Faces of eating disorders: yvonne’s case

FACES OF EATING DISORDERS: YVONNE’S CASE

Believing that her parents never loved or wanted her, Yvonne began to "bust her butt," as she put it, to find emotional gratification through success at school. She studied long hours and became involved in as many after-school activities as she could manage. She joined the track team and worked out every chance she could.
After she dropped from 124 to 109 pounds, Yvonne's menstruation ceased, yet she continued to exercise compulsively and still perceived herself as overweight. Her concentration began to fail, which was particularly troubling, given her desire to stay on the school honor roll. She hoped that academic success would make her parents love and respect her, and thus allow her more social freedom. Sadly, though, her father regarded the weight loss as deliberate misbehavior, and began hitting her as a form of punishment.
She showed him, though. She lost more weight. She was hospitalized at a mere hundred pounds.
Ironically, while in the hospital, Yvonne learned about laxative abuse from her fellow patients. She ate voraciously just so she would be allowed to leave the hospital. After discharge she returned to her old habits; she restricted food intake, some days ingesting nothing but diet soda, and continued to exercise throughout the day. She also began to induce vomiting and to take laxatives. It wasn't long before she had to be hospitalized again.
Once released, Yvonne remained fearful of food. Oddly, she seemed to be particularly phobic about bread, terrified that even the slightest crumb would make her fat. She took a job as a waitress, but reported that she never felt hungry at work. Periodically, she succumbed to her desire to binge.
Eventually, though, she began to feel depressed, lonely, and even suicidal. Although her parents tried to help lift her spirits by giving her more freedom, she was frightened by the idea of social interaction, and became even more withdrawn.
At home, Yvonne's father lost his job, her sister developed a serious illness, and her parents fought more. As the level of stress in her family rose, so did Yvonne's use of laxatives. Despite an occasional binge, she dropped twenty pounds in less than a month. She felt weak and fainted several times at school.
One time she fainted but didn't come to. Rushed unconscious to the hospital, she was treated in intensive care until she revived the next day. She then agreed to be transferred to a specialized eating-disorder program.

Yvonne had anorexia nervosa. But as you've just seen, the illness affected these two young women in radically different ways. In addition to restricting food intake, Yvonne resorted to other measures to reduce weight even further: constant exercising, laxative abuse, and self-induced vomiting. Her diagnosis, then, was bulimic anorexia. Bulimic anorexics have been shown to be more social, depressed, and impulsive, with greater family difficulties and family histories of depression and obesity.

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