However, feeling bloated will make these feelings worse, while vomiting and purging leave a feeling of guilt. Stessors We all have different ways of reacting to the bad things that happen to us in life. For some people, anorexia or bulimia seem to be triggered off by an upsetting event, such as the break-up of a relationship. In anorexia it is usually family members who realize that something is wrong when they notice their sister or daughter is not only thin but also continuing to lose weight. Although to others this weight loss appears alarming and excessive, the sufferer will hardly ever admit that there is a problem.
Anorexics continue to believe that they are over-weight.
In bulimia the sufferer often feels guilty and ashamed of their behavior and may go to great lengths to hide it. This is despite the fact that eating huge amounts of food and then vomiting it back up is extremely time-consuming and exhausting. It may affect their performance at work and will certainly make it difficult to lead an active social life. So, it can be a huge relief finally to have to admit to the problem. The first step to treating a disorder is recognizing it.