No one was home the day she decided to try it. She walked up to the bathroom, stuck her finger down her throat, and made herself throw up. Sara thought she would feel terrible or disgusting or even guilty or scared, but instead she felt great. She walked out of the bathroom with a huge smile on her face feeling as if she had conquered the world. Later she would say, “The problem is that things can get really serious when something you think is totally under your control turns into an obsession.” This quickly became Sara’s guiltless way to eat whatever she wanted with little fear of weight gain. Pretty soon it was all she ever did and all she ever thought about. She stopped inviting friends over to her house. Bulimia became her best friend. She didn’t care about anyone but herself and her eating disorder. She binged and purged up to five times per day for over five years before seeking treatment.
Her family and friends encouraged treatment much earlier, but since she was a legal adult, treatment could not be forced. Sara was unwilling to see someone. She was not ready to give up her illness. She tried to convince others that she was fine; that they were mistaken about her. She gave reasons for her incessant baking and then snuck the food up to her room where she could eat it all by herself. She would eat a batch of brownies that she so beautifully wrapped up as a pretend gift for a friend, or finish off an entire bowl of cookie dough in one night. She told people that she was devastated that the five-course meal she was cooking all day got ruined and ended up in the garbage instead of in her stomach. She snuck out to fast food restaurants and ate in the car before going home. Her behavior became so out of control that she was ready to eat anything she could get her hands on in larger and larger amounts. Her body became so used to the large consumption of food and then the quick purging of it all that whenever she bent over she would automatically throw up. She didn’t even have to stick her finger down her throat anymore.
