Comment by magicalhippo

It's brutal.

She did start exercising some years ago, and it did improve. But then real-life issues triggers her anxiety and it's back to square one.

She's tried therapy for a long time with little result. She's very smart, but most likely has ADHD, so for example mindfulness and similar doesn't seem to work well (either "boring" so she loses focus, or too "obvious" without actionable content).

Though we recently found a therapist which she really resonated with. It's slow work but I think it's been helping.