I think people try to push away the problem, not accepting it about themselves or loved one. when I tried to get help for my friend with an ed, it was very hard because the school doesnt really want to get involved, her mother didtn want to accept this about her daughter, so u know what even though people were aware noone did anything about it.
like jewess was saying, some girls are blessed to be skinny, so i think people should stop going around giving them names, in seminary there were so many nicknames of skinny girls because in peoples minds obviously if someon is that skinny they must have an eating disorder.
They must speak to a therapist who gets to the root of the problem, because it stems from major emotional issues, alot having to do with not having cotrol over life so they pick an area where they can have control.