ABSTRACT

Heather, an anorexic college student, was up to running at least 10 miles or more a day on a diet of lettuce and mushrooms. "I really don't feel like I need food," Heather told me, "I know it's crazy, but running is my food." Heather had previously been hospitalized and there were no funds available left for further inpatient treatment so I was struggling to manage this case on an outpatient basis, knowing her life was at risk. I, of course, kept trying to get her to stop running and she kept "trying." Meanwhile, her weight was plummeting. "I don't have a choice," she told me, "There is a voice in my head that says I must run faster and farther, even though I know it's not getting me anywhere I want to go." I read Heather the quote on the previous page taken from Through The Looking Glass, and we discussed how, inside her head, she had both Alice and the queen.