Our expert says:
From your description, I would guess that your friend suffers from bulimia. You can gently start a conversation about people who resort to dangerous practices to lose weight and see if she will open up to you. If she does the advise her to consult a clinical psychologist (they are listed in the Yellow Pages under 'Psychologists' or she can ask her gp to refer her), to help her work out what underlying psychological problems are driving her to self-destruct and to learn most positive ways of dealing with these problems. She should also consult a clinical dietitian to assist her to get back to eating normally again. Check the List of Dietitians on this Website or phone 082-593-0276 or send an e-mail to email@example.com or look in your local telephone directory or Yellow Pages, to find a dietitian in your area for her. If she is in Gauteng then it may help to contact Tara Hospital as they have an Eating Disorder clinic (phone (011) 783-2010. In Cape Town and environs she can contact the Kenilworth Clinic (021) 797-1400 and in KwaZulu Natal there is Riverview Manor (033) 701-1911.
Tell her to go for expert help ASAP.
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