Ever since I was in junior high, I have been pulling out my hair. I can remember not being able to pull my hair into a ponytail because the hair at the nape of my neck wouldn't reach. I still have this awful and shameful habit. I don't see it so much as just a habit, like the way one might bite one's nails, it's more like an obsession. I'll just sit and stare into space and pull clumps of hair out of my head. I remember having seen a program on T.V. which dealt with this habit as a medical problem that is curable with medication. Unlike the men and women represented on this program, I am not stripping myself bald — yet. I tend to consider it a form of self-punishment, perhaps. Just to give you some background information, I have a tendency towards bulimia (cycles of bulimia occur when my depression is at its worst) and am in general not a happy camper. What can you tell me about this?

Last year I was Teetering on the Brink and this year I've fallen off of it. The teetering individual who was worried about how much she thought about food and her weight has turned into a very scared person who has fallen off the brink, with little on her mind but what she eats, when she eats it, and how she looks. I haven't had my period for almost a year and exercise compulsively until I can't anymore, when my legs simply hurt so bad and my knees won't hold me up. Worse, I seem to be losing bladder control — several times when I've been very tired, I've wet the bed at night or been unable to wait until I got to a bathroom. I can't live like this anymore and every morning I promise myself I'm going to change but then night rolls around and I've not changed a thing. Please tell me something that will help — I never knew desperation's face was this thin.