Anorexia Nervosa

Anorexia Nervosa is a serious, potentially life-threatening eating disorder characterized by self-starvation and excessive weight loss.

Symptoms of Anorexia Nervosa

  • Resistance to maintaining body weight at a minimally normal weight for age and height.
  • Intense fear of weight gain or being "fat" even though underweight.
  • Disturbance in the experience of body weight or shape, undue influence of weight or shape on self-evaluation, or denial of the seriousness of low body weight.
  • Loss of menstrual periods in girls and women post-puberty.

Warning Signs of Anorexia Nervosa

  • Dramatic weight loss.
  • Preoccupation with weight, food, calories, fat grams, and dieting.
  • Refusal to eat certain foods, progressing to restrictions against whole categories of food (e.g. no carbohydrates).
  • Frequent comments about feeling "fat" or overweight despite weight loss.
  • Anxiety about gaining weight or being "fat."
  • Denial of hunger.
  • Development of food rituals (e.g. eating foods in certain orders, excessive chewing, rearranging food on a plate).
  • Excuses to avoid mealtimes or situations involving food.
  • Excessive, rigid exercise regimen--despite weather, fatigue, illness, or injury--the need to "burn off" calories taken in.
  • Withdrawal from usual friends and activities.
  • Behaviors and attitudes indicating that weight loss, dieting, and control of food are primary concerns.

Health Consequences of Anorexia Nervosa

  • Abnormally slow heart rate and low blood pressure, which mean that the heart muscle is changing. The risk for heart failure rises as heart rate and blood pressure decrease.
  • Reduction of bone density (osteoporosis), which results in dry, brittle bones.
  • Muscle loss and weakness.
  • Severe dehydration, which can result in kidney failure.
  • Fainting, fatigue, and overall weakness.
  • Dry hair and skin, hair loss.
  • Growth of a downy layer of hair (lanugo) all over the body, including the face, in an effort to keep the body warm.

About Anorexia Nervosa

  • Approximately 90-95% of anorexia nervosa sufferers are girls and women (American Psychiatric Association, 1994).
  • Between 0.5-1% of American women suffer from anorexia nervosa.
  • Anorexia nervosa is one of the most common psychiatric diagnoses in young women (Hsu, 1996).
  • Between 5-20% of individuals struggling with anorexia nervosa die. The probabilities of death increases within that range depending on the length of the condition (Zerbe, 1995).
  • Anorexia nervosa has one of the highest death rates of any mental health condition.
  • Anorexia nervosa typically appears in early to mid-adolescence.

Description adapted from the National Eating Disorders Association.

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