Any one of those are sufficient reasons to seek help.
You need to ensure the counsellor knows about all your concerns is able to help you. Sometimes you might need to try more than one before you find a service that works.
Throwing up because of body issues is bulimia whether it's an everyday thing or not. A relative's partner of mine died last year from the long term effects of that disease; it's not something to be flippant about.
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I guess the questions you have to ask are: Do you want to see a therapist? Do you think it helped you manage your issues when you actively participated in therapy? Did you trust the therapist? Therapy doesn't work for those people that don't want to be there and don't trust the person they are talking to... Either you want it or you don't, and that will influence it's effectiveness.
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Yes, maybe a doctor to. If you don't you are likely going to turn to drugs to "cope" if you haven't already and it's only going to make things even worse.
yes, you should
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