Important disclaimer — read before entering

This book is an educational support resource. It does not diagnose eating disorders or replace professional assessment, medical treatment, a crisis plan or specialist eating-disorder care.

Purging can include self-induced vomiting or misuse of laxatives or diuretics. Restriction and compulsive exercise may be harmful compensatory behaviours, although not all are classified medically as purging. Deliberate insulin restriction in type 1 diabetes is especially dangerous.

These experiences may occur at any body size and alongside different eating disorders. You may skip any chapter, stop reading or ask someone safe to read with you. Nothing here gives instructions for harmful behaviours.

Seek prompt GP or specialist advice if purging or compensatory behaviours are occurring, even if you feel physically well. Under-18s should involve a safe, trusted adult or healthcare professional. If home is unsafe, approach a GP, teacher or safeguarding professional.