Josh says rehab's structured environment helped him adhere to a strict diet, but the healing process really began after he addressed issues that were making him want to eat. "They gave me a way to work through the emotional side of it," he says. "I dealt with my pain and my emotional hurt by stuffing it down with food—the same way that an alcoholic drinks, the same way that a drug addict uses."
Early on in treatment, Josh says he learned that secrets will keep you sick, so he made the decision to reveal a part of himself he'd been hiding since he was 7 years old. Josh came out as a gay man to his family and friends.