[AOX81]

I'm not speaking from my own experience but I do have friends who have been anorexic or bulemic in the past. The first thing is that she has to WANT to help herself and make a change in her life. A couple of my friends said that they did it because they felt that was the only thing that they had control over in their life. They also had problems with anxiety. I'm not sure how much body image played a role in their problems.

Is there anyway that you can talk to her fiance? Someone needs to make him realize that if she continues to do this to herself they might not be celebrating very many wedding anniversaries. Does he even know about this?

Maybe you can gather her family and some other friends and do some sort of intervention...

Let us know how things are going.