Wow!  We always like to hear such positive messages but did you realize that what Andrea is dealing with is an eating disorder.  She is probably suffering from binge eating also.  While she seems to have dealt pretty well with her disorder, most people have a very difficult time dealing with any such disorders on their own.  (Related:  Diet makeover)

No one knows for sure why eating disorders happen to some people.  Even Katherine McPhee has admitted to an eating disorder.  Other celebrities who have had some sort of disorders include Jessica Alba, Nicole Richie, Geri Halliwell, Paula Abdul, Lindsay, Lohan, Ashlee Simpson, Jamie-Lynn Sigler, Christina Ricci, and Kate Beckinsale.  There is disagreement among scientists but it is generally believed that a combination of emotional and hormonal changes. Researchers believe an eating disorder begins with dissatisfaction of the person's body and extreme concern with body size and shape. Usually individuals suffering from bulimia have low self-esteem, feelings of helplessness and a fear of becoming fat.  

What can you do as a family member or friend if someone you know has an eating disorder?

1. This person needs a lot of emotional support.  So under no circumstances should you ridicule this person or make him/her feel bad about the situation.  On the other hand, you should arrange for an eating disorder expert to examine her/him.  Your family doctor is the best person to approach first who can recommend an appropriate expert.

2. If you are in the same household, depending on the situation (whether it is overeating or under-eating) you must try to influence the menu for the meals in a way that the person can consume healthy amounts.

3. While your doctor is a good resource, there are many treatment centers that deal specifically with eating disorders.  These are not hospitals per se but they operate like one.  For example, Remuda Ranch Treatment Center provides a healing environment in a ranch-like setting.  Other programs like Milestones, Rader, Dr. Krevoy, Del Amo Hospital, etc. provide a combination of treatment center like facilities along with online help.

4. You must also see how serious the disorder is.  For minor disorders, for example, over-consumption of soda or ice-cream, just motivation through books, videos, and online programs might be sufficient.  For severe disorders, a trip to a treatment center for weeks or months may be needed.