Sorry if this brings negative energy to the table, but I'm in the process of trying to cope with a troubled friend. She just admitted to me that she'd been purging, her mother found out, and she'll be sent back to counseling (if they have the money to support it, I'm assuming) soon. I've openly talked to her about it before, and she says she constantly views herself as fat (not true) and in the past when someone would call her fat, she would simply receive it as the truth and continue to purge. She despises counseling and doesn't find it effective. It's completely illogical to me, so it's sort of hard to converse about when my internal response to everything is "Just stop doing it, then". The chance of me finding a specialized ED doctor here is probably slim, but every website I've consulted suggested therapy or counseling, two things she's had plenty of for a number of things. Any help with how to approach this would be great.