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Warning Signs

Anorexia Nervosa Overview

Anorexia Nervosa which is often just referred to as anorexia is a type of eating disorder. It is a psychological disorder which can produce many medical problems. Anorexia Nervosa can be considered a kind of “out-of-control” dieting. The U.S. National Institute of Mental Health (NIMH) says an estimated 0.5% to 3.7% of women will suffer from this disorder at some point in their lives.

Types of Anorexia Nervosa

  • Restricting Type: During the current episode of illness, the person restricts food intake and has not regularly engaged in binge eating or purging behaviors.
  • Binge/Purge: During the current episode of illness, the person has regularly engaged in binge-eating or purging behaviors (i.e., self-induced vomiting, misuse of laxatives, diuretics, or enemas).


Low Weight

Refusal to maintain body weight at or above minimally normal weight for age and height (e.g., body weight less than 85% of expected)

Weight Phobia

Intense fear of gaining weight or becoming fat, even though underweight.

Body Image Issues

Disturbances in the way in which one’s body weight or shape is experienced, undue influence of body weight or shape on self-evaluation, or denial of the current low body weight. i.e. believing you are fat when you are not, making your weight the only thing you judge yourself on, denying medical seriousness of your low weight.

Warning Signs

Signs and symptoms of someone struggling with anorexia may include:

  • Loss of menstrual period
  • Dieting obsessively when not overweight / a relentless pursuit of thinness
  • Claiming to feel “fat” when overweight is not a reality
  • Preoccupation with food, calories, nutrition, and/or cooking
  • Denial of hunger
  • Excessive exercising, being over active
  • Frequent weighing
  • Strange food related behaviors (labeling of food as “good/safe” or “bad/dangerous”)
  • Binge episodes
  • 15% or more below normal body weight
  • Depression, irritability, withdrawal, compulsive rituals
  • Low tolerance for change, fear of growing up or assuming adult responsibilities
  • Hair loss


The most common complications leading to death in Anorexia Nervosa are:

  • Cardiac arrest
  • Fluid imbalance
  • Suicide
  • Kidney failure
  • Electrolyte Imbalance

Other physical symptoms seen with Anorexia:

  • Osteoporosis or Osteopenia (thinning of the bones)
  • Dry, yellowish skin
  • Brittle hair and nails
  • Anemia
  • Muscle weakness
  • Repeated constipation
  • Low body temperature
  • Person feels lethargic
  • Person feels cold all the time
  • Low blood pressure and slower pulse
  • Languno (excessive growth of fine hair on body)

See the diagram below on how anorexia affects the entire body:


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