Reply to So how long can someone like Giuliana Rancic keep going?

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]While she doesn't look good, she is functioning and I'm guessing she's keeping up a relatively hectic schedule being in the public eye and all. Doesn't that mean that medically she's doing fine? I mean she has looked like this for a while but still gets by, so can something really be wrong?[/quote]

Many people with anorexia are over achievers / perfectionists and they keep going full speed until they drop or someone intervenes and forces them into treatment. Remember she doesn't think she is skinny, so any symptoms she has get written of as just being from living a hectic life and schedule. they are often great at 'rationalizing' everything to their family and it makes it hard for  family to challenge them as they have to say "i don't believe you".[/quote]

I get that she is rationalizing her behavior - everytime she talks about how she'll only have pasta if she can have a spoon of Bill's or pass her 1/2 serving all around the table, you can tell she is rationalizing. But since she is still functioning, doesn't that mean that medically she is okay? I mean if her body wasn't okay, would it allow her to keep her hectic schedule for as long as she has? Or does it not work like that?[/quote]

Doesn't work like that.  Even when not medically okay anorexics can continue to work out for long periods of time and keep up hectic work or school schedules.[/quote]

I get that people can deny and rationalize. She gives reasons for eating one spoon of Bill's pasta rather than ordering her own, which I'm sure make sense in her own mind. I'm sure if someone expresses concern -- a friend, colleague etc. -- in her mind she's probably thinking -- I know they just said they're worried about me but I know it's just their way of saying they're jealous and I look awesome. BUT doesn't she see doctors? Since she was ill recently, I'm guessing she still has to follow up with doctors regularly at least for a while to make sure things stay stable. Don't they take one look at her and lecture, send her to a psychiatrist, send her to a nutritionist? How do you deny that? Do you just not go? Do you think the dr. is also complimenting you? I know it's a complicated issue but I'm just trying to understand the thought process.[/quote]

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