Friday, January 14, 2011

Understanding Anorexia Nervosa

Anorexia Nervosa excerpts taken from www.eatingdisorderinfo.org

Definition:
Anorexia Nervosa is characterized by self induced starvation and extreme weight loss.

Signs and Symptoms of Anorexia:
Distorted Body Image
Drastic weight loss and weight is still dropping
Intense fear/anxiety about gaining weight
Preoccupation with weight, calories, food, etc.
Feelings of guilt after eating
Denial of hunger
Low self-esteem
Avoids many social situations, and withdraws from usual friends and activities
Constant excuses for not eating
Frequent comments about feeling "fat" despite weight loss.
Excessively and compulsively exercises
Constant complaints of being cold
Develops certain food rituals
Paleness, dizziness, or fainting spells
Intense, dramatic mood swings
Gaunt appearance, yellowish skin-tone, and dark circles below the eyes
Cessation of a period for three or more consecutive cycles
Exhaustion and Fatigue
Wearing loose clothing
Abuse of laxatives, diet pills, or diuretics
Hair loss

How to help your friend:

DO'S
  • Increase your knowledge about eating disorders (request information packets, read books, attend seminars).
  • Talk with the person about your concerns in a loving and supportive way. It is important to discuss these issues with honesty and respect.
  • Talk with the person at an appropriate time and place - in private, free from distractions.
  • Encourage the person to seek professional help as soon as possible. Suggest that she/he see someone who specializes in eating disorders (a physician, therapist or dietician).
  • Be prepared that the person may deny that she/he has a problem. If so, and if she/he refuses to get help, it will be important to tell someone else about your concerns. If your friend is under 18, her/his parents need to know immediately.
  • Listen with a nonjudgmental ear.
  • Talk about things other than food, weight, and exercise.
  • Be available when your friend needs someone, but remember, it is okay to set limits on what you can and cannot do.
  • Hang in there! It won't be easy

DONT'S
  • Don't try to solve her/his problems or help with the eating disorder on your own. Get help from others.
  • Don't confront your friend with a group of people, in front of a group of people.
  • Don't talk about weight, food, calories, or appearance. Do not make any comments on what she/he looks like.
  • Don't try to force or encourage your friend to eat. Do not get into power struggles.
  • Don't let her/his peculiarities dominate you or manipulate you.
  • Don't gossip about her/him to others.
  • Don't be scared to talk with her/him.
  • Don't expect to be the perfect friend - Reach out for support when you need it.
  • Don't expect your friend to be "cured" after treatment. Recovery can be a long process.
  • Don't keep this a secret for your friend. Remember, her/his life may be in danger.