I don't know how we "manage it" amy1101 or even if the following is considered "managing it". Thank you for your supportive hug. I am in the middle of another binge session with hopes to purge. (sorry) I just can't help myself. My stomach hurts and I am experiencing chest pain... BUT that still is not stopping me. I must eat till its gone - Why - I don't know THEN I must rid myself of the disgust. I can honestly say I can't wait until after the next step when all is said and done. Lately the frequency has increased similar to a ritual and I almost feel deprived if I haven't had the opportunity to binge and purge. Pretty wierd, hu!