Psychological and behavioral disorders related to body image and food are complex health challenges that affect both physical and mental health. One of the most common and serious of these disorders is anorexia nervosa, a condition that requires careful understanding and specialized medical care to support recovery and prevent long-term complications.
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The following report provides a comprehensive yet simplified overview of the causes of anorexia nervosa, its behavioral and physical symptoms, and ways to manage and treat it, based on information published by the UK National Health Service (NHS).
What Is Anorexia Nervosa?
Anorexia nervosa is an eating disorder and a serious mental health condition in which people attempt to maintain a body weight as low as possible through various methods, such as restricting food intake, exercising excessively, using laxatives, or deliberately making themselves vomit. These behaviors can lead to malnutrition and serious health complications.
People with the disorder often have a distorted perception of their bodies and may believe they are overweight even when their weight is below the healthy range.
Anorexia nervosa can affect men and women of allages, but it is more common among young women and often begins during adolescence.
Symptoms of Anorexia Nervosa
Symptoms of anorexia nervosa vary and may include behavioral and physical signs such as:
1. Weight and height below the expected levels for age and stage of development in children and adolescents.
2. A significantly low body mass index (BMI) in adults.
3. Skipping meals or eating very small amounts of food.
4. Constant preoccupation with food and being highly cautious when choosing foods, such as avoiding certain foods out of fear of gaining weight.
5. Distorted body image and believing that one is overweight despite being below a healthy weight.
6. Hormonal problems, such as missed periods in women who have not reached menopause, or failure to begin menstruation in young girls.
7. Physical problems such as dizziness, lightheadedness, hair loss and dry skin.
8. Purging behaviors, with some people deliberately inducing vomiting or exercising excessively.
9. Using medication to suppress appetite and reduce hunger, or using laxatives and diuretics to prevent weight gain from food consumed.
Causes and Risk Factors of Anorexia Nervosa
There is no single specific cause of anorexia nervosa. However, several factors may increase the risk of developing the disorder, including:
1. A family or personal history of eating disorders, depression, or alcohol and drug addiction.
2. Previous criticism or blame related to eating habits, body shape or weight.
3. An excessive focus on thinness and fitness, particularly under social or professional pressure, such as among ballet dancers, equestrians, models and athletes.
4. Experiencing anxiety, low self-esteem, or having an obsessive personality with a tendency toward perfectionism.
5. Previous emotional difficulties in relationships.
Risks of Anorexia Nervosa
Prolonged anorexia nervosa and malnutrition can lead to serious health complications, including:
1. Persistent fatigue and weakness, osteoporosis, and delayed physical development in children and adolescents.
2. Fertility problems and reduced sexual desire.
3. Circulatory problems, irregular heartbeat and low blood pressure.
4. Heart valve problems, which in severe cases may lead to heart failure.
5. Swelling of the ankles, feet and legs caused by fluid retention, known as edema.
6. Difficulties with concentration and memory, and, in rare cases, seizures.
7. Kidney and digestive system problems.
8. A weakened immune system and anemia.
In severe cases, anorexia nervosa can be life-threatening because of physical complications associated with malnutrition. It is also associated with an increased risk of suicide.
Treatment for Anorexia Nervosa
Recovery from anorexia nervosa can take time, and the duration of treatment varies from person to person. The treatment plan is determined according to each individual’s needs, while providing the necessary support to address accompanying mental health conditions such as depression or anxiety.
Treatment options may include:
1. Cognitive behavioral therapy (CBT).
2. The Maudsley Anorexia Treatment for Adults (MANTRA).
3. Specialist supportive clinical management.
4. Family-based treatment for children and adolescents, which is considered one of the main treatment options for these age groups.
5. Cognitive behavioral therapy or adolescent-focused psychotherapy, depending on the individual’s condition and needs.
6. Treatment may also require regular medical and nutritional monitoring to assess the person’s health and address any complications associated with malnutrition.