Please help... I think my friend has an eating disorder!?

She is very skinny and intellectually she knows that she needs to gain weight, but emotionally she just won't eat (much, if it all) because she says she feels unworthy of eating, guilty, wants the perfect body, and wants something in her life that she can control and see results in. I am very worried because she said she was doing a lot better but she said that she's lied to me, and that's really not like her. I do noth think she has full-blown anorexia yet, but she's already lost over 20 pounds in a very short time, and she just won't eat. I don't want something bad to happen to her. She is already seeing a counselor and checks in with me, our mutual friends, and her boyfriend, but the problem is that she lies to us and also she doesn't eat! Neither she nor I know what to do... how can she get better?

i would try one on one conversations. this happened to one of my friends because some of our guy friends were making fun of her that she was fat (and she wasn't....she is like the thinnest one of our friends!) but they joke around a lot and just after a while it really got to her. so first i talked to the guys about it and told them to cool it. and then i talked to my friend one on one telling her how considered i was and how she should eat and that what she is doing is really bad for her body. we kept checking in (at first she still wouldn't eat) but eventually she started to eat a little here and there. she is still going through it but what my friend need was support and help to get through this.

and if it gets really serious i would talk to her parents. make sure they know the situation and i know that seems like betrayal but that is if all else fails. i really hope your friend can get through this with you and your other friends. my friend is still recovering and she just needs to know she is fine the way she is. no different. and that not eating is just not healthy. good luck!

its her self image if she feels better looking the way now then let her be until her ribs start showing just let her be and let her learn it on her own that's a part of growing up.
This girl is in counceling and is aware she has an issue......the best thing you can do is go on with life. The more you bring it up and worry about it and make it the only thing left in your friendship, the more she will think about it and feel guilty for making it part of YOUR life.
Take it one day at a time. Give her a hug...tell her you lovez her, and then talk about something not weight related!
She needs to see a professional (psychiatrist).

The first line treatment for anorexia is usually focused on immediate weight gain, especially with those who have particularly serious conditions that require hospitalization. In particularly serious cases, this may be done under as an involuntary hospital treatment under mental health law, where such legislation exists. In the majority of cases, however, people with anorexia are treated as outpatients, with input from physicians, psychiatrists, clinical psychologists and other mental health professionals.

A recent clinical review has suggested that psychotherapy is an effective form of treatment and can lead to restoration of weight, return of menses among female patients, and improved psychological and social functioning when compared to simple support or education programmes.[34] However, this review also noted that there are only a small number of randomised controlled trials on which to base this recommendation, and no specific type of psychotherapy seems to show any overall advantage when compared to other types. Family therapy has also been found to be an effective treatment for adolescents with anorexia[35] and in particular, a method developed at the Maudsley Hospital is widely used and found to maintain improvement over time.[36]

It is important to note that many recovering underweight persons (who are more or less forced against their will into recovery by parents or other relatives) often harbour a hateful dislike for those who they feel to be robbing them of their treasured emaciation. Often when well-meaning friends or relatives compliment the recoveree on how much healthier they look, the recoveree's mind replaces "healthy" with "fat."

Drug treatments, such as SSRI or other antidepressant medication, have not found to be generally effective for either treating anorexia,[37] or preventing relapse[38] although it has also been noted that there is a lack of adequate research in this area. It is common, however, for antidepressants to be prescribed, often with the intent of trying to treat the associated anxiety and depression.

There are various non-profit and community groups that offer support and advice to people who have anorexia, or are the carer of someone who does. Several are listed in the links below and may provide useful information for those wanting more information or help on treatment and medical care.
Invite her to dinner and see for yourself!
tell her, its not possible to have a perfect body, cause a perfect body needs a 18" waste, which i think is just inhumane