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  Current Location:  Home > Clinical Services > Self-Care Guide
 
 
  Eating Disorders  
 
 

Signs and symptoms:

Anorexia Nervosa

  • Loss of significant amount of weight in a short period of time
  • Intense, irrational fear of weight gain and/or of looking fat. Obsession with fat, calories, and weight.
  • Distorted body image. The person feels and sees himself or herself as fat when below normal weight for his or her height and age.
  • A need to be perfect or in control in one area of life.
  • Marked physical effects, including loss of hair, slowed heart rate, low blood pressure, feeling cold due to decrease in body temperature, and absence of menstrual periods in females.

Bulimia Nevosa

  • Repeated acts of binge eating and purging. Purging can be through vomiting; taking laxatives, water pills, and/or diet pills; fasting; and exercising excessively to "undo" the binge.
  • Excessive concern about body weight
  • Being overweight, underweight, or normal weight
  • Frequent dieting
  • Dental problems, mouth sores, and chronic sore throat
  • Frequent time spent in bathrooms
  • Because of binge-purge cycles, severe health problems, such as stomach damage, an irregular heartbeat, and kidney and bone damage can occur.

Binge Eating Disorder

  • Periods of continuous and sporadic eating that are unrelated to hunger
  • Impulsive binging on food without fasts
  • Repeated use of diets or sporadic fasts
  • Weight can range from normal weight to mild, moderate, or severe obesity.

[Go to Self-Care Prevention]


Still not sure? Ask yourself with these questions.

1. Have you lost more than 10 pounds by binging and purging, fasting, dieting, and/or exercising on purpose, with any of these problems?

  • An intense fear of gaining weight or of getting fat
  • You see yourself as fat even though you are at normal weight or are underweight.
  • You continue to diet and exercise excessively even though you have reached your goal weight.

If yes to one of these symptoms described above, please see your doctor.

If no, continue on to the next question

2. Do you have recurrent episodes of eating a large amount of food within 2 hours, are not able to control the amount of food you eat, and do you at least 3 of the following?

  • Eat very fast
  • Eat until you feel comfortably full
  • Eat when you are not hungry
  • Eat alone due to embarrassment
  • Feel depressed, disgusted, and/or guilty after you overeat

If yes to one of these symptoms described above, please see your doctor.

If no, continue on to the next question

3. Do you hoard food, induce vomiting and/or take laxatives and/or water pills right after meals?

If yes to one of these symptoms described above, please see your doctor.

If no, continue on to the next question

4. Do you have a combination of the following problems with abnormal eating behaviors?

  • An irregular heartbeat
  • A slow pulse and/or low blood pressure
  • Rapid tooth decay
  • Low body temperature; cold hands and feet
  • Thin air (or hair loss) on the head; baby-like hair growth on the body
  • Dry skin or fingernails that split, peel, or crack
  • Problems with bloating, digestion, or constipation
  • Three or more missed periods in a row or delayed onset of menstruation
  • Periods of depression, lethargy, euphoria, and/or hyperactivity
  • Tiredness, weakness, muscle cramps, tremors
  • Lack of contrentration

If yes to one of these symptoms described above, please see your doctor.

If no to all questions, use self-care prevention.

Self-Care Prevention

  • Eat at regular times during the day. Don't skip meals; if you do, you are more likely to binge.
  • Remember that all foods are okay to eat. Having a balance of foods is the goal.
  • Get regular, but moderate exercise 3 to 4 times a week. if you exercise more than your health care provider advises, make an effort to do nonexercise activities with friends and family.
  • If you participate in competitive or other sports, consult your coach, trainer, or sports nutritionist for sound advice to be at a healthy weight for your sport. Don't fast, use laxatives, etc., to "make weight". The health consequences could be devastating and definitely impair your performance.
  • Find success in your work, hobbies, and volunteer activities.
  • Learn as much as you can about eating disorders from books and related organizations.

Strive for Body Acceptance:

  • Accept that bodies come in variety of shapes and sizes.
  • Don't let your body define who you are. You are much more than just a body.
  • You can be your worst critic. Most likely, others find you more attractive than you see yourself.
  • Don't judge others on the basis of their appearance, body size, or shape.
  • Accept weekly and monthly changes in weight and shape.
  • Explore all the things you have to offer others. Recognize you positive qualities.
  • Enjoy the people and positive things in your life instead of spending a lot of energy pursuing the perfect image.
  • Be aware of your weight prejudice. Explore how those feelings may affect your self-esteem.
  • Don't forget that you are not alone in your pursuit of self-acceptance. It is a life-long process that many people struggle with.

If you have an Eating Disorder:

  • Follow your health care provider's treatment plan.
  • Attend counseling sessions and/or support group meeting as scheduled.
  • Identify feelings before, during, and after you overeat, binge, purge, restrict food intake. What is it that you are hoping the food will do?
  • Set small goals that you can accomplish easily and congratulate yourself for every success. This is a process. Accept set backs and learn from them.
  • Talk to someone instead of turning to food.
  • Work toward the point where weight is no longer something by which you rate your success. Think about your accomplishments, positive personal qualities, and valued relationships.
  • Learn to recognize your personal rights and to state how you feel. You have the right to say no, the right to express your feelings and your opinions, and the right to ask to have your