Eating Disorders: It’s Not About Food.

It’s National Eating Disorders Awareness Week.  Before you think this doesn’t apply to you, consider that 4 out of 10 Americans have either suffered or known someone who has suffered from an eating disorder.  Yet, only 1 in 10 who suffer get treatment.  Unacceptable when complete recovery is possible with proper detection and treatment.

What is an eating disorder?

Contrary to popular belief, an eating disorder is not based on food.  There are several contributing factors that may lead to the emergence of an eating disorder including biological factors, social factors, and psychological factors. Obsessions with food, body weight, and shape may be signs of an eating disorder. These disorders can affect a person’s physical and mental health; in some cases, they can be life-threatening.  Eating disorders are not a lifestyle choice. They are biologically-influenced illnesses.

Who is at risk for eating disorders?

Eating disorders can affect people of all ages, racial/ethnic backgrounds, body weights, and genders. Although eating disorders often appear during the teen years or young adulthood, they may also develop during childhood or later in life (40 years and older). People with eating disorders may appear healthy, yet be extremely ill.

What are the common types of eating disorders?

According to the National Institute of Mental Health, the most common eating disorders include anorexia nervosabulimia nervosa, and binge-eating disorder.

What is anorexia nervosa?

People with anorexia nervosa avoid food, severely restrict food, or eat very small quantities of only certain foods. Even when they are dangerously underweight, they may see themselves as overweight. They may also weigh themselves repeatedly.

There are two subtypes of anorexia nervosa: a restrictive subtype and binge-purge subtype.

Restrictive: People with the restrictive subtype of anorexia nervosa place severe restrictions on the amount and type of food they consume.

Binge-Purge: People with the binge-purge subtype of anorexia nervosa also place severe restrictions on the amount and type of food they consume. In addition, they may have binge eating and purging behaviors (such as vomiting, use of laxatives and diuretics, etc.).

Symptoms include:

  • Extremely restricted eating and/or intensive and excessive exercise
  • 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

Over time, these symptoms may also develop:

  • Thinning of the bones (osteopenia or osteoporosis)
  • Mild anemia and muscle wasting and weakness
  • Brittle hair and nails
  • Dry and yellowish skin
  • Growth of fine hair all over the body (lanugo)
  • Severe constipation
  • Low blood pressure, slowed breathing and pulse
  • Damage to the structure and function of the heart
  • Drop in internal body temperature, causing a person to feel cold all the time
  • Lethargy, sluggishness, or feeling tired all the time
  • Infertility
  • Brain damage
  • Multiorgan failure

What is bulimia nervosa?

People with bulimia nervosa have recurrent episodes of eating unusually large amounts of food and feeling a lack of control over these episodes. This binge-eating is followed by behaviors that compensate for the overeating, such as forced vomiting, excessive use of laxatives or diuretics, fasting, excessive exercise, or a combination of these behaviors. Unlike those with anorexia nervosa, people with bulimia nervosa may maintain a normal weight or be overweight.

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 (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
  • Electrolyte imbalance (too low or too high levels of sodium, calcium, potassium and other minerals), which can lead to stroke or heart attack

What is binge-eating disorder?

People with binge-eating disorder lose control over their eating. Unlike bulimia nervosa, periods of binge-eating are not followed by purging, excessive exercise, or fasting. As a result, people with binge-eating disorder are often overweight or obese.

Symptoms include:

  • Eating unusually large amounts of food in a specific amount of time, such as a 2-hour period
  • Eating fast during binge episodes
  • Eating even when full or not hungry
  • Eating until uncomfortably full
  • Eating alone or in secret to avoid embarrassment
  • Feeling distressed, ashamed, or guilty about eating
  • Frequently dieting, possibly without weight loss

How are eating disorders treated?

It is important to seek treatment early for eating disorders. People with eating disorders are at higher risk for suicide and medical complications. Some people with eating disorders may also have other mental disorders (such as depression or anxiety) or problems with substance use.

Treatment plans for eating disorders include psychotherapy, medical care and monitoring, nutritional counseling, medications, or a combination of these approaches. Typical treatment goals include restoring adequate nutrition, bringing weight to a healthy level, reducing excessive exercise, and stopping binge-purge and binge-eating behaviors. Complete recovery is possible.

Take an Eating Disorder Screening

If you or someone you know experiences the symptoms listed above, it could be a sign of an eating disorder.  Take an eating disorder screening here, print out the results to take to your appointment with a mental or medical health provider and help start the conversation. If you live in Indiana and need help finding a behavioral health provider, visit Find Help or call (800) 284-8439.

For more resources on Eating Disorders, visit:

**********

Get Help

If you or someone you know is experiencing signs of distress, please reach out to a mental health professional or get confidential, free support and text LOOKUP to 494949 or chat online here.

If you live in Indiana and need help finding a behavioral health provider, visit Find Help or call (800) 284-8439.

Start the conversation.  Silence the Stigma. 

Back to list