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They are so difficult and complicated, so many factors can contribute to it, not just what the media points out of body image, for some people it's simply that food makes you feel sick.
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And for many there are serious trauma's that they went through some time before the ED ever started......then stressors continue to trigger throughout one's life.
It's so difficult because for each person who has an ED....there in reality are different reasons & causes for it......that angered me more than anything when I was in treatment for anorexia was that they tried to fit everyone into the same box.......where at that time.....loss of engineering career, a bad marriage of 25 years (I didn't realize was part of the cause at the time), stress, depression & Prozac started it along with a major desire to die & thinking that it would be easier on my family if it was the ED that ended my life than any other option......all that went into not being able to eat without feeling sick.
Childhood abuse is a major cause for all ED's.......but if they don't treat the cause, they can never cure the symptom, it just turnes into some other coping mechanism that is just as unhealthy.