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Anorexia nervosa | NHS

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Anorexia Nervosa

What is Anorexia Nervosa?

Anorexia nervosa is a serious mental health condition and eating disorder where individuals have an intense fear of gaining weight. As a result, they often restrict their food intake and may become dangerously underweight. This condition is not solely about food; it is often associated with severe distress about body image and a strong desire for control over one’s environment and circumstances.

Signs and Symptoms

People with anorexia nervosa may exhibit a variety of physical and behavioral symptoms. These can include:

  • Severe weight loss
  • Distorted body image, believing they are overweight despite being underweight
  • Avoiding food and meals
  • Extreme concern with dieting, food, and control of calories
  • Excessive exercise
  • Social withdrawal and irritability
  • Physical symptoms like fatigue, dizziness, and thinning hair

Causes and Risk Factors

The exact cause of anorexia nervosa is unknown and likely involves a complex interplay of genetic, biological, environmental, and psychological factors. Risk factors include:

  • Family history of eating disorders, depression, or substance abuse
  • Personality traits like perfectionism or anxiety
  • Societal pressures and media influence on body image
  • Traumatic experiences or major life changes

Treatment and Support

Treating anorexia nervosa typically requires a multi-faceted approach. Key components include:

  • Medical Monitoring: Regular health checks to monitor weight and address any medical complications.
  • Nutritional Counseling: Guidance on healthy eating habits and restoring a balanced diet.
  • Therapy: Psychological support through cognitive behavioural therapy (CBT), family therapy, and other therapeutic methods to address underlying issues and change unhealthy patterns of thinking.
  • Medication: In some cases, medications like antidepressants may be prescribed to treat co-existing mental health conditions.

Getting Help in the UK

If you or someone you know may be struggling with anorexia nervosa, it is crucial to seek professional help as early as possible. In the UK, the National Health Service (NHS) offers resources and support, including referrals to specialists in eating disorders. You can start by visiting your GP, who can provide guidance, referrals, and information about local services. For additional support, numerous charities and organizations, like Beat, offer helplines, resource centres, and community support groups.

Frequently Asked Questions

What is anorexia nervosa?

Anorexia nervosa is a serious mental health condition and eating disorder where people keep their body weight low by dieting, vomiting, using laxatives, or excessively exercising due to an intense fear of gaining weight.

What are the symptoms of anorexia nervosa?

Symptoms include problems with weight loss, distorted body image, prolonged fasting, excessive exercise, self-induced vomiting, and missing meals.

Who is affected by anorexia nervosa?

Anorexia nervosa can affect anyone, but it is most common in teenage girls and young women. It's also becoming more common in boys and men.

What causes anorexia nervosa?

The exact cause is unknown, but a combination of biological, psychological, and environmental factors, including genetics, personality traits, and societal pressures, are believed to contribute.

How is anorexia nervosa diagnosed?

Diagnosis typically involves a thorough medical history, physical examination, and may include psychological evaluation to rule out other mental health conditions.

What are the health risks associated with anorexia nervosa?

Health risks include heart problems, bone weakening (osteoporosis), anaemia, kidney issues, and in severe cases, it can be life-threatening.

How common is anorexia nervosa?

Anorexia nervosa is one of the most common eating disorders, especially among young women and teenagers.

Can anorexia nervosa be treated?

Yes, anorexia nervosa can be treated. Treatment often includes a combination of psychological therapy, nutrition education, medical monitoring, and sometimes medications.

Where can I get help for anorexia nervosa in the UK?

You can get help from your GP, mental health services, and specialist eating disorder organisations like BEAT. There are also online resources and local support groups available.

What support is available for families of those with anorexia nervosa?

Family support is critical, and many services offer family therapy, support groups, and educational resources to help families understand and cope with the condition.

Can anorexia nervosa reoccur after treatment?

Yes, there is a risk of recurrence. Continuous follow-up and support are crucial to help prevent relapse.

Is anorexia nervosa related to other mental health conditions?

Anorexia nervosa is often associated with other mental health conditions such as depression, anxiety, and obsessive-compulsive disorder (OCD).

Is hospitalization required for anorexia nervosa?

In severe cases where there's a significant health risk, hospitalization may be necessary to stabilize the individual and provide intensive treatment.

How can friends support someone with anorexia nervosa?

Friends can support by being patient, listening without judgment, encouraging them to seek professional help, and educating themselves about the disorder.

Can anorexia nervosa be prevented?

While it may not always be preventable, early intervention and promoting a healthy body image and self-esteem can help reduce the risk.

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