|It's not fair, but some people have a |
paradoxical response to hunger.
Imagine a group of sixth grade girls who decide to go on a diet. Or imagine a boys’ wrestling team that decides to engage in some serious crash dieting before weighing in for a meet. Most of the girls and boys find the period of negative energy balance unpleasant and can’t wait to break the diet and go out for pizza and ice cream. For a few, however, they find that they actually feel better under negative energy balance conditions. The diet feels good; they feel calmer. The anxious chatter in their heads diminishes enough to suggest that this might be an escape route from the pervasive discomfort with which they have been living. The positive biological reaction to negative energy balance lures them into continued and escalating dieting in a quest for the paradoxically improved sense of well being that it confers. It is simultaneously seductive and destructive. It is seductive because of the promise of calm and control it holds; it is destructive because it has the power to kill.
from "Negative Energy Balance: A Biological Trap for People Prone to Anorexia Nervosa," by Dr. Cynthia Bulik
We need to start seeing energy imbalance itself as a risky state for certain people, whatever the "reason" it starts.