Anorexia Nervosa

Anorexia is characterized by a significant weight loss resulting from excessive dieting. Most women and an increasing number of men are motivated by the strong desire to be thin and a fear of becoming obese. Anorexics consider themselves to be fat, no matter what their actual weight is. Often anorexics do not recognize they are underweight and may still "feel fat" at 80 lbs. Anorexics close to death will show you on their bodies where they feel they need to lose weight. In their attempts to become even thinner, the anorexic will avoid food and taking in calories at all costs, which can result in death. An estimated 10 to 20% will eventually die from complications related to it.

Anorexics usually strive for perfection. They set very high standards for themselves and feel they always have to prove their competence. They usually always put the needs of others ahead of their own needs. A person with anorexia may also feel the only control they have in their lives is in the area of food and weight. If they can't control what is happening around them, they can control their weight. Each morning the number on the scale will determine whether or not they have succeeded or failed in their goal for thinness. They feel powerful and in control when they can make themselves lose weight. Sometimes focusing on calories and losing weight is their way of blocking out feelings and emotions. For them, it's easier to diet then it is to deal with their problems directly. Anorexics usually have low self-esteem and sometimes feel they don't deserve to eat. The anorexics usually deny that anything is wrong. Hunger is strongly denied. They usually resist any attempts to help them because the idea of therapy is seen only as a way to force them to eat. Once they admit they have a problem and are willing to seek help, they can be treated effectively through a combination of psychological, nutritional and medical care.

Signs and Symptoms

• Noticeable weight loss
• Becoming withdrawn
• Excessive exercise
• Fatigue
• Always being cold
• Muscle weakness
• Obsession with food, calories, recipes
• Excuses for not eating meals (ie. ate earlier, not feeling well)
• Unusual eating habits (ie. cutting food into tiny pieces, picking at food)
• Noticeable discomfort around food
• Complaining of being "too fat", even when thin
• Cooking for others, but not eating themselves
• Restricting food choices to only diet foods
• Guilt or shame about eating
• Depression, irritability, mood swings
• Evidence of vomiting, laxative abuse, diet pills or diuretics to control weight
• Irregular menstruation
• Amenorrhea(loss of menstruation)
• Wearing baggy clothes to hide weight loss
• Frequently checking weight on scale
• Fainting spells and dizziness
• Difficulty eating in public
• Very secretive about eating patterns
• Pale complexion (almost a pasty look)
• Headaches
• Perfectionistic attitude
• Feelings of self worth determined by what is or is not eaten
• No known physical illness that would explain weight loss

Physical/Medical Complications