overcome eating disorders. Some say the behaviors are addictive and very difficult to stop. We also know that eating disorders can ultimately be life threatening.

By sharing the truth with your therapist and parents, you will be taking a huge step in the direction of overcoming these challenges. Your therapist can help you to learn alternative, healthier ways to feel good about yourself. This will allow you to escape the challenging cycles of your eating disorders and develop healthier ways to cope and improve your perceptions of your physical self as well.

If you are not feeling a connection to your therapist, it is important to let your parents know and find someone else with expertise in treating eating disorders that you may be able to connect with better. Being honest with yourself, your parents, and your therapist is the first step to a healthier and happier lifestyle.