I was anorexic and bulimic (mostly anorexia) for 20+ years and I also self harmed. I would argue that eating disorders aren't the same as self harm, but in reality they are in that they harm the body and mind. I didn't think so bc self harm was more obvious and easily defined as self harm. My eating disorder was about control, not harm, but it did cause harm. Also, for me, the thinking was similar. I self harmed to feel better, release stress or built up fear, to ground myself. Engaging in the eating disorder also released stress, made me feel better.

I don't really think your t is changing your diagnosis (because everything you describe would indicate anorexia), but adding to it. Maybe trying to get you to see the harm you are doing to your body?? It really does mess your body up...from fertility to digestive issues, organ damage, and worse.

sorry if muddled. tired and multi tasking are not a good combo for me