Drugs for binge eating disorder

Reading this chapter from an eating disorder clinic really hits different

Based on the title and opening comments I expected to be offended by what you wrote. However, it was well written and I could see your point. I agree with a previous comment that I hope your intended audience is the misinformed general public. Unfortunately, many of your points perpetuate the inaccuracies of society's perception of eating disorders.
Most people only think of the anorexics you describe as people with eating disorders, but the truth is any person, male or female, young or old, fat or thin can have an eating disorder. It is one disease with many symptoms. Even the psychiatric community breaks them down into different groups based, essentially, on weight. Anorexics are underweight. Bulimics are normal weight. Binge Eaters are overweight.
Personally, I fall into the last category. I first began displaying symptoms when I was seven and I have been trying to recover for more than four years now. I fought the diagnosis because I believed that only skinny people had eating disorders. I was wrong.
People like Dr. Phil and Oprah talk about disordered eating in overweight people, but while there are many undiagnosed Binge Eaters out there, not every fat person has an eating disorder either. There are very specific symptoms, attitudes and beliefs the characterize an eating disorder.
It's not about food and it's not about body image. Those are just symptoms. The body is an easy target to hate when what you really hate is inside of you. Eating disorders are about control and distorted thinking. What you eat or don't eat is something you can control or choose not to control. The behaviours are often about punishing yourself for not being perfect.
When it comes to blame, I blame myself for 99.5% of my eating disorder and I blame my parents for 0.5% because their attitudes certainly contributed to my thought processes. I know that I'm the only one who can help me to recover. Do skinny models and hollywood celebrities make me uncomfortable? Of course they do, but only because I already have those issues. I don't blame them for how I feel.
When I was in a group therapy session with 20 other women, there were 4 anorexics, 5 binge eaters and 11 bulimics. I had common ground with all of them. I am just as likely to binge as I am to starve myself. We were all the same.
The bottom line is this, eating disorders aren't about weight, shape, size or food. We're not psycho crazy and in the end, articles like the one you wrote, don't help anyone.

SNS, thank you for setting me straight on Sarah's eating disorder. I should have known better than to believe that you had introduced that entirely out of the blue. I went back and found the mention in chapter 8, and also in an earlier chapter Sarah says she acquired her first cookbook in middle school. In any case, I think I rather missed the point in the current chapter. I see now that becoming a vegetarian was less about an eating disorder, but more for the first time in my life, still under my mother's roof, I'd become my own master.
Incidentally, I loved the description of eating the ikura; eating can be very sensuous!