Back Anorexia
What is Anorexia?
Anorexia nervosa is characterized by not eating enough. The physical symptoms are a result of the body being denied essential nutrients, as the body is forced to conserve its resources in an effort to survive.
While it is a disease that disproportionately affects females and most often begins in early to mid-adolescence, it also afflicts men and boys and can be diagnosed in children as well as older adults.2 It is important to recognize that eating disorders can occur in people of all genders, ages, races, ethnicities, body shapes and weights, sexual orientations, and socioeconomic statuses.
Physical Symptoms
Behavioral Symptoms
These are signs that are often noticed outwardly by family members and friends of someone who is struggling with anorexia nervosa. They may be noticed somewhat earlier than some of the physical manifestations.
Emotional Symptoms
Some of these symptoms might be more difficult for someone on the outside to recognize. However, many family members and close friends would be able to assess that their loved one is experiencing some or all of these warning signs.
Here you can find professional therapists & counselors on this topic.
Sources: Cowden S. MD, Symptoms and Warning Signs of Anorexia Nervosa. Updated September 2020; National Eating Disorders Association. Anorexia Nervosa; National Eating Disorders Association. Eating Disorders in Men & Boys; Achamrah N, Coëffier M, Rimbert A, et al. Micronutrient Status in 153 Patients with Anorexia Nervosa. Nutrients. 2017; Mårild K, Størdal K, Bulik CM, et al. Celiac Disease and Anorexia Nervosa: A Nationwide Study. Pediatrics. 2017; Mehler PS, Brown C. Anorexia nervosa - medical complications. J Eat Disord. 2015; Brown JM, Mehler PS, Harris RH. Medical complications occurring in adolescents with anorexia nervosa. West J Med. 2000; National Institute of Arthritis and Musculoskeletal and Skin Diseases. What People With Anorexia Nervosa Need To Know About Osteoporosis. Reviewed November 2018; Lloyd S, Yiend J, Schmidt U, Tchanturia K. Perfectionism in anorexia nervosa: novel performance based evidence. PLoS ONE. 2014; Swinbourne J, Hunt C, Abbott M, Russell J, St clare T, Touyz S. The comorbidity between eating disorders and anxiety disorders: prevalence in an eating disorder sample and anxiety disorder sample. Aust N Z J Psychiatry. 2012; Thornton LM, Welch E, Munn-chernoff MA, Lichtenstein P, Bulik CM. Anorexia Nervosa, Major Depression, and Suicide Attempts: Shared Genetic Factors. Suicide Life Threat Behav. 2016; National Eating Disorders Association. Body Image & Eating Disorders
Anorexia nervosa is characterized by not eating enough. The physical symptoms are a result of the body being denied essential nutrients, as the body is forced to conserve its resources in an effort to survive.
While it is a disease that disproportionately affects females and most often begins in early to mid-adolescence, it also afflicts men and boys and can be diagnosed in children as well as older adults.2 It is important to recognize that eating disorders can occur in people of all genders, ages, races, ethnicities, body shapes and weights, sexual orientations, and socioeconomic statuses.
Physical Symptoms
- Abdominal pain
- Anemic and bruises easily
- Brittle nails
- Cold hands and feet
- Constipation
- Downy hair all over the body (called lanugo), which is the body's effort to conserve heat
- Dry and thinning hair
- Extreme dehydration
- Hair loss on scalp
- Lightheadedness or loss of balance (may experience fainting)
- Loss in bone density (osteoporosis)
- Loss of menstrual period in females post-puberty, or delayed the first period (This was eliminated as diagnostic criterion in the DSM-5 so males can meet the criteria for AN).
- Low blood pressure and heart rate
- Muscle loss and weakness
- Pale, dry skin
- Sensitivity to cold
- Significantly low body weight
Behavioral Symptoms
These are signs that are often noticed outwardly by family members and friends of someone who is struggling with anorexia nervosa. They may be noticed somewhat earlier than some of the physical manifestations.
- Complaints of stomach aches
- Cooks for others, but refuses to eat what is cooked
- Denial of hunger
- Desperate to exercise even when inappropriate, such as running in inclement weather or missing other commitments in order to exercise (in kids might look like hyperactivity)
- Eating unusual or odd food combinations
- Extreme perfectionism
- Fatigue
- Insistence on wearing cold-weather clothing, even when it is warm outside
- May go to great lengths to avoid eating, such as making up excuses for not joining the family for a meal or stating that they have already eaten
- May hide foods in order to avoid eating them
- May seem obsessed with cooking, cookbooks, cooking shows on television or other food-related topics
- Refusal to eat certain foods or entire groups of foods (such as carbohydrates or desserts)
- Strange eating habits or food rituals, such as an insistence on using specific utensils
- Sudden and extreme changes, such as becoming a vegetarian or refusing to eat non-organic foods, even when that is all that is available
- Talks about fears of gaining weight or being fat even when losing weight
- Talks or thinks about food, weight, calories, and dieting so much it gets in the way of regular conversation
- Weighs themselves often, frequently looks in the mirror, or checks the size of certain body parts
- Withdrawal from friends and family
Emotional Symptoms
Some of these symptoms might be more difficult for someone on the outside to recognize. However, many family members and close friends would be able to assess that their loved one is experiencing some or all of these warning signs.
- Anxiety
- Depression
- Determines self-esteem, worth, or attractiveness by appearance and weight
- Easily irritated
- Extremely self-critical
- Little motivation to engage in relationships or activities
- Strong need for approval
Here you can find professional therapists & counselors on this topic.
Sources: Cowden S. MD, Symptoms and Warning Signs of Anorexia Nervosa. Updated September 2020; National Eating Disorders Association. Anorexia Nervosa; National Eating Disorders Association. Eating Disorders in Men & Boys; Achamrah N, Coëffier M, Rimbert A, et al. Micronutrient Status in 153 Patients with Anorexia Nervosa. Nutrients. 2017; Mårild K, Størdal K, Bulik CM, et al. Celiac Disease and Anorexia Nervosa: A Nationwide Study. Pediatrics. 2017; Mehler PS, Brown C. Anorexia nervosa - medical complications. J Eat Disord. 2015; Brown JM, Mehler PS, Harris RH. Medical complications occurring in adolescents with anorexia nervosa. West J Med. 2000; National Institute of Arthritis and Musculoskeletal and Skin Diseases. What People With Anorexia Nervosa Need To Know About Osteoporosis. Reviewed November 2018; Lloyd S, Yiend J, Schmidt U, Tchanturia K. Perfectionism in anorexia nervosa: novel performance based evidence. PLoS ONE. 2014; Swinbourne J, Hunt C, Abbott M, Russell J, St clare T, Touyz S. The comorbidity between eating disorders and anxiety disorders: prevalence in an eating disorder sample and anxiety disorder sample. Aust N Z J Psychiatry. 2012; Thornton LM, Welch E, Munn-chernoff MA, Lichtenstein P, Bulik CM. Anorexia Nervosa, Major Depression, and Suicide Attempts: Shared Genetic Factors. Suicide Life Threat Behav. 2016; National Eating Disorders Association. Body Image & Eating Disorders
