"Many people don't realize that bulimia isn't just about, 'I don't want to ingest those calories and be fat,'" Dr. Tara says. "It's a process that helps you mood alter and reduce stress. ... In all the time that it takes to plan the binge, to hide the binge, you don't have to be connected to yourself—you don't have to feel."
Salina may have control over her disease, but she's not out of danger yet. Dr. Tara says the most important thing she can do to stay healthy is to keep going to therapy. How can she improve her marriage? Honesty is key, Dr. Tara says. "The way you build trust again is no secrets...no matter what."