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Eating Disorders

What is it image

What is it?

Information

An eating disorder is when someone uses their relationship with food to manage difficult thoughts and emotions.

Here's more detail

Published: 05/10/24

Description

Eating disorders are serious mental health conditions affecting mental and physical health. Contrary to stereotypes, anyone can be affected, regardless of gender, culture, age, or ethnicity. They are not solely about food but often involve coping with painful thoughts and experiences.

Eating disorders can severely impact a young person’s social life, relationships, physical health, and development. However, with the right professional help, they are treatable, and early intervention makes recovery easier.

Watch the animation below to understand what it means to have an eating disorder, including the thoughts, feelings, and social effects.

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Symptoms

Symptoms vary, depending on the type of eating disorder you are struggling with. You may experience a combination of these symptoms, and the severity can vary widely.

  • Changes in eating patterns

    Changes in eating patterns can manifest in several ways depending on the individual. Some common changes in eating patterns might be:

    • Severely restricting food intake, avoiding certain types of food, counting calories obsessively.
    • Binge-eating followed by purging behaviors such as vomiting, excessive exercise, or fasting.
    • Consuming large amounts of food in a short period, feeling out of control during the binge.
    • Cravings and consuming non-food substances such as dirt, clay, chalk, soap, or paper.
  • Body image issues

    • Obsession with body weight, shape, and size.
    • Extreme concern about perceived flaws or imperfections in appearance.
  • Physical symptoms

    • Significant weight loss or fluctuations.
    • Feeling cold, particularly in hands and feet.
    • Dizziness, fainting, or fatigue.
    • Digestive issues, such as constipation or bloating.
    • Irregularities in your menstrual cycle.
  • Psychological and emotional signs

    • A preoccupation with thoughts of food, weight, and body image.
    • Feeling out of control around food.
    • Having ow self-esteem related to body image.
    • Experiencing mood swings, anxiety, or depression.
  • Changes in behaviour

    • Avoiding social situations involving food.
    • Eating in secret or hiding food.
    • Excessive or compulsive exercising.
    • Using laxatives, diuretics, or diet pills.
    • Minimising or denying the seriousness of eating behaviors.
    • Secrecy around eating habits or behaviors related to food.
  • Issues in relationships

    • Withdrawal from social activities or relationships.
    • Irritability or defensiveness when food or weight is mentioned.
    • Difficulty concentrating or focusing on tasks.

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Stat

In 2023

31.2% of young people aged 17 to 19 years

said that worries about eating really interfered with their life

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Causes

Causes

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There’s no single cause of eating problems. Most health professionals think they’re caused by a combination of genetic, psychological, and environmental factors. 

Genetics can predispose individuals, especially with a family history of these disorders or depression. Psychological traits such as low self-esteem, perfectionism, and anxiety also contribute.

Environmental influences include trauma, stressful life events, societal pressure to be thin, and critical comments about body weight or shape​

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Types

Some eating problems may develop into specific types of eating disorders. However, if you have an eating issue that is impacting your daily life, you still need professional help to understand what is happening, even if you are unsure whether it qualifies as an eating disorder.

Below is some information on common eating disorder diagnoses. You can learn more about each of these conditions on the Beat website.

  • Anorexia

    Anorexia nervosa is characterised by an intense fear of gaining weight, leading to extreme food restriction, excessive exercise, and significant weight loss. Anorexia is often driven by a distorted body image and a relentless desire to be thin.

    Anorexia can result in severe physical health problems, including malnutrition, heart complications, and a weakened immune system. It’s crucial to seek professional help, as treatment typically involves a combination of therapy, nutritional education, and medical monitoring to address both the psychological and physical aspects of the disorder

  • Avoidant/Restrictive Food Intake Disorder (ARFID)

    Avoidant/Restrictive Food Intake Disorder (ARFID) is an eating disorder characterised by the avoidance of certain foods or the restriction of overall food intake due to sensory issues, a lack of interest in eating, or fear of adverse consequences. Unlike other eating disorders, ARFID is not related to body image concerns.

    This condition can lead to significant nutritional deficiencies, weight loss, and reliance on supplements. It can severely impact daily functioning and growth, especially in children, necessitating professional intervention and treatment

  • Binge-eating disorder

    Binge eating disorder (BED) is characterised by recurrent episodes of consuming large quantities of food within a short period, often accompanied by feelings of loss of control, distress, guilt and/or shame. Individuals with BED may use food as a coping mechanism to deal with emotions such as stress, anxiety, or sadness. This disorder is distinct from bulimia nervosa as it does not involve compensatory behaviors like vomiting or excessive exercise.

    Treatment for binge eating disorder typically involves psychological therapy, such as cognitive behavioral therapy (CBT), to address the underlying emotional triggers and promote healthier eating habits. Nutritional counseling and support groups may also be part of the treatment plan to help individuals manage their eating behaviors effectively.

  • Bulimia

    Bulimia nervosa is an eating disorder characterised by recurrent episodes of binge eating followed by behaviors to compensate for the overeating, such as self-induced vomiting, excessive exercise, or fasting. Individuals with bulimia often experience intense feelings of guilt, shame, and a distorted body image. Bulimia can lead to significant physical health complications like electrolyte imbalances and dental issues.

    Treatment typically involves a multidisciplinary approach including psychotherapy, nutritional counseling, and sometimes medication. Early intervention is crucial to address both the physical and psychological aspects of bulimia.

  • Other specified feeding and eating disorder (OSFED)

    Other Specified Feeding or Eating Disorder (OSFED), sometimes referred to as Eating Disorder Not Otherwise Specified (EDNOS), encompasses a range of eating disorders that do not fully meet the criteria for anorexia nervosa, bulimia nervosa, or binge eating disorder. Individuals with OSFED may exhibit symptoms such as restrictive eating, purging without binge eating, or a combination of disordered eating behaviors that cause significant distress or impairment.

    This category is broad and includes various presentations that do not fit neatly into the other established eating disorder classifications. OSFED is common and can still have serious physical and psychological consequences similar to other eating disorders. Treatment for OSFED varies depending on the specific symptoms and behaviors present but typically involves a combination of psychotherapy, nutritional counseling, and sometimes medication to address underlying issues and promote healthier eating habits.

  • Pica

    Pica is an eating disorder characterised by persistent cravings and consumption of non-food substances with no nutritional value, such as dirt, clay, chalk, soap, or paper. Individuals with Pica often experience cravings for these substances and may feel compelled to eat them despite the potential health risks. This disorder is more commonly diagnosed in children, but it can also affect adults.

    Pica can lead to serious health complications such as nutritional deficiencies, gastrointestinal problems, and infections depending on the substances ingested. Treatment for Pica involves a multidisciplinary approach including psychological therapy to address underlying causes, behavioral interventions to promote alternative coping strategies, and medical management to address any physical complications. 

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Voice

Eating disorders can take over a child’s life and can have immense impact on home life, school and social life whilst also impacting the lives of the entire family. Children can make a full and lasting recovery from an eating disorder with the right help and support. Early diagnosis, intervention, and treatment is critical.

- Nip in the Bud Fact Sheet titled ‘Understanding Eating Disorders in Children’

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Getting help

Getting help for an eating disorder is crucial for recovery. If you are worried then you should start by speaking to your GP who can make a referral for a specialist assessment. 

The National Institute for Health and Care Excellence (NICE) offers NHS treatment guidelines for eating disorders. They strongly advise GPs to refer young people promptly for specialist assessments if there is any suspicion of an eating disorder. The guidelines specifically state that they should not wait for a young person to get worse before referring. Early intervention is crucial because seeking help promptly can prevent the eating disorder from interfering with their physical development.

The type of support you might be offered will be different depending on things such as what you are struggling with, the severity of your symptoms and what borough you live in.

In England, people under the age of 18 can refer themselves to community eating disorder services through the NHS. Find your local eating disorder service here. 

  • Talking therapies

    • Cognitive Behavioral Therapy (CBT): This type of therapy helps young people understand the thoughts, feelings, and behaviors associated with their eating disorder. It aims to change unhealthy patterns and develop coping strategies.
    • Family Therapy: This type of therapy is particularly effective for adolescents and it involves working with parents and siblings to address family dynamics and support recovery.
  • Medical support

    • Monitoring and Support: Regular medical check-ups and monitoring of physical health are essential, especially for those with severe or long-standing eating disorders.
    • Medication: In some cases, medication may be prescribed to manage symptoms like depression, anxiety, or obsessive-compulsive disorder that often co-occur with eating disorders.
  • Nutritional support

    • Dietary Counseling: Working with a dietitian can help young people establish healthier eating patterns and overcome fears or misconceptions about food.
    • Meal Support: Some treatment programs offer supervised meals to provide structure and support during the eating process.
  • Support groups and peer support

    • Peer Support Groups: Young people can benefit from connecting with others who have similar experiences. Support groups provide a safe space to share feelings, challenges, and successes
    • Online Support: Websites and forums provided by organisations like YoungMinds.org offer information, resources, and forums for young people to connect with others and seek advice. The eating disorder charity Beat offer online support groups for anyone who thinks they might be struggling with an eating disorder. 
  • Specialist services

    • Inpatient or Day Programs: For severe cases, hospitalisation or day programs can provide intensive treatment, monitoring, and support in a controlled environment.
    • Specialist Eating Disorder Services: Access to specialised teams, including psychiatrists, psychologists, nurses, and dietitians, who have expertise in treating eating disorders.
  • Looking after yourself

    Seeking professional help for an eating disorder is vital, but there are also self-care strategies that can be beneficial. 

    • Speak to someone you trust: whether it’s a friend, family member, teacher, or another supportive person you feel comfortable confiding in. 

    • Educate Yourself: Learn about eating disorders and their effects. Understanding your condition can empower you to make informed decisions and recognise triggers. You can find helpful resources below. 

    • Practice Mindful Eating: Focus on listening to your body’s hunger and fullness cues rather than strict rules or restrictions. A dietitian can help create a balanced meal plan that meets nutritional needs.

    • Cope with Emotions: Develop healthy coping mechanisms for stress, anxiety, or sadness that do not involve food. This might include mindfulness, journaling or doing something creative. 

    • Prioritise Self-Care: Engage in activities that promote relaxation and well-being, such as exercise that you enjoy (in moderation), hobbies, spending time with loved ones, or practicing relaxation techniques like deep breathing or yoga.

    • Monitor Physical Health: Attend regular medical check-ups to monitor physical health, including weight and vital signs. Address any concerns promptly with healthcare providers.

    • Set Realistic Goals: Focus on small, achievable steps in your recovery journey. Celebrate progress, no matter how small, and be patient with yourself.

    • Avoid Triggers: Identify and avoid situations, people, or environments that may trigger disordered eating behaviors. For example, avoid social media accounts that make eating disorders seem glamorous or cool as this can be very damaging. 

Services to support you

Some resources that may help

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