If you have a friend with an eating disorder, or you worry about what might be an eating disorder, you are not alone. Some estimates are that as many as 1 in 3 college women have struggled with weight, food, body image, disordered eating or an eating disorder by the time they graduate from college. Certainly, among your friends and acquaintances there are women and possibly men who have eating concerns.
Perhaps you have become aware of your friend's problem because you have observed their weight changes, or you feel uncomfortable with his preoccupation with dietary restriction, or you have become aware that she abuses laxatives or vomits to purge herself of what she eats. You feel concerned and wonder how to bring up the subject. You worry that your friend will feel "accused" or "diagnosed" and will be angry with you. It's important to keep in mind that hearing honest concern from others helps break denial and often is the first step on the path to acknowledging the problem and getting help.