Reminds me of a story I saw on quora not too long ago, a teenager who thought she was "anorexic" and linked a picture at her skinniest where her "bones were showing". The only "visible bone" she had was just a small skin bump when you move the scapula back. Her BMI looked to be around 21-22 in the picture as a growing 15 years old teenager, truly anorexic. She was either trolling very well or truly believed she was anorexic. Not surprisingly, she had a ham mother (who was also eating in the picture) and most likely a ham family. She "recovered" and is now progressing well into ham status.  I'd say the normalization of obesity makes people who are both delusional and stupid truly believe they have anorexia when they're anywhere under overweight.