You may be concerned that you or a loved one is struggling with an eating disorder. There are multiple types of eating disorders which each have unique signs.

Bulimia Nervosa- eating larger than normal amounts of food, followed by compensatory behaviors, diuretics, vomiting, laxatives, restricting, excessive exercising, and/or vomiting. Body image disturbance.

Anorexia Nervosa- 2 types, significantly low weight and intense fear of gaining weight, extreme body image disturbance

Restricting Type- Individual achieves weight loss through fasting, dieting, and/or exercise only. Binge/Purge Type- individual uses compensatory behaviors, i.e. laxatives, vomiting, diuretics, and/or enemas.

Binge Eating Disorder Sense of lack of control over eating, eating larger than normal amounts of food in short window of time.

Other Specified Feeding or Eating Disorders (OSFED)-eating disorder that causes significant distress or impairment, but does not meet the criteria for another feeding or eating disorder

Avoidant/Restrictive Food Intake Disorder (AFRID)- apparent lack of interest in eating or food; avoidance based on the sensory characteristics of food; concern about aversive consequences of eating, as manifested by persistent failure to meet appropriate nutritional and/or energy needs

Diabulimia-people with Type 1 diabetes deliberately give themselves less insulin than they need, for the purpose of weight loss

Orthorexia-obsessive behavior in pursuit of a healthy diet

Hypergymnasia- excessive exercising

91% of female teenagers have attempted to control their weight through dieting

By age 6, girls especially start to express concerns about their own weight or shape. 40-60% of elementary school girls (ages 6-12) are concerned about their weight or about becoming too fat.

Signs and Symptoms

´In spite of dieting, people with eating disorders have a preoccupation with food, cooking, nutrition, and the number of calories, fat content, sugars carbohydrates, or various other ‘fear foods’ or ‘binge food’

´Food rules and rituals, hiding food, hoarding food, eliminating various foods, cutting food into small pieces, food tearing, chewing food but not swallowing food, water loading, diet pills, laxatives, diuretics, and/or enemas.

´Dry skin and hair, cold intolerance, slow healing of cuts, bruising easily, poor circulation

´Constipation and slow gastric emptying

´Enamel erosions, ruptured blood vessels around eyes, electrolyte abnormalities and esophageal tears and ruptures are seen in BN individuals

´Frequent body checking, comparing constantly comparing oneself to others, body dysmorphia, increasing focus on shape, weight, and size

´Constant exercising, pacing before and after eating, fatigue, lethargy, slowing cognition

´Extreme anxiety, as the disease progresses the anxiety increases, obsessions and compulsions can increase as the disease progresses, especially for those with AN. In addition depression, self-harm, substance and alcohol abusive more common in binge eating and BN individuals.

If you believe that you or a loved one is struggling with any of these, reach out and schedule an appointment with Katie.