Eating Disorders: Recognizing and Addressing the Signs

Pavithra S Kumar
August 10 , 2024
"Your illness does not define you. Your strength and courage do."
Eating disorders is a commonly held misconception that eating disorders are a lifestyle choice. Eating disorders are serious and often fatal illnesses that are associated with severe disturbances in people’s eating behaviours and related thoughts and emotions. Preoccupation with food, body weight, and shape may also signal an eating disorder. Common eating disorders include anorexia nervosa, bulimia nervosa, and binge-eating disorder.
Eating disorders are serious mental health conditions that involve extreme and harmful disturbances in a person’s eating habits and behaviours. These disorders are not just about food; they are often tied to complex emotions, thoughts, and issues related to body image, self-esteem, and control.
There are four types of eating disorders: Anorexia Nervosa, Bulimia Nervosa, Binge-Eating Disorder and Avoidant restrictive food intake disorder
Anorexia Nervosa - the person has an intense fear of gaining weight and restricts food or overexercises to manage this fear
Bulimia Nervosa - The person eats a large quantity and then tries to rid themselves of the food by throwing up
Binge-Eating Disorder - the patient keeps eating large amounts in a short time typically while not being hungry
Avoidant restrictive food intake disorder - a condition where the patient limits the amount or type of food eaten.
The causes of eating disorders are not clear, although both biological and environmental factors appear to play a role. The cultural idealisation of thinness is believed to contribute to some eating disorders. Individuals who have experienced sexual abuse are also more likely to develop eating disorders.
In psychopathology, eating disorders centre around body image disturbances such as concerns with weight and shape, self-worth being too dependent on weight and shape, fear of gaining weight even when underweight, denial of how severe the symptoms are, and distortion in the way the body is experienced.
Environmental influences are also one of the causes of eating disorders are Social isolation, Parental influence, Peer pressure and Western perspective
Social isolation has been shown to affect an individual's physical and emotional well-being deleteriously. Those who are socially isolated have a higher mortality rate in general as compared to individuals who have established social relationships
Parental influences the development of eating behaviours of children. This influence is manifested and shaped by a variety of diverse factors, such as familial genetic predisposition, dietary choices as dictated by cultural or ethnic preferences, the parents' own body shape and eating patterns, the degree of involvement and expectations of their children's eating behaviour, as well as the interpersonal relationship of parent and child
Peer Pressure was seen to be a significant contributor to body image concerns and attitudes towards eating among subjects in their teens and early twenties
From a Western perspective, there's a strong focus on being thin, which is often highlighted in the media. When children feel pressure from the outside to have the "perfect" body, as shown in the media, it can lead to them being unhappy with their own body, developing body image issues, or even facing serious conditions like body dysmorphic disorder and eating disorders.
Recognising the Signs of Eating Disorders
Drastic Changes in Weight: One of the most visible signs of an eating disorder is significant weight loss or gain. In cases of anorexia nervosa, individuals may lose a dangerous amount of weight due to extreme calorie restriction. In binge-eating disorder, individuals may gain weight rapidly due to excessive eating without compensatory behaviours like purging.
Obsession with Food, Calories, and Dieting: People with eating disorders often become preoccupied with food, calories, and dieting. They may spend excessive time planning meals, reading food labels, and discussing food. This obsession usually extends to strict food rules, such as avoiding entire food groups or refusing to eat certain "bad" foods.
Avoidance of Meals and Social Situations Involving Food: Individuals may start skipping meals or eating alone to hide their eating habits. They might make excuses to avoid eating in public or attending social events where food is present. This behaviour is often driven by a desire to maintain control over their food intake or to avoid judgement from others.
Distorted Body Image: A hallmark of eating disorders is a distorted perception of one's body. Despite being underweight, someone with anorexia nervosa may see themselves as overweight. This body dysmorphia fuels the desire to lose more weight or engage in harmful behaviours like excessive exercise or purging.
Intense Fear of Gaining Weight - A profound fear of weight gain is common in many eating disorders. This fear drives behaviours such as extreme dieting, purging, or compulsive exercise, all aimed at preventing weight gain. Even slight fluctuations in weight can cause significant distress.
Mood Swings and Emotional Instability - Eating disorders can lead to significant emotional changes, including mood swings, irritability, anxiety, and depression. The physical effects of malnutrition or binge eating can exacerbate these feelings, creating a vicious cycle of negative emotions and disordered eating behaviours.
Withdrawal from Social Activities - Individuals struggling with eating disorders often withdraw from social interactions and activities they once enjoyed. This isolation can be a result of the physical effects of the disorder, fear of judgment, or an overwhelming focus on maintaining disordered eating behaviours.
The Symptoms of Eating Disorders
Recognizing the early signs is crucial for getting help and preventing long-term damage.
Physical symptoms: Physical symptoms can include fatigue, dizziness, fainting, hair loss, brittle nails, dry skin, and dental problems. Women may experience amenorrhoea due to extreme weight loss or malnutrition.
Anorexia Nervosa-
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-
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-
Eating unusually large amounts of food in a specific amount of time, such as 2 hours
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:
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)
Addressing Eating Disorders:
People with eating disorders are at higher risk for suicide and medical complications. Eating disorders can be treated.
Open and supporting conversations - if a person notices signs of eating disorders in someone who they care about, it's important to approach the situation with empathy and understanding. Avoid judgement language and instead express concerns for their well-being. let the person know that you are there to listen and support them no matter what
Providing Emotional Support: Recovery from an eating disorder is a long and challenging process. Offering consistent emotional support can make a significant difference. This might involve helping them find resources, attending therapy sessions together, or simply being a non-judgemental presence in their life.
Educating Yourself and Others - Understanding eating disorders is crucial in providing the right support. Educate yourself about the condition and encourage others to do the same. Awareness can help reduce the stigma surrounding eating disorders and create a more supportive environment for those affected.
Promoting Healthy Body Image: Encourage a healthy relationship with food and body image by promoting balance, self-acceptance, and positive self-talk. Help the person focus on their strengths and qualities beyond their appearance, and avoid making comments about weight or dieting.
In conclusion, recognising the signs and symptoms of an eating disorder is the first step towards getting help for it. Eating disorders are treatable, and with the right treatment and support, most people with an eating disorder can learn healthy eating habits and get their lives back on track.
For professional support, talk to a therapist at Heart It Out today!y.
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