An eighteen year old girl in the month of July she fell into a total suppression other monthly courses from a multitude of cares and passions of her mind but without any symptom of the Green sickness following upon it. From which time her appetite began to abate and her digestion to be bad; her flesh also began to be flaccid and loose, and her looks pale. Yet there was no fever, but on the contrary coldness of the whole body; no cough, or difficulty of breathing, nor an appearance of any other distemper of the lungs. Only her appetite was diminished, and her digestion uneasy, with fainting fits, which did frequently return upon her....she was after three months taken with a fainting fit and died.
Mary is a 5' 3" 15-year-old who, having reached a 100 pounds, decided she needed to lose weight to enhance her attractiveness. After gradually reducing her food intake to a few vegtables a day and then adding a vigorous exercise program, she now weighs eighty pounds. Yet she still feels "fat" and plans to continue dieting. Mary has been having difficulty sleeping, has a times been depressed, and no longer has regular menstrual periods. She is socially inactive and seldon dates, but she is very successful academically. Mary does not regard herself as ill or needing treatment.
Alice is a 5' 9", 160 pound 17-year-old who says she has always been a little chubby. For the last five years, she has often eaten in binges, followed by vomiting. She will eat a quart of ice cream or an entire pie and then, to control her weight, make herself vomit in secret. Alice wants to date, but she doesn't because she is ashamed of her looks. She has at times taken diet pills to lose weight also.