“There came a time when she did not want to lose more weight, but by then she knew the disorder was out of her control. She wanted to stop and was even ashamed of how she looked. As she had done years before, Karen began layering her clothes to disguise her skeletal frame. She would tell others she was cold and then add a sweatshirt to a turtleneck sweater. “She’d put on so many layers of clothing because she didn’t want people to know she was that thin,” Frenda says. “My feeling always was that she wanted to disappear. I certainly know that’s not a medical diagnosis, but that is what it seemed like.”