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I believe that I can help.
Oddly enough, the martial arts training is most like directly related to the bulimia.
I shall explain below.
You never mentioned if her bulimia was the purging or on-purging type.
Hello ! Let me give you the full criteria for bulimia from the DSM-IV diagnostic manual, the "bible" of mental health diagnoses.
A. Recurrent episodes of binge eating. An episode of binge eating is characterized by both of the following:
B. Recurrent inappropriate compensatory behavior in order to prevent weight gain, such as self-induced vomiting; misuse of laxatives, diuretics, enemas, or other medications; fasting; or excessive exercise. C. The binge eating and inappropriate compensatory behaviors both occur, on average, at least twice a week for 3 months. D. Self-evaluation is unduly influenced by body shape and weight. E. The disturbance does not occur exclusively during episodes of Anorexia Nervosa. Specify type:
My daughter says it started 2 years ago with anorexia. She didn't eat at all at breakfast or lunch and ate a very healthy evening meal. She would then vomit. She lost loads of weight very quickly which we noticed. We chatted a lot and she appeared to be a lot happier and said that she'd stopped. She began to eat normally and regained all her weight approx 5kg. She has maintained the weight and looks very well/ healthy. However tonight the toilet was blocked with vomit. She says that she never stopped vomiting but began to eat more, thus maintain her weight.
It seems as if she has the purging type with the addition of exercise.
She is very competitive?
She is extremely competitive, represents her country, is predicted A stars for her GCSE'S and is in the Gifted and Talented top 5% of the country. She puts a lot of pressure on herself. She lacks any kind of empathy
Is she a narcissist? Narcissists want to be the best and they lack empathy.
any tears are a sign of weakness
Did you know that, based on a meta-analysis (analysis of many studies), from 2% to 16% of eating disorder patients are narcissists.
They are related.
Narcissism is hard to treat because nobody is worthy enough to treat the narcissist
In recent tests she was off the scale with either verbal or non verbal reasoning
Her success feeds her need for "narcissistic supply", as it is called.
Many narcissists are very smart. The are also extremely manipulative and are often the bet con-artists and liars.
She's extremely smart. Doesn't suffer fools. She's upset by her lack of empathy and says she's not a nice person.
You could try a couple of self-help books. She is self-aware and this is to her great benefit and credit.
Here is one:
Funnily enough we have discussed various help , she doesn't want to talk to anyone so maybe reading is the way to go.
I thought it might because most people with NPD do not want to seek help.
I can recommend one more book for NPD.
Sorry what's NPD/
Narcissistic Personality Disorder. I believe that the bulimia is an outcome of it
So what about the medical implications ref training for 2 1/2 hrs 3-4 times a week and competitions some weekends. This is full on training/ fighting/ fitness
It is hard because all of this is totally enmeshed with her career and her goals, but it is something that can be sorted, and does not require mediatiopn
It DOES require a lot of psychotherapy to promote self-understanding.
Empathy, alas, cannot be learned.
Yes, I understand. My real immediate worry is the potential threat of excessive exercise on her body. I.E electrolyte imbalance etc
That can only be monitored by her physician, and SHOULD be closely watched
O.K. Thank you Elliot
You are so welcome. I shall keep her in my prayers for recovery and for being a champion.