Binge with friends after classes. In our culture, physical attractiveness contributes significantly to success in the social domain. Thinness is an important component of how attractive and desirable a women in perceived to be. Social pressure to be thin likely promotes poor body images which in turn may prompt dieting efforts. If you answered yes to many of these questions you might consider talking with someone.
Treatment addresses the physical and psychological aspects of the person.
A physical exam with electrolyte balance check is recommended. If the person has been vomiting a dental exam is important. If the person is in poor physical condition, inpatient treatment may be warranted. Individual and group therapy addresses the psychological issues. Antidepressants may be used to help alleviate immediate eating problems and mood disturbances.