My name is Doreen and I have much to share with you and I will try to be brief. First, I would like to mention that each child and situation is unique and I am no suggesting that I am an expert; but I strongly believe in what I will share with you now. Mine is a long story so feel free to email me if you so desire at dazzledor@aol.com and I will explain how I came to my conclusions involving treatment of bulimia.
I do believe that it is wonderful that your daughter has a good relationship with your husband; however, it might serve as a mirror to your daughter that causes her to feel shame in front of him as he obviously is also aware that her father is not in her life. Also, the fact you remarried could suggest to your daughter that she wasn't enough to make you happy as I think she would have wanted not to have to share you. There is no blame here at all. I think it would be wonderful to speak of these things with your daughter and reassure her or offer a different perspective for her to think upon.
Your daughter's eating disorder needs to be top priority for the whole family. And, brace yourself because it is a mind-boggling disease. I strongly disagree that bulimia has much if anything to do with body image; most females are unhappy with their body in some way. I strongly believe bulimia is truly a coping mechanism that one tries and quickly takes over the bulimic, like any addiction.
It is extremely secretive and shameful to the bulimic; it is a reward and punishment disease. It is heartbreaking to the family to watch; and as you learn more about bulimia, it is scary as well.
I implore you to love your daughter as your daughter and not let the bulimia be part of your relationship with her. Encourage her in life and praise her; build up her self-esteem. SAY NOTHING IN REGARDS TO THE BULIMIA. Build on your mother/daughter relationship not mother/bulimic relationship. Do not let the bulimia have a place. Your daughter might be bulimic; but, she is many other brillant things as well and focus on them.
I suggest you be ready for the fight of your life: to save your daughter's life and quality of life. I think you should tell her you are concerned that she is purging and offer her your support whenever she is tired of living life that way. She already knows all the dangers of bulimia as it is common and there are equal number of websites for treatment as there are for sharing secrets of eating disorders. I would start with a physical exam and inform her doctor as well as dentist. Perhaps there is couseling at her college or support groups. Unfortuantely, there is little help for eating disorders and the very few places there are are expensive and do not even accept insurance and there is a long wait as well as a very high relapse. There is no cure. It cannot be 90 meetings in 90 days without food.
Love conquers all and I will keep you in my prayers. My 20-yr-old nursing, college student was three years into treatment and could not hold down food and didn't purge - the food just came up by itself. Sharon committed suicide by jumping in front of the LIRR train. Her younger sister also battles bulimia and takes many laxatives which results in her not having a social life as she needs to be near a toilet. The disease just takes over and with the purging, medication does not help; it just increases the risk of an overdose - unless the person is faithfully working a plan and desires in their heart to surrender this monster and is asking for help beating the depression that will come. I've moved from Long Island to Florida and would be happy to talk with you anytime. Good Luck and God Bless.