He’d no idea she’d been doing this after meals, some but not all, during and long before their marriage.
Fortunately, there are many treatment options aside from inpatient if individuals are healthy enough to stay at home.
They include partial hospitalization (nonresidential treatment for about 8 hours each weekday); intensive outpatient (nonresidential treatment a few full days a week or partial days all week); and an outside treatment team (arranging regular visits with a private therapist, dietician, and any other needed professionals).
And as a middle aged woman it was really hard to admit to my husband and a couple of close friends. The stigmatism for older adults is greater I think.
It took various doctors and therapists to finally get the help I needed.
They carry their eating disorder, hidden behind closed doors and veils of “healthy eating,” into adulthood, their 30s, 40s, 50s, and onward. Some adults do delve into bulimia and other eating disorders for the first time during midlife, but not most.
Adults suffering from eating disorders fall into three categories : We’d all like to think eating disorders stop after young adulthood, but statistics show us this isn’t the case.
Post-menopausal women have hormone changes and tend to gain weight; and they’re experiencing this against the canvas of a society that reveres youth and beauty.
Midlife is also a season of transitions, from which eating disorders tend to emerge.
Younger bodies can handle the torment better than older ones because they’re simply more resilient.  Though disheartening, these statistics allow us to help those for too long hidden behind the curtains.
At 20-years-old we bounced back from those all-night study sessions. It is an opportunity to provide them with hope and recovery. : Gagne, D., Von Holle, A., Brownley, K., Runfola, C., Hofmeier, S., Branch, K. Eating disorder symptoms and weight and shape concerns in a large web-based convenience sample of women ages 50 and above: Results of the gender and body image (GABI) study.
 More than 70% of them were currently trying to lose weight, and 80% said their weight and body shape affected their self-image.