Monday the 22nd of February to Sunday the 28th February 2016 marks Eating Disorder Awareness Week.
As many people will know, in 2013 I developed disorded eating and thought patterns that eventually led to a diagnosis of Anorexia Nervosa.
Anorexia Nervosa is currently the most lethal psychiatric disorder, carrying a sixfold increased risk of death. Although Anorexia is by far the deadliest eating disorder, death rates are also higher than normal in people with bulimia and “eating disorder not otherwise specified” (EDNOS, a common diagnosis for people with a mixture of atypical anorexia and atypical bulimia). Suicide is also a particular risk as 1 in 5 Anorexia death are due to suicide. People diagnosed with Anorexia between the ages of 20 to 29 had a higher death rate (18-fold) with the age group 15-19 following close behind with a ten fold.
Although Anorexia is the most lethal, other eating disorders are just as serious. Other disorders (including Anorexia):
- anorexia nervosa – when a person tries to keep their weight as low as possible; for example, by starving themselves or exercising excessively
- bulimia – when a person goes through periods of binge eating and is then deliberately sick or uses laxatives (medication to help empty the bowels) to try to control their weight
- binge eating disorder (BED) – when a person feels compelled to overeat large amounts of food in a short space of time
Some people, particularly those who are young, may be diagnosed with an eating disorder not otherwise specified (EDNOS). This means you have some, but not all, of the typical signs of eating disorders like anorexia or bulimia.
Spotting the signs of an eating disorder can be difficult. Remember – a person with an eating disorder does NOT have to appear thin or underweight.
Warning signs to look out for include:
- missing meals
- complaining of being fat, even though they have a normal weight or are underweight
- repeatedly weighing themselves and looking at themselves in the mirror
- Losing interest in social events, not attending classes or school, becoming withdrawn
- making repeated claims that they’ve already eaten, or they’ll shortly be going out to eat somewhere else and avoiding eating at home
- cooking big or complicated meals for other people, but eating little or none of the food themselves
- only eating certain low-calorie foods in your presence, such as lettuce or celery
- feeling uncomfortable or refusing to eat in public places, such as at a restaurant
- the use of “pro-anorexia” websites
- Use of dietary aids such as weight loss products, diuretics and laxatives
- eating in secret or having days of ‘normal’ eating
- Using the bathroom frequently after eating
Eating disorders cause a wide variety of complications, some of them life-threatening. The more severe or long lasting the eating disorder, the more likely you are to experience serious complications, such as:
- Significant medical problems
- Depression and anxiety
- Suicidal thoughts or behavior
- Problems with growth and development
- Social and relationship problems
- Substance use disorders
- Work and school issues
So, whose affected by eating disorders?
A 2015 report commissioned by Beat estimates more than 725,000 people in the UK are affected by an eating disorder. Eating disorders tend to be more common in certain age groups, but they can affect people of any age.
Around 1 in 250 women and 1 in 2,000 men will experience anorexia nervosa at some point. The condition usually develops around the age of 16 or 17.
Bulimia is around two to three times more common than anorexia nervosa, and 90% of people with the condition are female. It usually develops around the age of 18 or 19.
Binge eating affects males and females equally and usually appears later in life, between the ages of 30 and 40. As it’s difficult to precisely define binge eating, it’s not clear how widespread it is, but it’s estimated to affect around 5% of the adult population.
Be disorder aware this week and reach out to those you feel may be suffering with an Eating Disorder
[credit: NHS UK]