My answer to this begins with the fact that an ED, as I've said, is never a choice. It is a disease for anyone who develops one, and thus it is something that is in your head. It is not conscious. In terms of the body dismorphia component, not all people with an ED see something different in the mirror than what others see. Body dismorphia is exactly that- when you yourself see your body as different then it actually is in reality. While many sufferers from ED's do have body dismorphia, not all sufferers do. Many do understand what they actually look like. But an ED is not just about weight or about food or about what you look like anyway. It's about the underlying causes, so it really does not matter how you see yourself necessarily in terms of weight.
The body dismorphia, also, is not necessarily a CAUSE of an ED. It can be a result. Meaning, someone might develop an ED for the various reasons that one does, and then during the ED may start to feel that they just aren't thin enough because of those underlying causes. Control is one cause. They may feel out of control which can be one reason why they developed the ED, and then the effect of that is that while they are losing weight they may think that the process is not fast enough and they then feel out of control, thus causing them to experience body dismorphia as they SEE how they FEEL (out of control, or bigger than they are). The reflection in the mirror becomes a representation of how they see themselves on the inside, which is why they may see something that is not there.
Through recovery, as one becomes in touch with themselves again and regains the self-love that they need to have, the image that they see in the mirror starts to reflect that inner positivity. Their minds are more clear and concise as they are now feeding their body so they can better see what is accurately in front of them. Again, not everyone with an ED has body dismorphia. And an ED is never a choice. But recovery is. And I encourage anyone and everyone suffering to choose recovery.
ED.
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