And you're hungry. In fact, you're starving. Hunger is a tornado whirling in your chest, a bottomless vortex at your core. Hunger is a tiger sharpening its claws on your tender insides. You stand in front of the glass cases, trying to swallow, but your throat is dry and your stomach clenches and contracts.
You want more than anything to lick the side of an eclair, swirl the custard and chocolate against your tongue. You dream about biting off the end of a cruller, feeling the give of the spongy dough, the brief molecular friction of the glaze against your teeth, flooding your mouth with sweetness. The woman beside you reaches into a white paper bag, pulls out a hunk of sourdough roll. You see the little puff of steam that flares from its soft center, breathe in its warm yeasty smell. She pops it into her mouth and chews and you chew along with her. You can almost taste the bread she's eating. Almost.
But you can't, not really, because how long has it been since you've tasted bread? A month? A year? And though your stomach grinds against your backbone and your cheeks are hollow, though the tiger flays your belly, you can't eat. You want to, you have to, but your fear is greater than your hunger. Because when you do - when you choke down a spoonful of plain yogurt, five pretzel sticks, a grape - that's when the voice in your head starts up, a whisper, a cajoling sigh: "You don't need to eat, you're strong, so strong. That's right. Good girl."
Soon the whisper is a hiss filling the center of your head: "You don't deserve to eat. You're weak, unworthy. You are disgusting. You don't deserve to live." You, you, you. The voice is a drumbeat, a howl, a knife sunk in your gut, twisting. It knows what you're thinking. It knows everything you do. The more you try to block it out, the louder it becomes, until it's screaming in your ear: "You're fat. You're a pig. You make me sick. No one loves you and no one ever will. You don't deserve to be loved. You've sinned and now you must be punished."
So you don't eat, though food is all you think about. Though all day long, wherever you are - doing homework, sitting with friends, trying to sleep - part of you is standing in the bakery, mesmerized with hunger and with fear, the voice growling and rumbling. You have to stand there, your insides in shreds, empty of everything but your own longing. There will be no bread for you, no warm buttery pastries. There's only the pitiless voice inside your head, high-pitched, insistent, insidious. There's only you, more alone than you've ever been. You, growing smaller and frailer. You, with nowhere else to go.
The voice is part of you now, your friend and your tormenter. You can't fight it and you don't want to. You're not so strong, after all. You can't take it and you can't get away. "You don't deserve to live." You want to die. This is what it feels like to have anorexia.
(excerpt from "Brave Girl Eating" by Harriet Brown)