Evan Urquhart

Inpatient treatment for anorexia and bulimia is similar to drug addiction treatment- facilities don't share any sort of numbers as to their relapse vs success rate and are not really evidence based. They prey on patients and families, desperate for some kind of hope.

It's the exact opposite of transition related medical treatments, which are constantly under attack, forcing providers to provide more and more evidence that it works. Of course, this evidence is always ignored.

You're still thinking moralistically. These aren't people doing something bad for validation, these are patients who don't have effective treatments.

This is at the root of the misunderstanding of GD and AN. People think the purpose of AN treatment is to make bad people behave. But the purpose of treatment is to make sick people well. Medicine doesn't care if you have delusions, it cares that they interfere with your life.