Eating Disorders
What is an eating disorder?
Eating disorders are complex mental health disorders that are characterized by severe and constant disturbance in eating behaviors with associated distressing thoughts and emotions. They can be very serious, affecting physical, psychological and social function.
Source: American Psychiatric Association
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Signs of Eating Disorders
Physical Signs (may include)
Stomach cramps and other gastrointestinal symptoms
Difficulty concentrating
Atypical lab test results
Dizziness
Fainting
Feeling cold all the time
Sleep irregularities
Menstrual irregularities
Calluses across the tops of the fingers joints
Dry skin
Dry, thin nails
Thinning hair
Muscle weakness
Poor wound healing
Poor immune system function
Source: Healthline
Mental/Behavioral Signs (may include)
Dramatic weight loss
Concern about eating in public
Preoccupation with weight, food, calories, fat grams, or dieting
Complaints of constipation, cold intolerance, abdominal pain, lethargy, or excess energy
Excuses to avoid mealtime
Intense fear of weight gain or "being fat"
Dressing in layers to hide weight loss or stay warm
Severely limiting and restricting the amount and types of food
Refusing to eat certain types of foods
Denying feeling hungry
Expressing a need to "burn calories"
Repeatedly weighing oneself
Patterns of binge eating and purging
Developing rituals around food
Excessively exercising
Cooking meals for others without eating
Source: Healthline
Causes of Eating Disorders
Eating disorders can affect people of all ages, racial/ethnic backgrounds, body weights, and genders.
Researchers are finding that eating disorders are caused by a complex interaction of genetic, biological, behavioral, psychological, and social factors.
Source: NIH
Myths vs. Facts
Learn more about Eating Disorder Myths vs. Facts HERE
Common Types of Eating Disorders
Anorexia nervosa
A condition where people avoid food, severely restrict food, or eat very small quantities of only certain foods. They also may weigh themselves repeatedly. Even when dangerously underweight, they may see themselves as overweight
In the restrictive subtype of anorexia nervosa, people severely limit the amount and type of food they consume
In the binge-purge subtype of anorexia nervosa, people also greatly restrict the amount and type of food they consume. In addition, they may have binge-eating and purging episodes—eating large amounts of food in a short time followed by vomiting or using laxatives or diuretics to get rid of what was consumed
Anorexia nervosa can be fatal
Symptoms include:
Extremely restricted eating
Extreme thinness (emaciation)
A relentless pursuit of thinness and unwillingness to maintain a normal or healthy weight
Intense fear of gaining weight
Distorted body image, a self-esteem that is heavily influenced by perceptions of body weight and shape, or a denial of the seriousness of low body weight
Bulimia nervosa
A condition where people have recurrent and frequent episodes of eating unusually large amounts of food and feeling a lack of control over these episodes, followed by behavior that compensates for the overeating such as forced vomiting, excessive use of laxatives or diuretics, fasting, excessive exercise, or a combination of these behaviors
Symptoms include:
Chronically inflamed and sore throat
Swollen salivary glands in the neck and jaw area
Worn tooth enamel and increasingly sensitive and decaying teeth as a result of exposure to stomach acid
Acid reflux disorder and other gastrointestinal problems
Intestinal distress and irritation from laxative abuse
Severe dehydration from purging of fluids
Electrolyte imbalance (too low or too high levels of sodium, calcium, potassium, and other minerals) which can lead to stroke or heart attack
Binge eating disorder
A condition where people lose control over their eating and have reoccurring episodes of eating unusually large amounts of food. Unlike bulimia nervosa, periods of binge-eating are not followed by purging, excessive exercise, or fasting.
Symptoms include:
Eating unusually large amounts of food in a specific amount of time, such as a 2-hour period
Eating even when you're full or not hungry
Eating fast during binge episodes
Eating until you're uncomfortably full
Eating alone or in secret to avoid embarrassment
Feeling distressed, ashamed, or guilty about your eating
Frequently dieting, possibly without weight loss
Avoidant/restrictive food intake disorder (ARFID)
A condition where people limit the amount or type of food eaten. Unlike anorexia nervosa, people with ARFID do not have a distorted body image or extreme fear of gaining weight. It is earlier onset than other eating disorders and can inhibit growth and develop properly
Symptoms include:
Dramatic restriction of types or amount of food eaten
Lack of appetite or interest in food
Dramatic weight loss
Upset stomach, abdominal pain, or other gastrointestinal issues with no other known cause
Limited range of preferred foods that becomes even more limited (“picky eating” that gets progressively worse)
Source: NIH
Supporting Loved Ones
Worried a loved one might have an eating disorder? Learn about how you can support them HERE
Eating Disorder Treatment
If you think you or someone you know may have an eating disorder, it is highly recommended you seek professional help from a doctor. It is important to seek treatment early for eating disorders. People with eating disorders are at higher risk for suicide and medical complications. People with eating disorders can often have other mental disorders (such as depression or anxiety) or problems with substance use. Complete recovery is possible.
Treatment plans are tailored to individual needs and may include one or more of the following:
Individual, group, and/or family psychotherapy
Medical care and monitoring
Nutritional counseling
Medications
Source: NIH
Eating Disorder Support and Resources
Learn more:
Getting help:
If you are in a crisis and need help immediately, call 988 (Crisis Lifeline) or 911