When I was bulimic back in my 20s, I would tell my friend Doug how much I wanted to stop the cycle of bingeing and purging. Doug, who was very wise, would say, “There is something positive you get out of throwing up, Alexandra, or you would have stopped long ago.” He was referring to a “competing commitment”. Yes, I was committed to stop the bulimia (I was in therapy every week), but I also had a commitment to have everyone like me by saying yes to everything – and that was working directly at cross purposes with my desire to stop throwing up. Because I was pleasing everyone over myself, I was using food as a treat and the purging as a release valve. […]