Thanks for the input, Cupcake.

It really seems as though the initial drive for my D was an obsessive drive to attain "flat abs". When situps alone didn't achieve that, she turned to an ED. In retrospect, she has also been a bit obsessive about other aspects of her appearance - never seemed out of the ordinary for a teen girl, but I can see now that her difficulty making decisions and constantly asking us for our input on what she should wear, how she should style her hair, etc. was probably a manifestation of the obsessiveness.

D has great friends, great R with me and my H, is a great student, athlete, and musician (with very UNpushy parents ). It would be easy to point to H and my marital woes as a trigger but therapist thinks the OCD stuff started before that, and I can see that is true. Really seems as though the only thing out of control in her life is the ED.

There is definitely an association between OCD and AN, interestingly also some reported cases of OCD and/or AN triggered by immune reactions to strep infections, so definitely a big biological component. There is a strong history of autoimmune disease in my family. Also a lot of depression (mostly untreated) in my H's family, and possibly my brothers as well.

What do you think were the most important factors in your own recovery from anorexia?

Ellie