Even for women at middle age – and perhaps especially for women at middle age – there are good treatments available. However, the complexity of the problem requires a multifaceted approach to treatment – an approach that stresses nutritional issues as well as thoughts and feelings.

Eating disorders tend to be long-term medical problems.  While it's difficult for relatives and friends to figure out ways to help, denying or ignoring the problem can have far more serious consequences. Don't expect an eating disorder to go away by itself. Seek immediate help from a qualified professional. You should have no problem getting referral to an eating disorders specialist from your family physician, a social worker, or a mental health agency in your area.

Eating disorders are most successfully treated when diagnosed early and when the individual is committed to change.  Often, a complete physical examination is necessary to determine if there is immediate medical danger and to rule out other illnesses. There are several different types of treatment available. Many experts believe that a combination of therapies yields the best result.

They include:

• Individual, group, and/or family psychotherapy
• Cognitive and behavioral therapy (CBT)
• Motivational therapy
• Nutritional counseling/therapy
• Medications

If Emergencies Arise

Call 911 immediately if someone with an eating disorder:

• Complains of chest pains
• Experiences dizziness or passes out
• Vomits blood or passes blood in the urine or a bowel movement
• Is suicidal or talks about dying

Tips for Dealing with an Eating Disorder In a Family Member or Friend

• Be aware of the long-term nature of the illness and muster your patience.
• Don't blame yourself or anyone else (including the patient) for the eating disorder.
• The person with the eating disorder is responsible for behavior that affects others.
• Don't urge, watch or monitor eating, and don't discuss food intake or weight. Your involvement with eating can create opportunities for manipulation.
• Don't monitor the behavior of a person with eating disorders, even if you're invited to do so.
• Avoid turning mealtimes into a battleground. Minimize discussion about food issues.
• Be willing to negotiate on activities involving food.
• Do everything you can to encourage initiative, independence and autonomy.
• Don't use put-downs or comparisons with others who are more "successful."
• Don't neglect your family or others who are important in your life. Focusing on the person with the eating disorder can perpetuate the illness and destroy relationships.
• Don't play therapist. Let a professional handle it.
• Your obligation is to help the person get into treatment. Getting well is his/her job.
• Don't be afraid to support a recommendation for residential treatment or hospitalization.
• Seek help for yourself. Join a family support group or get individual therapy to help you through this difficult time.