I started thinking more about the movie after reading this interpretation (via SlashFilm). Basically the guy is saying you can read the movie not as a supernatural thriller but the hallucinations of a girl with an eating disorder. I love this kind of stuff. I wish we saw more of it. He really engaged the movie and used his imagination to come up with a great interpretation.
In that spirit, I also have my own interpretation. Spoiler warning starts... now.