How to Identify If Your Child is Struggling with an Eating Disorder

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Eating disorders among children and adolescents are increasingly prevalent. Research indicates that about 10% of young women may experience an eating disorder, and I was among them. My journey began at 13 when I started scrutinizing my body. By 14, I had developed an obsession with exercise, constantly doing push-ups and crunches. I could feel the imprints on my back from the unvacuumed carpet beneath me. By 15, my relationship with food turned restrictive, limiting myself to just 800 calories or one meal per day. Though I never reached the extremes of anorexia or bulimia — my diagnosis was EDNOS (Eating Disorder Not Otherwise Specified) — the disorder had a profound impact on my life. However, my parents were unaware of my struggles, as the signs of eating disorders in youth are not always apparent.

Many people mistakenly believe that weight loss is the primary indicator of an eating disorder. In reality, as Erin Brooks, a clinical psychologist and chief clinical officer at Equip, points out, it is often the lack of expected weight gain that signals an issue. For instance, a 15-year-old should typically weigh more than they did at 13. A child who drops off their growth curve may be dealing with an eating disorder.

What Are the Types of Eating Disorders?

There are five clinically recognized eating disorders: anorexia nervosa, bulimia nervosa, muscle dysmorphia, binge eating disorder (BED), and other specified feeding and eating disorders (OSFED). However, numerous unofficial conditions exist. For example, compulsive overeating refers to those who consume large amounts of food throughout the day. Orthorexia nervosa describes an unhealthy fixation on creating the perfect diet, while pregorexia pertains to food restriction during pregnancy.

What Leads to Eating Disorders?

No single factor causes eating disorders; rather, they arise from a combination of environmental influences, genetics, and personal circumstances. Common traits among those with eating disorders include low self-esteem and poor body image. Participation in sports or activities focused on weight can increase vulnerability, and early dieting often sets the stage for unhealthy habits.

Common Indicators of Eating Disorders in Children and Teens

The symptoms of eating disorders can vary significantly, but many display similar signs. According to nutritionist Sara Lane at Change Creates Change Eating Disorder Care, your child may be struggling if they exhibit the following behaviors:

  • Distress during mealtimes or a fixation on food
  • Excessive exercise or avoidance of certain foods
  • Preference for “low-fat” options or slow eating
  • Avoidance of previously enjoyed foods
  • Frequent discussions about weight or dieting
  • Wearing oversized clothing or weather-inappropriate attire
  • Negative self-talk about their appearance
  • Skipping meals or isolating during family meals
  • Hiding food wrappers or missing food
  • Mood swings, anxiety, or sleep disturbances
  • Physical symptoms like stomach pain or dizziness

More serious manifestations can include significant weight loss, digestive issues, and decreased immune function.

What Steps Can You Take If You Suspect an Eating Disorder?

If you suspect your child is grappling with an eating disorder or negative body image, know that there is help available. Recovery is achievable. Nutritionist Anna Fields emphasizes the importance of open communication: approach your child with care and calmly discuss your concerns. Consult with a healthcare professional, therapist, and dietitian who specialize in eating disorders to form a supportive recovery team.

Fostering a positive home environment is also crucial. Brooks suggests modeling healthy eating behaviors by sharing meals together and maintaining an inclusive view of all foods. Additionally, understanding societal pressures surrounding body image can empower you and your child to navigate challenges more effectively. For further insights, check out this blog post on our site.

Conclusion

Recognizing the signs of eating disorders in children can be challenging, but open communication and a nurturing environment can pave the way to recovery.

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