This is a danger in all group therapy of being the “best worst”. If you can’t be the best, best you can always be the “best worst”. Anyone who has been inpatient knows what I’m talking about. There are some patients that want to make sure you know that their eating disorder is the worst.

Lately, I’ve been reading Dr. Drew’s latest book, “The Mirror Effect.” It addresses celebrity narcissism and the extreme behavior that goes along with it. Dr. Drew does a great job at highlighting what has become typical tabloid material – multiple stints in rehab, sex tapes, drug use, eating disorders, etc. – and explaining the self-destructive pathology behind it.
Dr. Drew references troubling celebrity behavior over and over throughout the book. As I read, I found that most responses to this self-destructiveness fit in one of three …

Top 10 Eating Disorder Controversies:
(In my opinion, and not in order of importance)

Full recovery is possible (to the point of being “cured”)
EDs are symptoms of a deep-seeded childhood trauma or toxic environment
Treatment should not be forced upon those who don’t feel ready to recover
Weight gain goals should be 100% of ideal body weight
Meal plans and/or monitored exchange/calorie counting is necessary
Without working through the underlying psychological causes of the eating disorder, one cannot completely recover
Anorexia, Bulimia, and Binge Eating Disorder are all on one disordered eating continuum
Society is largely to blame …