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Advancing the Education, Prevention, Research & Treatment of Eating Disorders


She Has to be the Best

Question:

my friend needs help. She's thin - there is no reason that she should EVER be on a diet. This morning on channel1 - I think you said that people who strive to be the best at something are most at risk?? Well - she HAS to be best at everything.

I'm very worried about her. She's doing this rotation diet, with her mom. BUT neither one of them should be on a diet. She's always hungry. On a rotation diet - you take turns eating 300, 600, and 900 calories - ONLY A DAY. I don't know if this is healthy.

PLEASE HELP HER - I've known her all my life - it would absolutely kill me if I found out that this could seriously hurt her if it continues. Thank you for listening.


Answer:

Unfortunately, dieting is a national pastime, even a national obsession, particularly for women. There is an incredible variety of diets and different diet approaches go in an out of style. People diet on their own, or with various weight loss programs, or with their friends, or, like your friend, with family members. If only it were healthy and/or fun, but in general, it isn’t. Though dieting doesn’t necessarily lead to eating disorders or other health problems, almost all eating disorders are preceded by dieting.

The truth is, diets don’t work. Over 90% of people who diet are unable to achieve the sustained weight loss they seek. Many end up even gaining weight in the long run. You describe your friend as someone who is already thin and who may be dieting to get below her body’s natural weight. As someone who needs to be the best at everything, she may be at particular risk when the demands of a diet are in conflict with her body’s basic needs.

In addition to feelings of frustration about weight, many dieters end up feeling disappointed in themselves. If dieting and thinness are viewed as all important, your friend may be vulnerable to sacrificing all the other things that she is good at in order to meet these goals. It is not possible to sustain success in school and other activities when chronically undernourished. You can support her by sharing Eating Disorders Awareness and Prevention’s Tips for Kids and by continuing to be a caring friend.


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