"No-one but Hollywood scriptwriters still believes Freudian trash like "you eat to punish yourself." (also, [Hurley] was fat BEFORE the accident). The whole Hurley plot is really about the eating obsessions and disorders of rich Angelenos."
(trashophile on televisionwithoutpity.com. Note that TWOP is disappearing, so this link will probably be gone.)
Obviously eating disorders are real mental illnesses. It’s just not clear that’s what’s really going on with Hugo. I always thought that Santa-Rosa!Dave was right: in a lot of ways, Dr. Brooks *was* a quack. Or not being entirely honest with Hugo about why he was really in the hospital.