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Wellness Wednesday for July 23, 2025

The Wednesday Wellness threads are meant to encourage users to ask for and provide advice and motivation to improve their lives. It isn't intended as a 'containment thread' and any content which could go here could instead be posted in its own thread. You could post:

  • Requests for advice and / or encouragement. On basically any topic and for any scale of problem.

  • Updates to let us know how you are doing. This provides valuable feedback on past advice / encouragement and will hopefully make people feel a little more motivated to follow through. If you want to be reminded to post your update, see the post titled 'update reminders', below.

  • Advice. This can be in response to a request for advice or just something that you think could be generally useful for many people here.

  • Encouragement. Probably best directed at specific users, but if you feel like just encouraging people in general I don't think anyone is going to object. I don't think I really need to say this, but just to be clear; encouragement should have a generally positive tone and not shame people (if people feel that shame might be an effective tool for motivating people, please discuss this so we can form a group consensus on how to use it rather than just trying it).

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Late last year I posted a comment here asking how I could convince my girlfriend to start eating more. Now, I'm posting an update.

Frankly I was annoyed by some of the replies to my previous post that said I should "enjoy my slim girlfriend", or that implied that I was making more of a problem out of it than it actually was. She actually lost more weight and now weighs 98 lbs. It took several months of patient intervention for me to convince her that yes, I do actually want her to gain weight, and yes, I absolutely would still think she was pretty if she weighed 120 lbs. Recently she finally caved and went to her doctor for a formal medical opinion, and he backed me up on this by telling her that she was at risk of osteoporosis and anemia if she didn't change her diet and gain weight. My cause has also seen some support from her older sister, a very intelligent woman whom she trusts a lot, telling her that she needs to start eating more red meat. So in theory, at least, I've been able to convince her that her ordinary diet and habits aren't healthy or sustainable.

The problem, at least as I see it, is that even with this realization it's been hard for her to break her habits. We go out to brunch and she still eats her little vegan salads. I tell her she should add some chicken or other protein to the salads and she declines. She still consults the app on her phone that counts all her calories for the day. It's hard for me to figure out what the line is between pushing her to be healthier for her own sake, and being outright controlling over her lifestyle. Do I just put my foot down and confront her, pushing her to be serious about her health?

Do I just put my foot down and confront her, pushing her to be serious about her health?

This could horribly backfire, depending on what's underlying her behavior. I helped someone get over a very serious eating disorder, a very long time ago, and one thing that quickly became clear in that case was that the disorder had developed and been reinforced primarily because it provided a feeling of power and control in a life that had been very heavily controlled by others. Part of the solution was to logically explain just how self-destructive the disorder was, but a bigger part was to improve the level of and awareness of more wholesome ways to assert self-control, and to aid in that self-control in a way that made me seem like an ally rather than just another oppressive external source of control. I fear even the "logically explain" bit might have been counterproductive if I wasn't the sort of nerd who mostly interacts with the sorts of nerds that that kind of thing actually works on.

That all sounds ridiculously vague, partly because I'm trying to be respectful of privacy, but partly because your girlfriend may have a completely different underlying problem, and I don't want to give the impression that I'm recommending a particular fix rather than just a search for a deeper problem.

I also feel like it's cruel but necessary to point out that there may be no fix. A BMI of 16.3-and-decreasing is getting into the range typically associated with anorexia. Anorexia gets called "the most lethal mental disorder" because even when it's professionally diagnosed it's not always professionally remediable. Don't blame yourself if it turns out that you can't figure out a remedy here either. Getting her doctor and sister on the case may have been the best you could do, and encouraging and supporting them may be the best you can do now.

one thing that quickly became clear in that case was that the disorder had developed and been reinforced primarily because it provided a feeling of power and control in a life that had been very heavily controlled by others. Part of the solution was to logically explain just how self-destructive the disorder was, but a bigger part was to improve the level of and awareness of more wholesome ways to assert self-control, and to aid in that self-control in a way that made me seem like an ally rather than just another oppressive external source of control

I don't suppose you could elaborate on that? I know someone who I suspect may be in a similar situation, but it's not an eating disorder.

I'd rather not elaborate further somewhere that could be web searched some day; I'll message you privately.