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There are two types of people on those kind of sites. The first kind are the ones who really do have a problem (some more severe than others), the second kind are those who think anorexia & bulemia are the 'cool' things too do. Of the ones who are actually sick there are those who know they have a problem and wish they could get help and there are those who don't see anorexia as a problem.
Most people with anorexia do it as a form of control and are perfectionist. Ana & Mia are not easy diseases. I struggled with them (ana mostly) for several months. My mom had serious cancer, my life was spiraling out of control and it seemed like my eating (or lack there of) was the only thing I could control. It wasn't too hard to hide the disease either, even living with 3 roommates. I knew I wanted help and needed help, I dropped almost every clue possible without actually telling people that I had an eating disorder. When I moved home for the summer, things got back under control and I was able to get the help I need.
Anyway, It is a disease and many people who have it cannot help it.
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