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EATING DISORDERS - IN DEPTH
Eating disorders aren't just about food. They are mental disorders
that can become lifelong conditions. They can be deadly. You must get help if
you suspect you or your child has an eating disorder. The earlier an eating
disorder is treated, the better the chances for overcoming it.
Eating disorders are complex, arising from behavioral, emotional,
psychological and social issues. People with eating disorders use their control
of food to deal with intense feelings. Ultimately, these behaviors damage
physical and emotional health.
Three percent of teen and adult women and 1 percent of men have
anorexia, bulimia or binge-eating (compulsive overeating) disorder. Children in
elementary school are developing signs of eating disorders. Forty percent of
fourth graders say they diet either "very often" or "sometimes," according to
research published in the Journal of the American Dietetic Association. Fifteen
percent of young women have disordered eating attitudes and behaviors, reports
the Journal of Counseling Psychology. Experts say eating disorders, with onset
typically between the ages of 13 and 14, and then again at 17 and 18, are now
being seen in children as young as 10.
Eating disorders can cause
significant medical problems, including:
- Slow heart rate and disturbances in the heart's
rhythm.
- Dangerously low blood pressure.
- Dangerously low body temperature.
- Osteoporosis (brittle, weak bones).
- Slowed growth or development.
- Problems with periods.
- Infertility.
- Electrolyte abnormalities that can lead to heart
rhythm disturbances.
- Dehydration.
Prognosis
With counseling, about 50 percent of people who develop eating
disorders overcome them. This is especially true for younger sufferers who are
still developing attitudes about themselves and food. For others, eating
disorders can be a lifelong battle. Psychotherapy, medications such as
antidepressants and nutritional counseling can help most
people.
Eating Disorder Warning
Signs
Do
you think someone you know has an eating disorder? Perhaps a family member or
friend? Don't be uninformed. Eating disorders can be one of the most troubling
illnesses. Be familiar with the warning signs. Remember early professional
intervention from a health care provider experienced in treating eating
disorders holds the best hope for successful
treatment.
Anorexia warning signs
- Loss of a significant amount of weight
- Continuing to diet when thin
- Feeling fat even after losing weight
- Intense fear of weight gain
- Loss of monthly menstrual periods
Preoccupation with food, calories, fat content and nutrition
- Preferring to diet in isolation
- Cooking for others but not eating the food
- Hair loss
- Cold hands and feet
- Fainting spells
- Exercising compulsively
- Lying about food
- Depression and anxiety
- Weakness and exhaustion
- Periods of hyperactivity
- Constipation
- Heart tremors
- Dry, brittle skin
- Shortness of breath
Bulimia warning
signs
- Eating uncontrollably
- Purging by strict dieting, fasting, vigorous
exercise or vomiting
- Abusing laxatives or diuretics
- Using the bathroom frequently after meals
- Preoccupation with body weight
- Depression
- Mood swings
- Feeling out of control
- Swollen glands in neck and face
- Heartburn
- Bloating
- Irregular periods
- Dental problems
- Constipation
- Indigestion
- Sore throat
- Vomiting blood
- Weakness and exhaustion
- Bloodshot eyes
Binge eating disorder
warning signs
- Episodes of binge eating
- Eating when not physically hungry
- Frequent dieting
- Feeling unable to stop eating voluntarily
- Awareness that eating patterns are abnormal
- Weight fluctuations
- Depressed mood
- Feeling ashamed
- Antisocial behavior
- Obesity
Eating
Disorders:
What Families and
Friends Can Do
Experts suggest the following tactics:
- Express your concern, and prepare yourself for all
possible reactions: denial, anger, hostility, defensiveness or, perhaps,
relief.
- Recognize that the person with an eating disorder
will likely feel ashamed or embarrassed that you have uncovered the
secret.
- Be firm but caring. Be prepared to state,
specifically, observations that have led you to conclude the person has an
eating disorder. Denial is difficult in the face of hard
evidence.
- Don't nag about eating or not eating. Don't spy.
People with eating disorders are already extremely self-conscious about their
eating habits.
- Don't agree to help the person control binges by
hiding food to keep them from binge eating. The person will likely end up
resenting it and finding other ways to binge.
- Be willing to listen in times of distress. One of
the best ways to help someone gain control over the eating disorder is to
reach out to that person as a friend instead of focusing on eating
behavior.
- Stress the fact that you care deeply and would like
to help in whatever way you can, including finding the right treatment center
and arranging an appointment. Medication, psychotherapy and nutrition
education all can help.
- Take care of yourself. It's easy to feel
overwhelmed and completely absorbed in this crisis. The American Anorexia
Bulimia Association strongly encourages friends and family members seek
support and can help you find resources in your area.
Remember:
Your involvement can help to save the life of someone with an eating disorder.
Read as much as possible about eating disorders so that you can help the person
with the illness better understand the problem. Encouragement, caring and
persistence are needed to convince someone with an eating disorder to get help.
When acceptance happens, your loved one will need lots of understanding and
encouragement to continue treatment.
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