H E A L T
H:
Anorexia
Nervosa
"My focus was food. I mean everything was done
for, planned around, food. Not eating it mostly.
Weighing myself, things like that. I looked on
eating as a reward, and I felt like I didn't
deserve it. So I had to do something in order to be
worthy of eating something. And it got to a point
where I just felt so guilty when I ate anything, I
couldn't justify it. I couldn't see eating as
something that you had to do, like sleeping."
-Teen recovered from Anorexia
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"If I don't get that walk after I've
eaten, I just feel selfish. I feel like,
'You just ate. Don't tell me you're going
go sit on your butt and read or watch TV.
I mean you better get up and do something.
I mean you'll get fat.' I do not want to
be fat. I do not want to be fat. I do not
want to be fat."
-Teen with Anorexia
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Vanessa
Barr, 14
What Is It?
Anorexia nervosa means "loss of appetite," but a
person with anorexia is hungry. He or
she just denies it because of an out of control fear of
getting fat. So what is it, exactly?
Self-starvation.
How Common Is It?
Not as common as bulimia.
Still anorexia nervosa affects millions of people in the
U.S. and other western countries. Kids, teens, and adults.
Males and Females. 1 out of every 100 teenage girls has
it!
"Something got deep inside of me to tell me that
I'm not worth it. I don't deserve food, love,
companionship, I don't know, nice clothes,
whatever. Somewhere, somehow, even in every day
life, natural, normal needs that one has, I guess I
feel like other people are more important and that
if I need something, I might be taking away from
theirs."
-Teen with Anorexia
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What Causes
It?
- Family problems. Most experts believe that
eating disorders come from different kinds of family
problems. Growing up is never easy, but people with
eating disorders have a particularly difficult time. Most
grow up in families where problems are denied.
(Who has problems? Not us!) The parents may be very
loving and caring, but they may be having trouble
separating from their teens. They may also feel
uncomfortable about letting their teens grow up and
become more independent. These teens are afraid to
disappoint their parents. They are not sure they deserve
good things in their lives, like love, praise, even
food.
They may feel insecure
about their abilities and talents.
They may have trouble figuring out their own identity.
If teens don't feel like they have any
control over their own lives
they may use food and body weight as the only way to
get control.
- Our culture. Western society is obsessed with
thinness. Every day TV, movies, and magazines blast us
with the message that thin is "the only way to be." Never
before in history have females been encouraged to be as
thin as they are today in the U.S. and other industrial
countries. It's just not healthy. In fact, it's killing
many of us. How thin is thin enough?
Warning Signs of
Anorexia
"At first, I didn't think I was anorexic.
Everyone was telling me, this is what you've got.
But I just thought, that's not me. I didn't even
think it was a problem. It was my project. I was
sticking to a pattern, I was sticking to a
schedule."
- Teen recovered from Anorexia
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Here are some signals that you or
someone you know has anorexia:
- Who's in control? Anorexics don't feel like
they have any control in their lives. They are always
trying to please others. Starving themselves is a way
they feel "in charge" of themselves.
- Extreme and irrational fear of body fat and
becoming fat.
- Weighs oneself obsessively. Gaining one
pound can make the person very upset.
- Iron determination to become thinner and
thinner.
- Significant weight loss (loss of 15% or
more of body weight).
- Difficulty recognizing and responding to hunger
and other impulses (for example anger).
- Food obsessions. Might be any number of
these:
- The person only eats foods of a certain color
or texture.
- Needs to cut up food into tiny pieces.
- Doesn't eat in front of other people.
- Always has an excuse not to eat.
- Compulsive exercising. Feels (s)he doesn't
"deserve" to eat unless exercises before and
after.
- Wears baggy clothes. Sometimes in layers,
to hide thinness and stay warm.
- Distorted self-image. Even people who only
weigh 75 pounds still think they are "fat."
- Arms and legs become cold. The blood isn't
circulating very well.
- Thick downy hair appears on arms and legs.
To help conserve body heat.
- Hair loss on head. Hair doesn't look
healthy. Finger nails split and crack.
- Abnormal hormonal functioning.
- Girls - absence of 3 or more menstrual
cycles
- Boys - lowering of sexual function and
desire
Medical Problems
If anorexia is not treated and stopped, it can lead to
permanent damage to the body. Even death. Here are some
common health problems caused by anorexia:
- Heart problems. Without food, the body
loses strength and the heart becomes weak. It may have
trouble pumping blood or stop all together.
- Kidney and/or liver damage. Both of these
organs are necessary for normal body function.
- Absence of menstrual
cycles in women. The body believes
there is no food around, so it turns off its ability
to make babies.
- Fainting spells. Caused by dizziness and
lack of oxygen in the blood circulating to the
brain.
- Malnutrition. Hey, if a person isn't eating
they aren't getting the vitamins
and minerals needed to stay healthy.
- Loss of muscle and bone mass. When a person
isn't getting food, the body starts taking what it
need from inside. In the case of bone mass, what is
lost can't be replaced.
- Sleep disturbances. A body that is out of
balance, without proper amounts of food, cannot
sleep.
The Bad News:
Untreated, eating disorders can kill!
The Good News: By
admitting there is a problem and getting help,
people with eating disorders can be cured.
For more information contact
ANAD
(National Association of Anorexia Nervosa and Associated Disorders)
Next:
How To Help Someone You Care
About
E A T I N G
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