Anorexia Nervosa

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

Primary Symptoms of Anorexia Nervosa

  • Resistance to maintaining body weight at or above 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 (amenorrhea) 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 becoming 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 will 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.