Eating Disorder Warning Signs

Weight loss: extreme thinness or loss of 15 or more lbs. in 2-3 months, is exhilarated by weight loss

Intense fear of being overweight: preoccupied with thinness, wants to be thinner than peers, complains of being overweight when not, obsessed with clothing size, scales, and mirrors

Preoccupation with dieting and food: uses diet products, talks constantly about food, calories, fat grams, reads a lot about nutrition, dieting, and exercise

Skips meals, eats very little, finicky about food, appears to eat when not— e.g., pushes food around on a plate but does not eat it

Unusual eating habits: eats one thing at a time, eats the same thing every day, cuts food into tiny pieces, fears touching certain foods, sudden vegetarianism, refuses to eat with others

Bathroom breaks: disappears into the bathroom during or after meals—may suggest vomiting to purge calories

Taking up smoking: especially for someone who would not be expected to smoke

Caffeine use: excessive drinking of diet caffeinated beverages or regular coffee without sugar

Evidence of binge-eating: A lot of empty food packages may suggest bingeing

Empty laxative packages: herbal or otherwise, may suggest purging

Onset of hyperactivity: constantly fidgets, lots of exercise

Loss of menstrual period: irregular, minimal, or absent menses

Intolerance of cold: shivering, blue skin or fingers

Wears baggy clothes or long sleeves, pants, and coats during summer months—used to hide excessive thinness, may indicate body image problems

Skin & hair problems: pasty-looking skin, very thin and dry hair, hair loss, and fine hair growth on the face and arms like a baby—all indicate malnourishment

Swollen salivary glands: distended, “chipmunk cheeks”

Broken blood vessels in the eyes

Change in mood: anxiety, depression, irritability, increased obsessions and compulsions

Social withdrawal: isolates from peers and family; unwilling to eat with other people

Perfectionism & low self-esteem: expects too much of self and sees self as not good enough