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Message: <blockquote data-quote="InsaneCdn" data-source="post: 681387" data-attributes="member: 11791">Hugs, Coping.That's a difficult combination.There may be more that has gone on in the background than what you know. Anorexia and bulimia can be triggered by abuse - often, from someone outside the home (teacher, coach, neighbor, family member of a friend...) If that is the case - and you will only make things worse by asking directly - then both the medical conditions and the substance abuse may have a related "context".Bi-polar... I'm guessing she isn't medications-compliant and/or hasn't found the right medication yet? Because unmedicated bi-polar is very ugly.</blockquote>