The co-morbidity thread.
Anorexia is "worse" (better?) (superior, but with a darker prognosis) than bulimia. However, binging-purging anorexia has the highest mortality rate of all eating disorders. Er, of "both" eating disorders, neglected as compulsive over-eating is in the realm of research, I wouldn't be surprised to learn that COE is the deadliest of them all.
Bulimics of whatever weight, however, are more likely to present with/ acquire at taste for reality-adjustment. Is this taken into consideration when figuring morbidity/mortality rates of the messy binge/purgers vs. the pure ethereal restrictive anorexics? And what is the prognosis for those displaying symptoms of both eating disorders and substance abuse disorders?
Not too good, duh.
But doesn't one compulsion temper the other? Compulsion requires singular dedication to perfect. If one's attention is divided between spanking the monkey and gorging the gorilla, one can only slither so far down a particular rabbit hole before self-preservation ( of a sort) retrieves the self and sets it back down in the alternate whirlpool of self-destructive cerebral onanism.