eating disorders carry the highest mortality rate of any psychiatric condition, and the majority of deaths result not from suicide but from cardiac complications and electrolyte disturbances. These are medical emergencies that require a physician, not a chatbot offering breathing exercises.
The medical framing here is critical: eating disorders kill primarily through physiological mechanisms (cardiac arrhythmia, electrolyte imbalance from purging), not psychiatric ones. A breathing exercise is an appropriate intervention for anxiety; it is categorically irrelevant to a patient with active bulimia at risk of hypokalemia. The mismatch between what the chatbot offers and what the medical situation requires is not a question of degree but of category.