Anorexia nervosa

It can be particularly difficult to accept that you have an eating disorder, and seeking assistance can be a confusing and very daunting experience. At Priory, we understand that this can be a very challenging time for you and those who are closest to you.

What is anorexia nervosa?

Anorexia nervosa is an eating disorder in which you starve yourself, often becoming dangerously thin. It is associated with immoderate restriction and irrational fear of gaining weight, alongside a distorted body self-perception. Anorexia affects both men and women, at any age, but it's most common in young women between the ages of 14 and 25.

Causes of anorexia

There are many reported causes of anorexia but they can be broadly divided into two categories - biological causes and environmental causes. Biological causes of anorexia include:

  • Genetics and your family's attitude towards food
  • Depression
  • Anxiety
  • Low self-esteem
  • Loneliness
  • Emotional distress

Environmental causes of anorexia include an eagerness to please, fearing failure, a difficult experience such as the death of a loved one, being abused, a family upheaval or starting college/university.

The symptoms of anorexia nervosa

Not everyone will have the same symptoms, but the most common are:

  • Severe or significant weight loss
  • Limiting the amount that you eat and drink
  • Exercising more than normal in an attempt to burn off the calories that you have eaten
  • Focusing on food to try to cope with and bring a sense of control to your life
  • Strong feelings of 'fatness'
  • Loss of menstrual periods and sexual feelings

Over time, you may develop physical and psychological side effects including:

  • Infertility in women
  • Brittle bones
  • Heart and kidney problems
  • Extreme tiredness and exhaustion due to starvation
  • Chemical changes in your brain, making rational decisions difficult
  • Depression, anxiety and suicidal thoughts
  • Feelings of self-harm and suicide

The long-term effects of anorexia are severe, and can even be fatal, with 10% to 20% of sufferers dying from anorexia and its effects. Fortunately, with regular nourishment and anorexia treatment, many effects are reduced.

Treatment of anorexia nervosa

Recovery from anorexia requires specialist help to treat both the psychological causes and its physical effects. Contacting your GP is the most important step to take, in order to receive help and anorexia treatment. He or she may offer you counselling or dietary counselling, or refer you to a specialist for further assessment. This may lead to outpatient treatment or, if your condition is more serious, day or inpatient treatment.

Family and friends can also help through their support and care. It is particularly helpful for relatives to understand that your eating problems are your way of coping with emotional difficulties and that you may have mixed feelings about changing your eating pattern. If you're dangerously thin, you will need to gain weight with the help of a dietary plan designed to restore your physical health and a normal eating pattern.

How Priory can help

With a large network of eating disorder facilities across the UK, our experienced professionals are committed to treating and helping individuals with a unique and varied approach. We provide an extensive range of therapy groups helping to provide you with the therapeutic treatment that is best suited to your needs.

The therapies used to treat anorexia include dietary counselling, psychotherapy, family therapy and cognitive behavioural therapy (CBT). CBT has become more popular over the past few years and can reduce symptoms by identifying, challenging and changing unhelpful thinking patterns that create unpleasant feelings and dieting behaviours.

The type and length of anorexia treatment is dependent on the individual's circumstances and the severity of the condition. Some people are treated as outpatients, which means that they attend Priory for hourly sessions with their consultant, psychologist or therapist. Others require a more structured anorexia treatment approach which can include staying as an inpatient at one of our Priory hospitals for the duration of their treatment, where they take part in the psychological group programme as well as regular sessions with their consultant.

We can offer you professional advice and treatment suitable to your needs and personal experience. Eating disorders are treatable and over the years we have helped thousands of people to create the necessary changes, enabling them to challenge their eating disorder and move forward to lead fulfilling lives.

Anorexia nervosa outpatient package

Priory also provides a tailored 1:1 outpatient therapy package for anorexia nervosa. Our packages offer certainty of price for a set amount of 1:1 therapy sessions, including discounted rates. The amount of sessions that we recommend within each package is based on national guidelines.

How does anorexia affect family life?

Anorexia affects the whole family. Loved ones often find it hard to understand that an eating disorder is actually about feelings and coping, rather than food. This can lead to misunderstandings and arguments, particularly at meal times.

Can I recover from anorexia?

Even after many years with the illness, you can recover and go on to live a full life.  But you must want to recover and understand that it can take years, possibly with some relapses to begin with.

Will I have to go into hospital?

When you lose a great deal of weight, the effects of starvation can affect your ability to think clearly and you will become more and more at risk. In extreme circumstances, if your life or health is at serious risk, you may have to go to hospital.

Body mass index (BMI) is a helpful way to assess a healthy weight and is a useful guide to both risk and recovery in adults.  It is less useful in children. A healthy BMI for an adult is between 20 and 25. If your BMI is less than 17.5 and you do not suffer from a physical illness that causes weight loss, then it is likely that you are suffering from anorexia.

We work out your BMI by taking your weight (in kilograms), and then dividing it by your height (in metres) squared. The lower your BMI, the more likely it is that you will need to go into hospital.

For further details on how Priory can provide you with further assistance regarding Anorexia nervosa, please call 0800 840 3219. For professionals looking to make a referral, please click here