It's interesting to read different people's take on this subject. Mostly I find it intriguing that so many of the post are written for your benefit. Having been anorexic, and I guess I really can't say "having been" since I'm sure I will always have this as part of my consciousness, I do understand your questioning. The only way I can think of to explain the "perfection feeling" is as feeling lonely. I eventually became so focused inward on myself, just being around other people irritated the hell out of me! Mostly because I felt like they were pushing their ideals on me of what I should look like, what I should or shouldn't be doing. Eventually I got to a point were I realized that if I didn't conform no one would help me get to the point were I am now, which is finishing medical school. Though at the time I felt like giving in and conforming was a weakness, now I understand, at least partially and I think it could have been the best decision I could have made. As for the physical aspects of the disease, they are numerous. The variety of which I felt I could handle. In actuality I was not performing with all the cognitive prowess and ability that I was capable of. My reaction time and IQ which I always prided myself on, was 25 points lower during my "purification" time then I'm tested at now. Funny thing is that I would not have even been aware of this since I was top of my class to begin with and would have just kept going without getting help. My point being that by choosing the path of a perfectionist you don't end up with "perfect" results. For one thing to be perfect other aspects can't.