I need to talk about my sister.

I've never been in a situation like this but what I would do is sit down and talk with et. Tell her how you feel offer help so she can be healthy the right way. Just be someone she can connect fall to when things get tough

Talk to a professional and see about doing an intervention. This is *really* not something you want to try and do by yourself.

It almost doesn't sound like it's her body image that is triggering the ED. When she leaves a SO she starts her bad habits, so I think the reason she isn't getting better is because people trying to help her are working with her on the wrong triggers.

This is a serious issue and you are very right to worry. I had someone close to me basically stop eating as well, don't know if she purged, but I do know that she would always just get a salad, but would only push it around the plate, not really eating anything, as if that could fool someone. One time my son tried to give her a hug and she fell over because she was so weak. He was three. When she fell, her shoe fell off and I happened to see her foot, which was all bruised up, and she said the doc told her it was due to mal-nutrition. I could never imagine doing that to myself! It is so dangerous and it sounds like your sister is in the danger zone. If it goes much further, she could go into cardiac arrest and die at an early age because of these habits. She needs a wake up call. I would talk to a professional about an intervention, like rjmwx said, she might need hospitalized or at least join some groups so she can be helped. You can be there for her through the process, but sometimes it takes an outside person to talk to her and even show her graphic details of what can happen, maybe some similar situations where things did not turn out well for someone else... just some ideas. Sorry for what you're going through!

Although I have not had this particular problem I can relate. My brother had a drug and alcohol problem. It was made worse during any stress such as his divorce, death of grandparents, loss of job, etc. Since we had been so close I thought I would be able to get thru to him and make him stop. It was a hard lesson in life to accept that I can offer love and support but nothing will change without his desire to change himself. All of my concerns for his wellbeing fell on deaf ears until he woke up one day and wanted help. If she doesn't see herself as a wonderful woman with or without a man she will continue in the cycle. Once you have expressed your deep concern about her impending death and the deep sorrow you will experience at her loss if she continues with such destructive behaviors - you must painfully shift your focus to accepting your limitations to affect a positive change and begin to prepare your heart for a devasting loss. Over time I accepted that my brother could overdose and die. I would be extremely sad but it would not be my fault because I knew I had tried my best to advert it. In some ways I accepted the loss and mourned his death eventhough he was still alive because the brother I loved and adored was dead in some ways and replaced my a struggling tourtured soul. I chose to just love him for who is was not who I wished him to be. I loved him like I would someone with a uncontrolled terminal illness. The hidden blessing is once I stopped trying to reach him to correct his behavior and accepted that he would most likely die before my eyes one day he started to replay all the things I had said to him over the years. Then in his own time he realized he wanted to change. Afterwards he said the best thing I ever did was stop trying to get him to realize the path he was on was unhealthy. Once he saw me focusing on how I was going to deal with his impending loss he began to see what pain he was causing me. He didn't think enough of himself to believe he was worth saving so he would drink/drug himself because he was worthless. His recovery began once he thought he was worthless and unloveable but he didn't want to hurt me because he loved me. In time he has come to love himself but it was a long slow process. The best thing you can do for your sister is have one last serious talk with her. Hold her hands and look into her eyes. Let her know that you love and adore her even if she doesn't love and adore herself. Let her know that you hope she choses a healthier path one day. Let her know you will love her unconditionally and will be ready to help her if she should ever ask for it. Then don't ever mention it again unless she brings it up. Good luck and God bless you both in the difficult struggle that faces you.