Scott Richardson

A lot of what ifs.

In 2017, the Richardsons were living the good life in Carlisle, Ohio, population 5,000.

It's so small town, most people don't leave.

Their kids excelled in school and sports.

Son Jackson plays on the football team.

Skyler was a cheerleader.

But behind the smiling photographs, the family was struggling with a serious issue, Skylar's eating disorder.

How much do you think her weight and eating ruled her life?

Kim says she first noticed a problem when her cheerleader daughter was in the sixth grade.

She was so tiny, she was a perfect flyer.

But it also meant she had to be easy to lift and catch.

Kim says it was the beginning of Skylar's battle with her weight.

How would she lose the weight?

She would throw up.

And when cheerleading was over for the season, Skylar would binge, then starve again.

Did you get afraid to even talk about her weight?

Absolutely.

The Richardsons say they tried everything.

Doctors, therapists, nutritionists.

Skylar was diagnosed with body dysmorphia, a mental disorder involving an obsessive focus on a perceived flaw in appearance.