Anorexia Intervention

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Anorexia

What is Anorexia?
Anorexia Nervosa is a serious, potentially life-threatening eating disorder characterized by self-starvation and excessive weight loss.

Anorexia Nervosa is a loss of weight to unhealthy levels that is achieved by a variety of compulsive behaviors and characterized by physical, social and psychological symptoms.  More detailed professional descriptions include the refusal to maintain body weight for age and height (most clinicians use 85% of normal weight as a guide), an intense fear of gaining weight and a dominating fear of “being fat”, regardless of actual weight.  The seriousness of the weight loss and its physical effects is typically minimized or denied by the anorexic.

Eating disorders experts have found that prompt intervention and intensive treatment significantly improves chances of recovery. Therefore, it is important to be aware of some of the warning signs of anorexia nervosa.

  • Dramatic weight loss.
  • Preoccupation with weight, food, calories, fat grams, and dieting.
  • Refusal to eat certain foods, progressing to restrictions against whole categories of food (e.g. no carbohydrates, etc.).
  • Frequent comments about feeling “fat” or overweight despite weight loss.
  • Anxiety about gaining weight or being “fat.”
  • Denial of hunger.
  • Development of food rituals (e.g. eating foods in certain orders, excessive chewing, rearranging food on a plate).
  • Consistent excuses to avoid mealtimes or situations involving food.
  • Excessive, rigid exercise regimen--despite weather, fatigue, illness, or injury--the need to “burn off” calories taken in.
  • Withdrawal from usual friends and activities.
  • In general, behaviors and attitudes indicating that weight loss, dieting, and control of food are becoming primary concerns.

Health Hazards
Anorexia nervosa involves self-starvation. The body is denied the essential nutrients it needs to function normally, so it is forced to slow down all of its processes to conserve energy. This “slowing down” can have serious medical consequences.

  • Abnormally slow heart rate and low blood pressure, which mean that the heart muscle is changing. The risk for heart failure rises as heart rate and blood pressure levels sink lower and lower.
  • Reduction of bone density (osteoporosis), which results in dry, brittle bones.
  • Muscle loss and weakness.
  • Severe dehydration, which can result in kidney failure.
  • Fainting, fatigue, and overall weakness.
  • Dry hair and skin, hair loss is common.
  • Growth of a downy layer of hair called lanugo all over the body, including the face, in an effort to keep the body warm.

Anorexia Nervosa has one of the highest death rates of any medical condition.  The mortality rate associated with anorexia nervosa is twelve times higher than the death rate of ALL causes of death for females fifteen to twenty-four years old (Sullivan, 1995)*.  Between 5-20% of individuals struggling with anorexia nervosa will die; Probabilities of death increases within that range depending on the length of the condition (Zerbe, 1995)*. Despite these statistics, research shows that anorexia nervosa can be successfully overcome with adequate and appropriate treatment.   

Many individuals have approached their loved one regarding his/her eating disorder, with no success.  It may be helpful when talking with your loved one, to have a third party present that is professionally trained and knowledgeable about anorexia nervosa.

Addiction Intervention Resources moves your family out of crisis and assists in addressing your loved one’s eating disorder.

Sources
National Eating Disorders Association

American Psychiatric Association (1994).  Diagnostic and Statistical Manual for Mental Disorders, 4 th ed. APA: Washington D.C.

American Journal of Psychiatry, Vol. 152 (7), July 1995, pp 1073-1074, Sullivan, Patrick F

Zerbe, K.J. (1995).  The Body Betrayed . Carlsbad, CA: Gurze Books.

 

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