The problem with hamorexics is that they DON'T have body dysmorphia. That guilt and shame they feel is normal, and healthy, and deserved. They NEED to obsessively watch their food intake, and not eating for a day here and there is fine. It's called intermittent fasting and is effective.  What they think is an eating disorder is their body's self preservation kicking in, the rest of their food instinct is the damn disorder.