Is anorexic behavior involuntary?

As a person who was considerably overweight, I have had difficulty understanding anorexic behaviors. Is it an obsessive-compulsive disorder in addition to being an eating disorder? Are victims unable to force themselves to eat? Is it a matter of a lack of will power? If they have a lot of will power and are dying, why can’t they make themselves eat? Is the disorder considered genetic in some cases? Does the brain chemistry become unbalanced? Are anorexics obsessed with not eating food in the way that many obese people are obsessed with eating it?

This post is not intended as an insult to anyone who has struggled with anorexia. I know that it is a life-threatening illness just as obesity is.

Normally, I would put this in GQ but since there seems to be a weight theme going in the Pit, I’ve put it here.

I am not a doctor, or psychiatrist, but I believe (as do my parents) that at one time in my life I had what my parents call “anorexia nervosa” I’m not certain if it actually was this, and I was not treated for it. Let me tell you the circumstances that lead up to its onset and then “remission”.

At age 17 I was raped by the person I was dating at the time, I told him “No” more than once, but he lived out in the country, and I had no way of getting away from him. He forced himself on me. (He was 34 years old at the time. He was a predator, and deliberately damaged my relationship with my parents enough so that I would take his word over theirs. I did what I had to do. I faked an orgasm, and then got dressed, and he drove me to work. I got a ride home from someone else and never went out with him again.

Thing is, I blamed myself because I had a headache that afternoon from school stress. I took his suggestion at face value and went to lie down on his bed for a nap. (He had already asked for sex, but I said I felt too ill.) I blamed myself because I did not lie down on the couch. I thought it was my fault for trusting him, that somehow I was supposed to be supra human and “know” he was not to be trusted. I thought I had failed myself.

I could not tell anyone about this shame. My mother was very ill, and I felt my friends might tell my parents. I did not want to add to my mother’s burden with the weight of my own secret. I wanted to die. I lost the desire to eat. I blamed, blamed, blamed. I ran over and over the whole relationship in my mind, and tried to see what I missed. Finally, I decided I wanted to die, that I failed myself, and would do it again, and so I decided not to risk that happening anymore.

I did it slowly. I slowly ate less and less, so mom would not notice. I was very active then, I don’t know now how my body did the things that it did at that time.

Over the period of a year, I lost so much weight my mom brought me to the doctor about it. (Yes, I still obeyed her, and respected her. She wanted me to go find out what was wrong, so I went.) I lost so much weight the doctor told me if I lost another pound he was going to put me in the hospital with an I.V. in my arm. I weighed about 98 pounds, down from a very atheletic 130. I’m five feet four inches tall. I never did get to the point that I would eat nothing, but I ate very little, and most of it was quick burning food like carbohydrates and fruits. (The doctor at the time told me I was not to weigh any less then 135 pounds, that this was my ideal healthy weight. I was an athelete, muscle weighs more.)

My parents chalked it all up to “stress” in general, and decided I was overwrought. They tried to help me, but they weren’t the ones in the end that could “save” me. Only I could do that. I hurt so much, but I did not tell them. It would have broken my dad’s heart to hear of my pain, and very possibly killed my mother. She’s a worrier, and it does affect her health.

Somehow my body continued living, and day by day I found small things to give a positive spark. A white rose, a lightening storm, my little brother’s fireworks display, music of all kinds. Continuing to live day by day finally soaked in. (I had to try to appear “normal” and so I could not shut myself away from the world, this is what saved me.)

I finally began to see, that I was only human. That this was not a “fatal flaw” that could only bring me pain. I began to want to learn again, dance again, eat a candy bar etc. I pulled out of it through “chance” or “unconditional love” which was offered to me. I know I am very fortunate to have survived this, and I think it somehow made me stronger.

I know that most people need intensive therapy to recover from this. I can’y give directly factual answers to your questions, but I can bring a little more understanding to you about why it happens.

Incidentally, I’m 20 pounds overweight now, and am increasing my activity and cutting down on soda so I can lose it. Now I eat if I’m stressed/depressed. I’m not certain, but I believe I saw a study on eating disorders on an educational channel. I think that overeating/undereating are sometimes caused by similar things, it just varies by individual. As I said, I’m not certain. Maybe someone else knows, and can verify this? I am going to counseling/therapy to learn to cope with all my baggage.

I’m sorry to hear about that Zabali_Clawbane

Aren’t there any anorexics who insist that, for them anorexia is just a lifestyle? Or maybe I’ve been watching too much Boston Public:smiley:

Or is it just because they refuse to admit that they’re anorexic that they’re claiming it’s not an illness?

I don’t know. I think there is more than one form, one has to do with an individual’s response to extreme stress/depression, and I don’t know about the other. I think that some develop the characteristics at a VERY early age.

Crap, this BELONGS in GQ, the OP even admits it. I’m closing it. You want a thread to stay open, put it in the right place to begin with.