Hi, You could use the direct approach but don't be surprised if she's not honest with you about throwing up. You can move past her answer and give her information about the behavior she is doing. Not just verbal, but actually find written, factual informtaion on the dangers to her body this practice does. Then show her a healthy plan she can follow to lose and maintain the wieght she feels good at. There is so much pressure on young girls to look just right, that most don't even know that they are really already fine. But if she does need to lose some then she should do it under a healthy eating plan and excercise regularly. She may also be afraid and ashamed that she is throwing up her food, which might lead to her denial in addmitting that she does it. My advice is to just give her the education about healthy behaviors and see if it works. Maybe work a good program with her so she doesn't feel alone. Pony |