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A SHORT LIST OF WARNING
SIGNS
FOR EATING DISORDERS
Michael Levine, Ph.D.
- Preoccupation with weight,
food, calories, and dieting, to the extent that it consistently intrudes on
conversations and interferes with other activities.
- Excessive, rigid exercise
regimen despite weather, fatigue, illness, and injury, the need to "burn
off" calories taken in.
- Withdrawal from, or avoidance
of, numerous activities because of weight and shape concerns.
- Expressions of anxiety about
being fat which do not diminish as weight is lost.
- Evidence of self-induced
(often secretive) vomiting such as:
- bathroom smells or messes
- rushing to the bathroom
immediately after a meal and returning with bloodshot eyes
- swelling of the
submandibular glands to yield a "chipmunk" facial appearance
- Evidence (e.g. wrappers,
advertisements, coupons) of use of laxatives, diuretics, purgatives, enemas,
or emetics.
- Evidence of binge eating,
including hoarding and/or stealing food, or consumption of huge amounts of
food inconsistent with the person's weight.
- Alternating periods of
severely restrictive dieting and overeating; these phasic fluctuations may
be accompanied by dramatic weight fluctuations of 10 pounds or more.
- Inexplicable problems with
menstruation and/or fertility.
- Extreme concern about
appearance as a defining feature of self esteem, often accompanied by
dichotomous, perfectionist thinking (e.g. either I am "thin and good" or
"gross and bad").
- Paleness and complaints
(evidence) of lightheadedness or disequilibrium not accounted for by other
medical problems.
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