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Center for Health and Counseling Services

Welcome to the Center for Health & Counseling Services Online.   Our office is located in Elliott Hall on the Rutherford campus.  Our services are available to all Felician College students, staff, and faculty.

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Eating Disorders: Signs, Symptoms & How to Help

A Word About Eating Disorders

You may know someone with an eating disorder. It could be your daughter, sister, mother, relative, friend or roommate. The person may try to hide it, but the focus of her everyday life revolves - obsessively - around food and weight.  Some people try to starve themselves.  Others binge and then try to undo this through some form of purging.

Eating disorders are very serious. They have an impact on both physical and mental health. Left untreated, they can be fatal. People develop eating disorders as a way of dealing with the conflicts, pressures and stresses of life. Their eating disorder may be used as a way to express control when the rest of life seems out of control.

You Can Help!

You may know someone with anorexia, bulimia or binge eating disorder. Or you may suspect that someone has an eating disorder, but not be certain. This information is meant to help you understand that person's issues and offer suggestions for the ways in which you can help.

Once an eating disorder has been recognized it can be treated successfully. Most people with eating disorders are in denial.  People with anorexia, bulimia and/or binge eating disorder may exhibit some - though perhaps not all - of the signs and symptoms identified below. Becoming aware of these warning signs is the first step toward helping. And when you help, you can save someone's life.

What is Anorexia?

Anorexia (clinically known as anorexia nervosa) is self-imposed starvation.  It is a serious, life-threatening disorder which usually stems from underlying emotional causes. Although people with anorexia are obsessed with food, they continually deny their hunger. Women with anorexia often limit or restrict other parts of their lives besides food - relationships, social activities or pleasure. Anorexia can cause severe medical problems and even lead to death.

Warning Signs of Anorexia

Here are some of the common warning signs that indicate that a person may be suffering from anorexia. The person:

Is thin and keeps getting thinner, losing 15% or more of her ideal body weight
Continues to diet or restrict foods even though she is not overweight
Has a distorted body image - feels fat even when she is thin
Is preoccupied with food, calories, nutrition or cooking
Denies that she is hungry
Exercises obsessively
Weighs herself frequently
Complains about feeling bloated or nauseated even when she eats normal - or less than normal - amounts of food
Loses her hair or begins to experience thinning hair
Feels cold even though the temperature is normal or only slightly cool
Stops menstruating

What is Bulimia?

Bulimia (clinically known as bulimia nervosa) is the repeated cycle of out-of-control eating followed by some form of purging. Bulimia is a serious eating disorder that can be fatal.  The purging associated with bulimia may be self-induced vomiting, excessive use of laxatives or diuretics, or obsessive exercising. Women with bulimia often feel out of control in other areas of their lives besides food. They may spend money excessively, abuse drugs or alcohol, or engage in chaotic relationships.  Bulimia can have severe medical consequences including dental and esophageal problems, kidney damage, chemical imbalance and an overall loss of energy and vitality. It can even prove fatal.

Warning Signs of Bulimia

Here are some of the common warning signs that a person may be suffering from bulimia. The person:

Engage in binge eating and cannot voluntarily stop
Uses the bathroom frequently after meals
Reacts to emotional stress by overeating
Has menstrual irregularities
Has swollen glands
Experiences frequent fluctuations in weight
Cannot voluntarily stop eating
Is obsessively concerned about weight
Attempts to adhere to diets, but generally fails
Feels guilty or ashamed about eating
Feels out of control
Has depressive moods

What is Binge Eating Disorder?

Binge eating disorder is more commonly referred to as compulsive overeating and can affect women or men, though it appears twice as often among women.

People with binge eating disorder suffer from episodes of uncontrolled eating or bingeing followed by periods of guilt and depression. A binge is marked by the consumption of large amounts of food, sometimes accompanied by a pressured, "frenzied" feeling. Frequently, a compulsive overeater continues to eat even after she becomes uncomfortably full.  Binge eating can lead to severe medical problems including high cholesterol, diabetes, heart disease and depression.

Warning Signs of Binge Eating Disorder

Here are some of the common warning signs that suggest a person may be suffering from binge eating disorder. The person:

Eats large amounts of food when not physically hungry, and eats much more rapidly than normal
Often eats alone because of shame or embarrassment, has feelings of depression, disgust or guilt after eating
Eats until the point of feeling uncomfortably full
Has a history of marked weight fluctuations

Do's and Don'ts

If you are concerned about a friend, loved one, relative, or roommate who shows signs of anorexia, bulimia and/or binge eating disorder, you can help.

Here are some specific suggestions of what you can do:

DO tell her you want to help. Let her know you care. Express your concern candidly and sincerely, but without criticism or judgment.

DO be sure to pick the right time and place to discuss your concerns. Find a time and place that will be free of distractions.

DO try and get her to seek professional help as soon as possible. Suggest seeking professional help from experts who specialize in eating disorders - a therapist, dietitian or physician. If she refuses to do this, encourage her to reach out to another helping professional - a counselor, teacher, a clergy person or a school nurse.

DO learn everything you can about eating disorders.

DO be prepared to hear her deny that there is a problem. People often experience eating disorders as shameful, embarrassing and hard to acknowledge.

DO respond by saying that you are still concerned about what you've observed. Let her know that you are there to provide help and support.

DO be patient. Show caring, support and continued friendship by listening and attempting to understand her perceptions about the situation.

DO watch for signs of deteriorating physical or emotional health.

DO refuse to get caught up in battles of will or arguments with her.

DO be aware of any prejudices or preconceptions you may have about thin or fat people, and think about the way these might be interpreted by an anorexic or bulimic.

DON'T try to solve her problem or cure the eating disorder on your own. These are serious issues which require attention from experts.

DON'T make comments about her appearance (or your own). Comments about weight loss may be interpreted as a compliment and comments about weight gain may be seen as a criticism.

DON'T get involved in discussions about dieting, weight, calories consumed or particular eating habits.

DON'T compare her to other individuals. In general, avoid making flattering comments about thin people or disapproving remarks about obese people.

DON'T refer to foods as "good" or "bad." Try not to discuss food or reinforce her preoccupation with food.

DON'T try to make her eat or insist that she gain weight.

DON'T try to analyze or interpret her behavior.

DON'T agree to keep her eating disorder a secret from significant others when her health and thinking are impaired.

When & Where to Seek Help

If anyone you know (including yourself) is exhibiting the warning signs of anorexia or bulimia, it is important to seek professional counseling as soon as possible. If untreated, the disorder will become part of a destructive cycle which can continue for years and may eventually lead to death.

Additional Information

Call or stop by the Center for Health and Counseling Services on the Rutherford Campus in Elliott Hall, (201) 559-3559.  For more information about programs, call The Renfrew Center at 1-800-RENFREW.



 
 

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