{"id":1929,"date":"2026-08-11T17:47:39","date_gmt":"2026-08-11T14:17:39","guid":{"rendered":"https:\/\/drhamidyousefi.com\/anorexia-nervosa\/"},"modified":"2026-08-11T17:47:39","modified_gmt":"2026-08-11T14:17:39","slug":"anorexia-nervosa","status":"publish","type":"post","link":"https:\/\/drhamidyousefi.com\/en\/anorexia-nervosa\/","title":{"rendered":"Anorexia Nervosa"},"content":{"rendered":"<h1>Anorexia Nervosa<\/h1>\n<p><strong>(Anorexia nervosa)<\/strong><\/p>\n<h3>Information for Everyone<\/h3>\n<p>Anorexia nervosa is an eating disorder characterized by severe weight loss, an intense fear of gaining weight, and a distorted or obsessive perception of one\u2019s weight or body shape.<\/p>\n<p>It is <strong>not simply a \u201cdiet\u201d or \u201cordinary undereating\u201d<\/strong> and can be life-threatening.<\/p>\n<hr \/>\n<h2>1) Common Signs and Symptoms<\/h2>\n<p>Not all symptoms may be present in every individual, but the following patterns are common:<\/p>\n<h3>Behavioral Symptoms<\/h3>\n<ul>\n<li>Severe restriction of food intake (undereating, eliminating several food groups)<\/li>\n<li>Avoidance of \u201chigh-calorie\u201d foods<\/li>\n<li>Obsessive monitoring of weight, calorie counting, or wearing concealing clothing<\/li>\n<li>Excessive exercise or restlessness when not eating<\/li>\n<li>Episodes of binge eating and purging may sometimes occur (although different forms and patterns exist), such as the misuse of laxatives<\/li>\n<\/ul>\n<h3>Cognitive\/Emotional Symptoms<\/h3>\n<ul>\n<li>An intense fear of gaining weight, even when underweight<\/li>\n<li>A sense of self-worth that is dependent on being thin<\/li>\n<li>Denial of, or minimizing, the severity of weight loss<\/li>\n<li>Irritability, anxiety, depression, and obsessive thoughts<\/li>\n<\/ul>\n<h3>Physical Symptoms<\/h3>\n<p><em>(more common in advanced stages)<\/em><\/p>\n<ul>\n<li>Weakness, dizziness, and feeling unusually cold<\/li>\n<li>Hair loss and dry skin<\/li>\n<li>Sleep disturbances<\/li>\n<li>Absent or irregular menstrual periods<\/li>\n<li>Constipation<\/li>\n<li>Low blood pressure and a slow heart rate<\/li>\n<li>Possible anemia and electrolyte abnormalities<\/li>\n<\/ul>\n<hr \/>\n<h2>2) Why Does It Happen?<\/h2>\n<p>Anorexia nervosa usually develops through a combination of the following factors:<\/p>\n<h3>Biological<\/h3>\n<ul>\n<li>Genetic predisposition and neurological\/hormonal vulnerabilities<\/li>\n<\/ul>\n<h3>Psychological<\/h3>\n<ul>\n<li>Perfectionism, anxiety, fragile self-esteem, and difficulty regulating emotions<\/li>\n<\/ul>\n<h3>Social\/Cultural<\/h3>\n<ul>\n<li>Pressure to be thin, discrimination, appearance-based judgment, and the influence of media<\/li>\n<\/ul>\n<h3>Life Experiences<\/h3>\n<ul>\n<li>Major stressors, family or academic changes, and psychological trauma<\/li>\n<\/ul>\n<hr \/>\n<h2>3) How Is It Different from \u201cDieting\u201d or \u201cLosing Weight\u201d?<\/h2>\n<p>Dieting is usually goal-oriented, generally reversible, and involves flexible control.<\/p>\n<p>In anorexia nervosa, however, there is usually:<\/p>\n<ul>\n<li>An extremely intense fear of food and weight gain<\/li>\n<li>Eating control that becomes compulsive<\/li>\n<li>A persistent feeling of being \u201cnot thin enough\u201d even when the person is underweight<\/li>\n<li>Functional impairment affecting school, work, family life, or health<\/li>\n<\/ul>\n<hr \/>\n<h2>4) Medical Risks<\/h2>\n<p>This disorder can lead to serious complications, including:<\/p>\n<ul>\n<li>Heart problems, particularly due to electrolyte abnormalities<\/li>\n<li>Kidney and liver damage, and anemia<\/li>\n<li>Osteoporosis and decreased bone density<\/li>\n<li>Infertility and hormonal disturbances<\/li>\n<li>Risk of organ failure in severe cases<\/li>\n<\/ul>\n<p>Therefore, medical treatment and monitoring are important.<\/p>\n<hr \/>\n<h2>5) Who Is More at Risk?<\/h2>\n<p>Overall, anorexia nervosa can occur at any age, but:<\/p>\n<ul>\n<li>It is more common during adolescence and young adulthood<\/li>\n<li>It also occurs in men, although it may be underdiagnosed<\/li>\n<li>The likelihood may be higher in people with underlying anxiety or depression<\/li>\n<\/ul>\n<hr \/>\n<h2>6) How Is It Treated?<\/h2>\n<p>Treatment is usually comprehensive and is best provided by a specialized multidisciplinary team.<\/p>\n<h3>A) Medical Assessment<\/h3>\n<ul>\n<li>Checking vital signs and conducting laboratory tests (electrolytes, thyroid function, CBC, etc.)<\/li>\n<li>Preventing cardiac complications and complications related to malnutrition<\/li>\n<\/ul>\n<h3>B) Psychotherapy<\/h3>\n<ul>\n<li>Family-based treatment (particularly for adolescents)<\/li>\n<li>Cognitive behavioral therapy for eating disorders<\/li>\n<li>Support in developing skills for managing anxiety and emotions<\/li>\n<\/ul>\n<h3>C) Nutrition and Nutritional Rehabilitation<\/h3>\n<ul>\n<li>Planning a gradual and safe increase in calorie intake<\/li>\n<li>Correcting problematic eating patterns and addressing fear of food<\/li>\n<\/ul>\n<h3>D) Medication<\/h3>\n<p>Medication is not routinely a substitute for nutritional rehabilitation and psychotherapy.<\/p>\n<p>However, medication may be prescribed for anxiety, depression, obsessive-compulsive symptoms, or other associated symptoms, under a physician\u2019s supervision.<\/p>\n<blockquote><p><strong>Important:<\/strong><br \/>\nWeight restoration in anorexia nervosa should be carried out carefully and under professional supervision because rapid nutritional rehabilitation can lead to a dangerous complication known as <strong>refeeding syndrome<\/strong>.<\/p><\/blockquote>\n<hr \/>\n<h2>7) If You Are Concerned About Someone, What Can You Do?<\/h2>\n<h3>Helpful Actions<\/h3>\n<ul>\n<li>Express your concern respectfully:\n<p><strong>\u201cI\u2019m worried about your health.\u201d<\/strong><\/li>\n<li>Encourage the person to see a physician or psychiatrist<\/li>\n<li>Provide practical support:\n<ul>\n<li>Accompanying them to appointments<\/li>\n<li>Helping them find appropriate treatment<\/li>\n<\/ul>\n<\/li>\n<li>Focus on their <strong>mental well-being and overall health<\/strong>, rather than weight alone<\/li>\n<\/ul>\n<h3>Unhelpful Actions<\/h3>\n<ul>\n<li>Arguing about calories or weight<\/li>\n<li>Humiliating the person or making them feel ashamed<\/li>\n<li>Giving simplistic advice such as, <strong>\u201cJust stop it and use your willpower.\u201d<\/strong><\/li>\n<li>Strictly controlling their food intake without professional treatment<\/li>\n<\/ul>\n<hr \/>\n<h2>8) Warning Signs That Require Immediate Action (Emergency)<\/h2>\n<p>If a person has any of the following symptoms, they should seek immediate medical or emergency care:<\/p>\n<ul>\n<li>Fainting, severe dizziness, or extreme weakness<\/li>\n<li>A very slow or irregular heartbeat, shortness of breath, or chest pain<\/li>\n<li>Repeated vomiting or inability to eat or drink<\/li>\n<li>Confusion or severe drowsiness<\/li>\n<li>Rapid weight loss or obvious signs of severe malnutrition<\/li>\n<li>Suicidal thoughts or thoughts of self-harm<\/li>\n<\/ul>\n<hr \/>\n<h3>Mental Health<\/h3>\n<p>Information and materials related to psychology and psychiatry are shared here.<\/p>\n<p><strong>\ud83c\udd94 Channel:<\/strong><br \/>\n<a href=\"https:\/\/ble.ir\/jamehvasalamtravan?utm_source=chatgpt.com\">https:\/\/ble.ir\/jamehvasalamtravan<\/a><\/p>\n<hr \/>\n<h3>Dr. Hamid Yousefi\u2019s Website<\/h3>\n<p><strong>Psychiatrist<\/strong><\/p>\n<p><a href=\"https:\/\/www.drhamidyousefi.com\/?utm_source=chatgpt.com\">https:\/\/www.drhamidyousefi.com\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Anorexia Nervosa (Anorexia nervosa) Information for Everyone Anorexia nervosa is an eating disorder characterized by severe weight loss, an intense &#8230; <a class=\"cz_readmore\" href=\"https:\/\/drhamidyousefi.com\/en\/anorexia-nervosa\/\"><i class=\"fa fa-angle-left\" 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