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INDEX Disorders


Although they can occur at any life
stage, eating disorders usually
develop among adolescent and
young-adult age groups. The three
most common types are anorexia
nervosa (or simply anorexia),
bulimia nervosa (bulimia), and
binge-eating disorder (BED; see
panel, below). Diagnosis involves
psychological evaluation as well as
physical examinations, such as
blood tests and measuring the
person’s body mass index (BMI).
Anorexia always involves weight
loss, and a very low BMI is usually
flagged in diagnosis. Those
affected by both bulimia and BED
do not tend to have a low BMI
and may be slightly overweight.
Eating-disorder symptoms include
a preoccupation with weight and
body shape, avoiding food-based

Eating Disorders


Eating disorders are emotional mental-health problems that
include an extreme relationship with food. Most revolve
around an obsessive focus on weight and body shape,
which can damage health and may even be life-threatening.

The bingeing cycle
Those with a binge-eating disorder use
food to numb emotional pain instead
of addressing its psychological cause
positively. The result is a destructive cycle.

Anorexia
nervosa

Bulimia
nervosa

Binge-
eating
disorder

Mainly affects young women.
Involves an obsessive desire
to maintain a low body
weight by eating little and
overexercising.

Bingeing and purging occur
in this disorder. The body
weight is often normal, but
bulimics possess a severely
negative self-image.

Regular excessive eating,
usually planned and
consumed rapidly and in
secret, is followed by
intense guilt and shame.

DISORDER


TYPES OF EATING DISORDERS


DESCRIPTION


activities, eating very
little or overeating
then purging
(self-induced
vomiting), extreme
use of laxatives, and
exercising too much.
Sufferers may also have
stomach problems, an
abnormal weight for

BULIMIA ANOREXIA


In the US, and many other
countries, more women than
men are diagnosed with
eating disorders. However,
the prevalence in men may
be underestimated because
they are less likely than
women to seek help.

FEMALE BIAS


KEY


Men

Women
75%

Women
64%

Women


  1. The person eats
    large amounts of food
    rapidly, often in secret, and
    may go into a kind of dazed
    state while doing so.

  2. Anxiety rises
    as eating provides only
    short-term relief from
    psychological pain.
    Depression sets in.

  3. Anxiety drops
    as eating temporarily
    numbs stressful, sad,
    or angry feelings.

  4. Need to
    binge-eat becomes
    urgent; the person often
    buys special food for
    the purpose.

  5. Low mood returns,
    bringing with it self-loathing
    and disgust, due to guilt
    and shame associated
    with bingeing.

  6. Thoughts of food
    become more and more
    dominant, as distressing
    feelings increase.


their age and height, menstrual
problems or disruption, dental
issues, sensitivity to cold, fatigue,
or dizziness.

Underlying factors
The causes of eating disorders are
not fully understood, but those
affected are more likely to have a
family member with a history of
eating disorders, depression,
substance misuse, or addiction.
Social pressure and criticism may
contribute to a focus on eating
habits, body shape, or weight.
Some occupations, such as ballet-
dancing, acting, sports, or
modeling, where there is a focus on

being slim, are likely to have a
higher number of people with
eating disorders than other
professions. People with eating
disorders may also suffer from
anxiety, low self-esteem,
perfectionism, and sexual abuse.
Treatment includes nutritional
education, psychological or talking
therapies, and group programs.

US_214-215_Eating_Disorders.indd 214 20/09/2019 12:40

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