Anorexia Nervosa

“At first, no one addressed my weight loss, making me believe it wasn't noticeable. I strove to lose more and practically lived on the scale. The scale served as a sanctuary, yet it could also be a tormentor. I felt proud at my motivation and accomplishment when I lost a pound and I punished myself if I didn't. While I was aware that I had some kind of a problem, I didn't realize the severity and was not ready to seek help…”

Definitions DSM Diagnosis Signs and Symptoms Medical Complications
 Definition:

Anorexia Nervosa is characterized by self induced starvation and extreme weight loss. Symptoms include: a refusal to maintain body weight at or above a minimally normal weight (85% or less) for height, body type, age, and activity level; an intense fear of being “fat” or gaining weight; feeling “fat” or overweight despite dramatic weight loss; a disturbance in the way one’s body is perceived (distorted body image); amenorrhea (the loss of three or more consecutive menstrual cycles); and extreme concern/distress with body weight and shape.
 

 DSM IV Clinical Definition:

1. Refusal to maintain body weight at or above a minimally normal weight for age and height (e.g., weight loss leading to maintenance of body weight less 85% of that expected; or failure to make expected weight gain during a period or growth, leading to body weight less than 85% of that expected.

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

3. Disturbance 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 seriousness of the current low body weight.

4. In postmenarchial females, the absence of at least three consecutive menstrual cycles.

 Signs and Symptoms of Anorexia:

 Distorted Body Image (Body Dysmorphic Disorder)

 Drastic weight loss and weight is still dropping

 Intense fear/anxiety about gaining weight

 Preoccupation with weight, calories, food, etc.

 Feelings of guilt after eating

 Denial of hunger

 Low self-esteem

 Avoids many social situations, and withdraws from usual friends and activities

 Constant excuses for not eating

 Frequent comments about feeling "fat" despite weight loss.

 Excessively and compulsively exercises

 Constant complaints of being cold

 Hair loss

 Paleness, dizziness, or fainting spells
 Intense, dramatic mood swings

 Gaunt appearance, yellowish skin-tone, and dark circles below the eyes

 Develops certain food rituals

 Abuse of laxatives, diet pills, or diuretics

 Wearing loose clothing

 Exhaustion and Fatigue
 Cessation of a period for three or more consecutive cycles
 
 Medical Complications of Anorexia:

 Amenorrhea (cessation of menstrual cycle)

 Severe dehydration that can lead to kidney failure

 Memory loss and disorientation

 Fainting and Fatigue

 Chronic Constipation

 Muscle loss and weakness (including heart)
 Abnormally slow, irregular heartbeat that can lead to heart failure

 Bone density loss, leads to osteoporosis

 Shrunken organs

 Fluid and Electrolyte imbalances

 DEATH

 
 To find out if you or someone you know maybe suffering from Anorexia Click Here.
 To find out why people develop anorexia, Click Here.
 To find out how to approach a loved one who is battling, Click Here.
 To find treatment in your area for Anorexia Click Here.
 To find suggested reading lists on Anorexia Click Here.
 To find personal stories on individuals who overcame Anorexia, Click Here.
© copyright by THE ALLIANCE FOR EATING DISORDERS AWARENESS 2005