Hi there, thanks for asking. Her worries about her body image and also refusing to eat and also vomiting
to avoid the calories is telling us that she is suffering from anorexia nervosa
. Its similar to bulimia
in some aspects as well. Treatment of anorexia is a combination of medication and also talk sessions. Medication is usually chosen from the class of SSRI (like fluoxetine
, etc) and talk sessions focus on the issues on "sense of control". These people may have some problems in the family regarding their ability to decide about their own issues and may have authoritative parents. Talk sessions held by a psychotherapist will focus on how they can regain that sense of control and in many cases medication can be discontinued after successful completion of the talk sessions. If it is left untreated, it may bring some health problems for her. I wish her the best health.