When Amber did her "I'm the Queen of Moderation" pizza mookbong, she admitted she wasn't even hungry while she ate. An appetite suppressant isn't going to do much for her. Her obsession with food is what will eventually kill her and that's what they should focus on. She's depressed because her life has no meaning. At her age, she should be working or at least volunteering somewhere. Any decent therapist is going to suggest getting out into the world and living.
That video was really telling about her true relationship with food. Its not in the waffle she gives out on one of her interminable WL journeys, its in all the little subconscious bits.
Appetite suppressants only work if you understand being hungry and I don't think AL does, she's totally lost all her body cues. She was prattling on about how if she wasn't eating gigantic, greasy pizza she'd "maybe just have some carrot sticks and that's not enough" and that she hadn't eee_un for five hours which is bad.
She's not eating to satisfy hunger and she only seems to have two speeds; either food she likes or deprivation. We know there's a world of food between carrot sticks and a fuckload of pizza but that does not compute in her mind. Its a really clear illustration of how she perceives food and it won't change until that perception changes. We understand its an illogical position but she really doesn't. All or nothing.
I'd be liduhrally amazed if the doctor didn't suggest a dietician. AL thinks she knows everything but what she's actually done is taken information then moulded it to fit in with her own ideas, so she's stuck in an endless loop of confirmation-bias and fallacy. Nothing will change for her until she changes the paradigm....and she won't do that for any number of reasons. She doesn't know what hunger is and she has incredibly distorted ideas about food - I don't know whether it's excuses, denial, unconscious or all of them together with a giant lump of plain ignorance. And she gets a food high - she will make jokey comments about food addiction but there's no real realisation and understanding there.
I don't know where a therapist would even start. Is AL going to pay for the privilege of lying to a therapist who'll want to move past poor sad little Amber? Does she want to change, or is she merely looking for widespread acceptance that none of this is her fault and we should all just understand? Blindly, trustingly, understand that a poor start in life is the only card needed to absolve of all responsibility for the rest of her life?
That doctor's post is another installment of Life Starring Amberlynn. Sorry if that sounds hard, but even the way it's presented with all the focus on me me me and My Feelings and none on the important stuff. It just doesn't feel real.