“Hypermentalization, frequently seen in patients with bulimia nervosa, is when the patient is so outer-directed that she is prone to obsessively interpreting others' minds but not in an accurate way. Hypermentalized fantasies about another's mind is an effort to meet and satisfy that person's perceived desires and needs (Buhl, 2002; Skarderud, 2007), and based on inaccurate interpretations of self/other mental states because of attachment anxieties. Similarly, pseudo-mentalizing is when the patient appears to be expressing or talking about feelings and thoughts, but the narrative lacks emotional connection. instead, words and expressions are empty of meaning and serve to defend against feelings of worthlessness, insignificance, or desolation (Skarderud & Fonagy, 2012).”