The number one challenge—and again, I'm only talking about pediatric eating disorders—is that she won't seek treatment because she's terrified that it will mean that she'll have to gain weight. So no matter how much she is suffering, she will not choose to go and get help, because she's terrified. It's usually distraught parents who drag their teenagers to the doctor.
On February 24th, 2014. See this statement in context.