My friendBMJ 1995; 311 doi: https://doi.org/10.1136/bmj.311.7005.635 (Published 02 September 1995) Cite this as: BMJ 1995;311:635
I have a friend. She is intelligent, witty, well read, extrovert, charming, and beautiful. She has anorexia nervosa. My friend has not told me this--it is entirely supposition. The evidence, however, is overwhelming.
She is underweight and seems to be losing weight all the time. She has never been seen to eat anything and has never accepted any offer of food of any sort from anyone. She talks about food far more frequently than is normal. She spends large amounts of time in the staff toilet where she keeps several different types of mouthwash, toothpaste, and toothbrush. Retching has been heard on many occasions.
My friend is a doctor.
I appreciate that environmentally imposed eating disorders are common …