OK, I am somewhat hesistant to do this - but I am in need of some advice. You all on this forum have proven during my time as a member here to be widely diverse and knowledgeable of opinion, so I ask humbly for some assistance. I recently moved back to Texas and reunited with perhaps my closest friend, a girl I have known for about seven years. Through considerable effort on both of our parts, we truly love each other enough that there are no longer any secrets kept between us. That is the good news. The bad news is that over some wine the other night, she told me that she is really struggling with Bulemia and asked me for help. She has been bulemic off-and-on since she was 15 (she is now 24). I am forbidden from involving her parents, and reluctantly respect those wishes. She is to a point where she really wants to change, which I feel is a necessary starting point - and she is realistic about the struggle which lays ahead. She is to the point where she cannot eat in front of people because she is embarrased that she will have to excuse herself to vomit. While I understand the disorder abstractly, and somewhat understand what led her down this path ( a beautiful, non-encouraging mother - and she being slightly plump) - I am really out of my element. She seems to think that this is all her fault, as it was her initial choice to engage in this behavior, something which I vehemently disagree with, although I do applaud the general willingness to take appropriate responsibility. So I ask you fine forum members for advice on how to proceed - as I am the only other person who explicitly knows, and don't know how to proceed. She has a host of other health-related problems, possibly due to poor nutrition and is prone to mood swings and crippling anxiety, which all may be related to this underlying problem, so I want to tread carefully. As assets, however, we have been through alot together, and have a very strong relationship as well as a great understanding of each other. My first thought for her would be some kind of Psychotherapy - although she has had bad experiences with merely having pills thrown at her as a solution. I know this will be a long, ardous process, and will never be something she will be completely over. I love this person enough, however, to be patient and put forth the effort to help her along the way. What I ask if for constructive steps on how to proceed, on what I am up against, and what realistically to expect. I really appreciate it. Please feel free to ask for clarifications and/or further questions. Thankyou.