For most people around the world, eating is enjoyable as well as necessary for survival. For others, however, it’s the source of deep emotional wounds. For around 2% of American adults, eating disorders dominate the normally pleasurable experience of a good meal.
Eating disorders come in numerous forms but are universally represented by an unhealthy approach to eating, including restrictive eating, overeating, and binging and purging behaviors. As with all mental health disorders, it’s critically important for those living with an eating disorder to get the help necessary to avoid serious and lost-lasting ramifications.
What Are Eating Disorders?
Eating disorders are forms of mental disorders that are characterized by unorthodox or disturbed patterns of food consumption based on thoughts or emotions. Most individuals with eating disorders display disruptions in normal eating habits out of a desire to be thin, leading to severe appetite restriction in a way that can be deeply unhealthy and potentially dangerous. Others, however, use food as a way to cope with challenges in life, leading to overeating and complications related to obesity.
Eating disorders are commonly linked to other disorders or changes to mental states, including low self-esteem and body dysmorphia. They are far more common in women than in men; the most affected demographic is women between the ages of 12 and 35.
Unfortunately, eating disorders are the most common in young women in middle school and high school due to the presence of bullying and the pressure to fit in socially and culturally. Eating disorders are also common in co-occurring disorders, with other conditions such as PTSD affecting the development of an eating disorder. Addiction often goes hand-in-hand with eating disorders as well, as patients may turn to drugs as a way to facilitate weight loss.
Eating disorders are very dangerous when not treated properly. Eating disorders that develop out of a desire to lose weight can lead to nutritional deficiencies that can affect organ function and interfere with the ability to live normally.
Binge eating disorders can contribute to obesity and its related conditions, like type 2 diabetes, heart disease, stroke, joint problems and high blood pressure. No matter the form or function of a disease, getting help is imperative.
Types of Eating Disorders
Eating disorders are generally classified into three major categories: anorexia nervosa, bulimia nervosa and binge eating disorder.
Anorexia nervosa is among the most common and best-known forms of eating disorders and is characterized by a body weight of 15% below a healthy range. The most frequent symptoms of anorexia include:
- A fear of eating
- A fear of gaining weight and becoming fat
- Inability to properly assess body weight
Those with anorexia do not eat a healthy amount and are addicted to exercise, leading to extreme physical exertion and inadequate calorie intake. Over time, this can cause serious issues with overall health, including:
- Brittle hair and nails
- Low blood pressure
When not treated, malnutrition can become fatal, leading to premature death.
Bulimia is characterized by binge-and-purge behavior used to address a fear of becoming fat. Unlike those who suffer from anorexia, individuals with bulimia nervosa can be slightly underweight, a healthy weight or even overweight.
Instead of restricting diet, it is more common for those with bulimia to eat normal amounts, or even to overeat, and purge this food later, generally by induced vomiting or using laxatives. This cycle of binging and purging occurs several times a week or even several times a day.
Bulimia can be harder to recognize than anorexia as many patients don’t lose weight rapidly, as is thought to be characteristic of an eating disorder. In spite of this, bulimia is still a serious condition with effects that include:
- An inflamed or sore throat
- Tooth decay from repeated vomiting
- Swollen salivary glands in the neck and cheeks, leading to a puffy appearance
- Acid reflux disorder
- Intestinal problems from regular laxative use
- Kidney disorder from use of diuretics
Bulimia is less likely to be fatal than anorexia but can still lead to rare but deadly side effects, including cardiac arrhythmia and gastric ruptures.
Binge Eating Disorder
Binge eating disorder is similar to bulimia but without the purging components. Individuals with BED regularly eat excessive portions of food with little self-control, like eating an entire cake meant for multiple people with no ability to stop until it’s gone. For a formal diagnosis, an individual must display these binges at least once a week over the course of three months, coupled with:
- Rapid eating
- Feelings of being uncomfortably full
- Eating significant portions when not hungry
- Eating alone to hide binging behaviors
- Feeling guilt or shame after binging
Those with BED often gain weight rapidly, leading to the increased likelihood of serious complications such as obesity, heart disease, hypertension and high blood pressure.
Causes and Predictors of Eating Disorders
As with many forms of mental disorder, there is no one universal reason for the development of an eating disorder. Under the same set of circumstances, one person may develop an eating disorder while another may not.
Researchers in mental health have isolated several contributing factors that may increase the likelihood of eating disorder development, including:
- Temperament, or the impact of specific personality traits. Those with obsessive thought patterns, an addictive personality or impulsivity, for example, may be at a heightened risk for an eating disorder.
- Genetics and biology
- Trauma, such as physical or sexual abuse that predates the inception of an eating disorder. This can be common for binge eating disorder in which food is used as a coping mechanism.
- Societal expectations, like bullying at school and the pressure to lose weight to fit in.
Treatment for Eating Disorders
Like many other forms of mental disorders, treatment is highly encouraged to facilitate healthy recovery without any lasting physical damage. A qualified treatment center can help get to the root of disordered eating, providing positive and healthy alternatives to binging or restriction and helping patients normalize the eating process. Eating disorder treatment also addresses body acceptance, helping participants realize that a skinny body isn’t the only way to have a good body.
Due to the various types of eating disorders, a customized approach to treatment is highly encouraged. From forms of psychotherapy to education, it’s crucial for each individual to get the help necessary to see meaningful personal growth.
Types of Treatment Centers
As with other mental health care, treatment for eating disorders comes in many different forms. Levels of care include inpatient rehabilitation, outpatient programs like partial hospitalization and intensive outpatient programs, halfway house living and traditional outpatient groups. While the best approach varies from one patient to another, a full continuum of care is generally encouraged to provide a comprehensive, well-rounded experience.
Treatments for Eating Disorders
Eating disorders are often addressed through intensive therapy, helping individuals explore the reasons for disordered eating and offering alternatives and coping methods. Psychotherapy can take many forms for eating disorders, but generally includes:
- Acceptance and Commitment Therapy (ACT)
- Cognitive Behavioral Therapy (CBT)
- Cognitive Remediation Therapy (CRT)
- Dialectical Behavioral Therapy (DBT)
- Evidence-Based Treatment
In many treatment facilities, medical care is integrated into the therapy process. This can be a critical element in effective treatment.
Due to the high potential for physical damage from prolonged disordered eating, a qualified medical team should be present during the initial days of treatment. This can ensure the treatment of any dangerous side effects, such as malnutrition, as well as the promotion of a balanced diet.
Getting Help for Your Eating Disorder
If you are struggling with an eating disorder or see the signs of disordered eating in those you love, getting help is critical. Taking steps in the early days can have a significant effect on ongoing health, so acting fast is always advised.
FHE Health is a comprehensive resource for mental health treatment, providing a full continuum of care for those working with us. With a residential option guided by our 8-Tier Neuro-Rehabilitative treatment program as well as several levels of outpatient care, we are prepared to help you address your eating disorder and offer the support necessary to fully recover. Please contact us today to learn more about our mental health disorder treatment options.