I’m gonna add my two cents here in regards to being forced into hospitalization because in Eugenia’s case I don’t think it’s unethical.
There’s a point with Anorexia where your brain is so starved you are physically and mentally thinking and rationalizing things differently. It’s not only that the brain receives dopamine when ED behaviors are acted on but you actually think differently. When I was really sick I remember doctors, psychiatrists, and therapists telling me that I was so malnourished that I was rationalizing food and such differently than I would previously and I remember thinking “no way, that’s not true. I did this to me, I chose to do this to myself.” They called it “Brain Fog.”
Chronic starviation actually changes the way the brain processes certain things.
“With extreme starvation and malnutrition, the brain will actually shrink in size, which decreases the amount of gray and white matter.
This can result in a confused state, inability to concentrate, forgetfulness, depression, apathy, etc. These symptoms are frequently seen the person with anorexia who is underfed. On the outside, it may seem that this individual is disconnected, unable to engage in conversation, and withdrawn. The reality behind it is that their brain is literally unable to function properly due to the lack of nutrition available to the body.” -
source
I remember a girl who was brought to my unit with body guards from the plane to the building to keep her from trying to runaway (they were also very rich

). I didn’t want to believe it then but you really aren’t the same person and you don’t think the same way.