What are Eating Disorders?

 

Eating disorders are serious mental health conditions in which many thoughts and behaviors revolve around food, body shape, and weight. Those affected often experience a profoundly disturbed relationship with their own body and with eating. They frequently begin in adolescence or young adulthood and predominantly affect girls and women—but boys and men can also develop eating disorders. These illnesses impact both body and mind and can lead to severe consequences. Early recognition and professional help are therefore essential.

 

Typical Signs of an Eating Disorder:

  • Strong controlling behaviors around food (e.g., calorie counting, avoiding specific foods)

  • Binge eating or eating in secret

  • Intense fear of gaining weight

  • Dissatisfaction with one’s body or self-devaluation

  • Withdrawal from family and friends

  • Significant emotional distress

 

Main Types of Eating Disorders

Anorexia (Anorexia nervosa)

Severely low body weight due to intentional weight loss, for example through starvation, self-induced vomiting, or excessive exercise. Despite being underweight, individuals often perceive themselves as “too fat.”

Bulimia (Bulimia nervosa)

Recurrent binge-eating episodes followed by compensatory behaviors such as vomiting, fasting, or misuse of laxatives. Often accompanied by feelings of guilt and shame.

Binge Eating Disorder

Recurrent binge-eating episodes without compensatory measures. Individuals feel a loss of control over eating and experience considerable distress. Many are overweight.

 

Possible Consequences

Eating disorders can put extreme strain on the body, including:

  • Muscle wasting, hair loss, heart problems, menstrual irregularities

  • Dental damage, gastrointestinal problems, hormonal changes

  • Depression, anxiety, and social withdrawal

 

Treatment and Support

Eating disorders are treatable—the earlier, the better!

Psychotherapy is the central component of treatment. Additional supportive measures may include:

  • Nutritional counseling

  • Physical activity and relaxation techniques

  • Self-help groups or digital support programs

Depending on severity, treatment may be provided on an outpatient, day-patient, or inpatient basis.

 

Good to Know

➡ Relapses can be part of the recovery process.

➡ Participation in a self-help group can be very relieving.

➡ If the therapeutic fit is not right at first: stay engaged and communicate openly.

 

For more information: https://register.awmf.org/assets/guidelines/051_D-Ges_Psychosom_Med_u_aerztliche_Psychotherapie/051-026ki_S3_Essstoerung-Diagnostik-Therapie_2021-02.pdf