Eating disorders are characterised by an abnormal attitude towards food that causes someone to change their eating habits and behaviour.
A person with an eating disorder may focus excessively on their weight and shape, leading them to make unhealthy choices about food with damaging results to their health.
Types of eating disorders
Eating disorders include a range of conditions that can affect someone physically, psychologically and socially. The most common eating disorders are:
- anorexia nervosa – when a person tries to keep their weight as low as possible; for example, by starving themselves or exercising excessively
- bulimia – when a person goes through periods of binge eating and is then deliberately sick or uses laxatives (medication to help empty the bowels) to try to control their weight
- binge eating disorder (BED) – when a person feels compelled to overeat large amounts of food in a short space of time
Some people, particularly those who are young, may be diagnosed with an eating disorder not otherwise specified (EDNOS). This means you have some, but not all, of the typical signs of eating disorders like anorexia or bulimia.
What causes eating disorders?
Eating disorders are often blamed on the social pressure to be thin, as young people in particular feel they should look a certain way. However, the causes are usually more complex.
An eating disorder may be associated with biological, genetic or environmental factors combined with a particular event that triggers the disorder. There may also be other factors that maintain the illness.
Risk factors that can increase the likelihood of a person having an eating disorder include:
- having a family history of eating disorders, depression or substance misuse
- being criticised for their eating habits, body shape or weight
- being overly concerned with being slim, particularly if combined with pressure to be slim from society or for a job – for example, ballet dancers, models or athletes
- certain underlying characteristics – for example, having an obsessive personality, an anxiety disorder, low self-esteem or being a perfectionist
- particular experiences, such as sexual or emotional abuse or the death of someone special
- difficult relationships with family members or friends
- stressful situations – for example, problems at work, school or university
Do I have an eating disorder?
Doctors sometimes use a questionnaire to help identify people who may have an eating disorder. The questionnaire asks the following five questions:
- Do you make yourself sick because you feel uncomfortably full?
- Do you worry you have lost control over how much you eat?
- Have you recently lost more than one stone (six kilograms) in a three-month period?
- Do you believe yourself to be fat when others say you are too thin?
- Would you say food dominates your life?
If you answer "yes" to two or more of these questions, you may have an eating disorder.
Spotting an eating disorder in others
It can often be very difficult to identify that a loved one or friend has developed an eating disorder.
Warning signs to look out for include:
- missing meals
- complaining of being fat, even though they have a normal weight or are underweight
- repeatedly weighing themselves and looking at themselves in the mirror
- making repeated claims that they've already eaten, or they'll shortly be going out to eat somewhere else and avoiding eating at home
- cooking big or complicated meals for other people, but eating little or none of the food themselves
- only eating certain low-calorie foods in your presence, such as lettuce or celery
- feeling uncomfortable or refusing to eat in public places, such as at a restaurant
- the use of "pro-anorexia" websites
It can be difficult to know what to do if you're concerned about a friend or family member. It's not unusual for someone with an eating disorder to be secretive and defensive about their eating and their weight, and they may deny being unwell.
You can also talk in confidence to an adviser from the eating disorders charity Beat by calling their helpline on 0345 634 1414. They also have a designated youth helpline on 0345 634 7650.
Who's affected by eating disorders?
A 2015 report commissioned by Beat estimates more than 725,000 people in the UK are affected by an eating disorder. Eating disorders tend to be more common in certain age groups, but they can affect people of any age.
Around 1 in 250 women and 1 in 2,000 men will experience anorexia nervosa at some point. The condition usually develops around the age of 16 or 17.
Bulimia is around two to three times more common than anorexia nervosa, and 90% of people with the condition are female. It usually develops around the age of 18 or 19.
Binge eating affects males and females equally and usually appears later in life, between the ages of 30 and 40. As it's difficult to precisely define binge eating, it's not clear how widespread it is, but it's estimated to affect around 5% of the adult population.
Treating eating disorders
If an eating disorder isn't treated, it can have a negative impact on someone's job or schoolwork, and can disrupt relationships with family members and friends. The physical effects of an eating disorder can sometimes be fatal.
Treatment for eating disorders is available, although recovery can take a long time. It's important that the person affected wants to get better, and the support of family and friends is invaluable.
Treatment usually involves monitoring a person's physical health while helping them deal with the underlying psychological causes. This may involve:
- using self-help manuals and books, possibly under guidance from a therapist or another healthcare professional
- cognitive behavioural therapy (CBT) – therapy that focuses on changing how a person thinks about a situation, which in turn will affect how they act
- interpersonal psychotherapy – a talking therapy that focuses on relationship-based issues
- dietary counselling – a talking therapy to help a person maintain a healthy diet
- psychodynamic therapy or cognitive analytic therapy (CAT) – therapy that focuses on how a person's personality and life experiences influence their current thoughts, feelings, relationships and behaviour
- family therapy – therapy involving the family discussing how the eating disorder has affected them and their relationships
- medication – for example, a type of antidepressant called selective serotonin reuptake inhibitors (SSRIs) may be used to treat bulimia nervosa or binge eating
There's a range of other healthcare services that can help, such as support and self-help groups, and personal and telephone counselling services. See the "Useful links" section on this page for more information
Please visit http://www.nhs.uk/Conditions/Eating-disorders/Pages/Introduction.aspx for more information
Information on eating disorders
- HOW TO FIND A GOOD EATING DISORDER THERAPIST
- Facts About Eating Disorders
- Why People Get Eating Disorders
- The Media & Eating Disorders
- Body Image
- Your Loved One Has An ED
- Compulsive Eating & Binge Eating Disorder
- Bulimia Nervosa. A Contemporary Analysis
- Press and Media
- All About Anorexia
- Phases of Restrictive Eating Disorders
- Facts About Obesity
- The Psychology Of Dieting
- The Effects Of Under-Eating
- Eating Disorders In Males
- Treatment Of Anorexia For Carers
- Bulimia: Caring For Your Teeth
- Weight Control Among Jockeys
The site can help with eating disorders
What is an eating disorder?
An eating disorder is an illness that stems from both emotional and psychological distress, and results in an obsessive relationship with food in terms of over- or under-eating. Having the ability to control the amount and type of food consumed makes sufferers believe that they are coping with their problems and offers them a way to block out painful feelings.
What are the different types of eating disorder?
- Anorexia: A psychological disorder in which sufferers have a distorted view of their own body shape and weight, leading them to deliberately starve themselves of food.
- Bulimia: Bulimics fall into an abusive cycle of gorging on food until they are sick and get rid of all the food they have eaten. Many will also use laxatives to induce diarrhoea.
- Compulsive eating: Again, this involves binge eating, but unlike bulimia, these people are unable to purge themselves.
- EDNOS: Stands for ‘eating disorder not otherwise specified’ where sufferers have some, but not all of the diagnostic signs for anorexia or bulimia.
The website the site.org has lots of information on bulimia and anorexia and what steps to take to get help.
Please visit http://www.thesite.org/mental-health/eating-disorders/bulimia-5881.html and have a look as well as http://www.thesite.org/mental-health/eating-disorders/anorexia-5880.html .
Here are some examples some of the next steps that are suggested.
- Beat help people overcome eating disorders through helplines, online support and self-help groups. 0845 634 7650
- Men get eating disorders too (MGEDT) run discussion boards for men with eating disorders where you can get peer support.
- Chat about this subject on our Discussion Boards.
- Need help but confused where to go locally? Download our StepFinder iPhone app to find local support services quickly
- BEATING EATING DISORDERS (BEAT)
Information and help on all aspects of eating disorders, including Anorexia Nervosa, Bulimia Nervosa, binge eating disorder and related eating disorders. Also operates a network of local self help groups and a membership scheme.
Helpline: 0845 634 1414, Monday to Friday 1:30pm to 4:30pm and Monday and Wednesday evenings 5.30pm to 8.30pm.
Beat provides helplines for adults and young people which offer support and information to sufferers, carers and professionals.
Help for young people:
Youthline: 0845 634 7650 If you are 25 or under, call the Beat Youthline.
If you would like a call back, send us the text message 'call back' to 07786 20 18 20. We aim to get back to you within 24 hours and during Youthline open hours. When we call back our number will display as "unknown".
Parents, teachers or any concerned adults should call the Helpline for adults on 0845 634 1414.
Youth Email: email@example.com
Website: http:// www.b-eat.co.uk/
Useful information concerning medication can be found on the websites of Mind and The Royal College of Psychiatrists. Readable, user friendly and evidence based information about mental health problems
The leading mental health charity in England and Wales. Mind has confidential help and advice on a range of mental health issues. Also has a diverse range of information, leaflets, factsheets and publications - including pharmaceutical and complementary treatments; mental health conditions; positive mental health and rights for service users. Provides information and support to people with experience of mental ill health and to carers.
Tel: 0300 123 3393 (Lines are open 9am - 6pm, Monday – Friday)
Website: http:// www.mind.org.uk
THE ROYAL COLLEGE OF PSYCHIATRISTS
The College promotes mental health by setting standards and promoting excellence in mental health care and by working with patients, carers and their organisations.
Telephone: 020 7235 2351, Monday-Friday, 9:00pm-5:00pm (national rate)
- ANOREXIA AND BULIMIA CARE
Anorexia and Bulimia Care (ABC) has 23 years of experience as a UK national eating disorder organisation.
ABC provides personal advice and support to anyone affected by anorexia, bulimia, binge eating and all kinds of eating distress.
ABC supports sufferers and their family and friends towards full recovery.
Tel: 03000 11 12 13 Then choose:
- Parent Helpline: Option 1
- Sufferer Helpline: Option 2
- Self-Harm Helpline: Option 3