An eating disorder is a mental disorder defined by abnormal eating behaviors that negatively affect a person's physical or mental health. Types of eating disorders include binge eating disorder, where the patient eats a large amount in a short period of time; anorexia nervosa, where the person has an intense fear of gaining weight and restricts food or overexercises to manage this fear; bulimia nervosa, where individuals eat a large quantity (binging) then try to rid themselves of the food (purging); pica, where the patient eats non-food items; rumination syndrome, where the patient regurgitates undigested or minimally digested food; avoidant/restrictive food intake disorder (ARFID), where people have a reduced or selective food intake due to some psychological reasons; and a group of other specified feeding or eating disorders. Anxiety disorders, depression and substance abuse are common among people with eating disorders. These disorders do not include obesity. People often experience comorbidity between an eating disorder and OCD. It is estimated 20-60% of patients with an ED have a history of OCD.
Bulimia nervosa, also known as simply bulimia, is an eating disorder characterized by binge eating followed by purging or fasting, and excessive concern with body shape and weight. This activity aims to expel the body of calories eaten from the binging phase of the process. Binge eating refers to eating a large amount of food in a short amount of time. Purging refers to the attempts to get rid of the food consumed. This may be done by vomiting or taking laxatives.
Promotion of anorexia is the promotion of behaviors related to the eating disorder anorexia nervosa. It is often referred to simply as pro-ana or ana. The lesser-used term pro-mia refers likewise to bulimia nervosa and is sometimes used interchangeably with pro-ana. Pro-ana groups differ widely in their stances. Most claim that they exist mainly as a non-judgmental environment for anorexics; a place to turn to, to discuss their illness, and to support those who choose to enter recovery. Others deny anorexia nervosa is a mental illness and claim instead that it is a lifestyle choice that should be respected by doctors and family.
Anorexia athletica, also referred to as hypergymnasia, is an eating disorder characterized by excessive and compulsive exercise. An athlete with sports anorexia tends to overexercise to give themselves a sense of having control over their body. Most often, people with the disorder tend to feel they have no control over their lives other than their control of food and exercise. In actuality, they have no control; they cannot stop exercising or regulating food intake without feeling guilty. Generally, once the activity is started, it is difficult to stop because the person is seen as being addicted to the method adopted.
"Ana's Song (Open Fire)" is a song by the Australian alternative rock band Silverchair. It was released in May 1999 as the second single from their third album, Neon Ballroom. The song is about lead vocalist Daniel Johns' struggle with anorexia nervosa. "Ana's Song" peaked at No. 14 on Australia's ARIA Singles Chart, at No. 12 on the US Billboard Modern Rock Tracks chart, and at No. 28 on the Billboard Mainstream Rock Tracks chart. At the ARIA Music Awards of 1999, it was nominated for two awards. The track also earned Silverchair a Comet Award in Germany.
The history of anorexia nervosa begins with descriptions of religious fasting dating from the Hellenistic era and continuing into the medieval period. A number of well known historical figures, including Catherine of Siena and Mary, Queen of Scots are believed to have suffered from the condition.
The Eating Attitudes Test, created by David Garner, is a widely used 26-item, standardized self-reported questionnaire of symptoms and concerns characteristic of eating disorders. The EAT is useful in assessing "eating disorder risk" in high school, college and other special risk samples such as athletes. EAT has been extremely effective in screening for anorexia nervosa in many populations.
Ellen West (1888–1921) was a patient of Dr. Ludwig Binswanger who had anorexia nervosa. She became a famous example of existential analysis who died by suicide at age 33 by poisoning herself.
Purging disorder is an eating disorder characterized by the DSM-5 as self-induced vomiting, or misuse of laxatives, diuretics, or enemas to forcefully evacuate matter from the body. Purging disorder differs from bulimia nervosa (BN) because individuals do not consume a large amount of food before they purge. In current diagnostic systems, purging disorder is a form of other specified feeding or eating disorder. Research indicates that purging disorder, while not rare, is not as commonly found as anorexia nervosa or bulimia nervosa. This syndrome is associated with clinically significant levels of distress, and that it appears to be distinct from bulimia nervosa on measures of hunger and ability to control food intake. Some of the signs of purging disorder are frequent trips to the bathroom directly after a meal, frequent use of laxatives, and obsession over one's appearance and weight. Other signs include swollen cheeks, popped blood vessels in the eyes, and clear teeth which are all signs of excessive vomiting.
Wannarexia, or anorexic yearning, is a label applied to someone who claims to have anorexia nervosa, or wishes they did, but does not. These individuals are also called wannarexic, “wanna-be ana” or "anorexic wannabe". The neologism wannarexia is a portmanteau of the latter two terms. It may be used as a pejorative term.
Anorexia mirabilis, also known as holy anorexia or inedia prodigiosa or colloquially as fasting girls, is an eating disorder, similar to that of anorexia nervosa, that was common in, but not restricted to, the Middle Ages in Europe, largely affecting Catholic nuns and religious women. Self-starvation was common among religious women, as a way to imitate the suffering of Jesus in his torments during the Passion, as women were largely restricted to causing themselves voluntary pain by fasting, whereas holy men experienced suffering through physical punishment.
The Best Little Girl in the World is a 1981 television film directed by Sam O'Steen and executive produced by Aaron Spelling. The film is based upon the 1979 novel of the same name written by Steven Levenkron.
For the Love of Nancy is a 1994 American made-for-television drama film directed by Paul Schneider. The film, based on a true story, deals with anorexia nervosa. Lead actress Tracey Gold was actually recovering from the disease while making the movie and used her own life experience for the portrayal of Nancy.
When Friendship Kills is a 1996 American made-for-television drama film directed by James A. Contner. The movie is a part of the Moment of Truth franchise and deals with the danger of anorexia nervosa among teens.
Maudsley family therapy also known as family-based treatment or Maudsley approach, is a family therapy for the treatment of anorexia nervosa devised by Christopher Dare and colleagues at the Maudsley Hospital in London. A comparison of family to individual therapy was conducted with eighty anorexia patients. The study showed family therapy to be the more effective approach in patients under 18 and within 3 years of the onset of their illness. Subsequent research confirmed the efficacy of family-based treatment for teens with anorexia nervosa. Family-based treatment has been adapted for bulimia nervosa and showed promising results in a randomized controlled trial comparing it to supportive individual therapy.
Anorexia nervosa (AN), often referred to simply as anorexia, is an eating disorder characterized by low weight, food restriction, body image disturbance, fear of gaining weight, and an overpowering desire to be thin. Anorexia is a term of Greek origin: an- (ἀν-, prefix denoting negation) and orexis (ὄρεξις, "appetite"), translating literally to "a loss of appetite"; the adjective nervosa indicating the functional and non-organic nature of the disorder. Anorexia nervosa was coined by Gull in 1873 but, despite literal translation, the feeling of hunger is frequently present and the pathological control of this instinct is a source of satisfaction for the patients.
Kate Tchanturia is a British psychologist who is a professor of psychology in eating disorders at the Institute of Psychiatry, Psychology and Neuroscience, King’s College London. She is also Consultant Psychologist at the South London and Maudsley NHS Foundation Trust for the National Eating Disorder Service. Her main research interests include cultural differences in illness presentations, cognitive profiles in eating disorders, and experimental work in emotion processing and translational research from experimental findings to real clinical practice. Tchanturia has a particular interest in women’s mental health and has pioneered the PEACE pathway for autism and eating disorder comorbidity.
Body image disturbance (BID) is a common symptom in patients with eating disorders and is characterized by an altered perception of one's own body.
Starving in Suburbia is a 2014 American psychological drama made-for-television film about a high school student and competitive dancer, Hannah, who develops a severe eating disorder after becoming obsessed with a pro-ana forum on Tumblr that promotes self-starvation, as Hannah's family are preoccupied by her wrestler brother's upcoming tournament. The film stars Laura Wiggins, Brendan Meyer, Paula Newsome, Marcus Giamatti, Izabella Miko, Emma Dumont and Callie Thorne. It received mixed reviews from critics, while being noted for addressing two phenomenons previously unaddressed by made-for-television films: pro-ana websites, and anorexia among males.
Kim: Empty Inside: The Diary of an Anonymous Teenager is a 2002 young adult psychological coming-of-age novel by Beatrice Sparks, written as the "true" diary of Kim, a teenage gymnast who suffers from anorexia, bulimia and self-deprecating fatphobia in a struggle for self-control. The book was released by Avon and HarperTeen, and received positive reviews from critics. It was Sparks's first published book on the subject of eating disorders.
