The very nature of eating disorders demand that the behaviors be carried out in secret. Thus the person with an ED becomes more withdrawn and avoidant of social situations, particularly those that involve food.

Lack of social interaction, coupled with poor nutrition, can not only exacerbate pre-existing depression and anxiety, but they can also cause it in individuals who previously had no such problems.

"Meaningful relationships and eating disorders are mutually exclusive," says one of my friends. And she is absolutely

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