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Last updated: Mar 7, 2025

Understanding Anorexia Nervosa: Signs, Causes, and Help

Understanding Anorexia Nervosa

Anorexia nervosa is a serious eating disorder characterized by an intense fear of gaining weight, leading to restricted food intake and excessive weight loss. It’s not just about food; it often stems from complex psychological issues. Let’s break it down into simpler parts.

What Are the Signs of Anorexia Nervosa?

Recognizing anorexia can be tricky, as individuals often hide their behaviors. Here are some common signs:

  • Extreme weight loss: Noticeable reduction in body weight.
  • Fear of gaining weight: An intense fear of becoming overweight.
  • Distorted body image: Seeing oneself as overweight even when underweight.
  • Restrictive eating: Skipping meals, avoiding certain foods, or eating very little.
  • Excessive exercise: Over-exercising to burn calories.
  • Social withdrawal: Avoiding social situations involving food.

Types of Anorexia Nervosa

Anorexia nervosa can be categorized mainly into two types:

  1. Restricting Type: This involves severe restriction of food intake, leading to significant weight loss. Individuals may refuse to eat, skip meals, or excessively exercise.
  2. Binge-eating/Purging Type: In this type, individuals may engage in binge eating followed by purging through vomiting or excessive use of laxatives, though they are still underweight.

What Causes Anorexia Nervosa?

There’s no single cause of anorexia nervosa; it’s usually a combination of factors:

  • Genetic factors: Family history can increase the risk.
  • Psychological issues: Low self-esteem, anxiety, or perfectionism can contribute.
  • Cultural pressures: Societal expectations around body image can influence behaviors.
  • Environmental factors: Situations like trauma or bullying can trigger the disorder.

Steps for Support

If you or someone you know may be struggling with anorexia nervosa, here are some supportive steps:

  1. Encourage open communication: Talk about feelings and concerns without judgment.
  2. Promote a healthy body image: Focus on health rather than appearance. Encourage activities that boost self-esteem.
  3. Seek professional help: Contact a healthcare provider or therapist who specializes in eating disorders.
  4. Educate yourself: Understand anorexia to better support yourself or others.
  5. Create a supportive environment: Foster a positive atmosphere around food, avoiding negative comments about weight or appearance.

Real-Life Example

Let’s consider Sarah, a 17-year-old high school student. Sarah was a straight-A student, always striving for perfection. As she entered her senior year, she felt immense pressure to look a certain way for prom. This led her to drastically reduce her food intake and exercise excessively. Her friends noticed her weight loss and withdrawal but didn’t know how to approach her. With the help of a school counselor and her family, Sarah eventually started therapy, where she learned to cope with her feelings and rebuild her relationship with food.

Anorexia nervosa can be a challenging journey, but with the right support and resources, recovery is possible.

Dr. Neeshu Rathore

Dr. Neeshu Rathore

Clinical Psychologist, Associate Professor, and PhD Guide. Mental Health Advocate and Founder of PsyWellPath.com.