First of all, my little two cents were the following:
You speak of insight. Frankly, the problem isn’t the that the patients lack insight. The practitioners themselves lack insight and fail to see the wonderful insights that us patients have. The DSM, any DSM, should be tossed out, and the voice of those who actually have these eating problems should rise above the voice of unknowing “experts.” Psychiatry should take its fingers out of the pie. These classifications and oversimplifications do us no favor. They cause stereotyping, bigotry, profiling, and denial of care.
For instance, during my very last ever appointment with such a person, a psychiatrist, September 2013, this woman “looked me up and down,” clearly trying to sneak a peek at my weight, and then, noting that I was thin, said to me, “So what’s your problem?” She pulled out her prescription pad.
I told her I suffered from anorexia and I also suffered from severe binge eating but that I did not throw up.
The woman glanced at me again and then said, “No, that’s impossible. There’s no such thing as as anorexia with binge eating. You are delusional. Take a pill.”
I left in disgust, realizing my eating disorder had been around longer than she had even been alive. Dr. Insel, I’m no adolescent. I’m your age. When you and I were growing up, we didn’t see Twiggy on the news. I saw Vietnam, and later, I heard Nixon lie. You did, too. My doctors lied to me as well.