Work. School. Soccer practice. Computer club. Church committee meetings. Does any of this sound familiar? You understand the breathtakingly full life of a busy family — because you're living it. But amid the hustle, some things are priorities, and mealtime is one of them. As often as you can, you make sure that your family sits down for dinner together. And that's where the mystery starts. Lately, your 14-year-old daughter has been disappearing into the bathroom after dinner. She's also completely obsessed with her weight and the teeny-tiny jeans she just bought. At first you chalked it up to "normal teenage stuff," but now you're not so sure.
You're worried that she may have an eating disorder, but you don't want to blow things out of proportion. If you find yourself in a similar situation, you're not alone. The National Association of Anorexia Nervosa and Associated Disorders (ANAD) reports that over 8 million people suffer from an eating disorder in the United States alone. And that means that their families suffer along with them.
How can you tell?
Early detection of an eating disorder may spare a teenager years of significant misery and disruption in his or her life. Take a moment and think about your teenager's behavior and the following signs of a possible eating disorder:
- Preoccupation with weight, food, calories and dieting
- Exercise is an excessive, rigid activity despite fatigue, illness, injury or weather
- Constant complaints about being fat in spite of normal or thin appearance
- Frequent comparison of body image/diet with others
- Unnatural facial hair growth in girls due to malnutrition
- Withdrawal from activities because of weight and shape concerns
- Anxiety about being fat which does not diminish with weight loss
- Evidence of self-induced vomiting
- Messes and smells in the bathroom
- Disappearing to the bathroom after meals
- Swelling of the glands near the ear which creates a "chipmunk" appearance (caused by inflammation of the saliva glands)
- Evidence of the use of laxatives, diuretics, diet pills, enemas (such as: wrappers, coupons or advertisements)
- Consumption of large amounts of food inconsistent with the person's weight
- Hoarding or stealing food
- Alternating periods of restrictive dieting and overeating sometimes accompanied by dramatic weight gain or loss
- Cessation or erratic menstrual cycles
- Obsession with appearance as a definition of self which is often accompanied by perfectionist thinking
- Fainting, lightheadedness or dizziness not explained by any other medical problem
- Unusual redness and puffiness around the eyes caused by purging, binge eating and overeating
- Poor dental hygiene, bad breath, dryness of the mouth area and cracked lips, caused by purging and dehydration
- Abnormal sleeping patterns
- Refusal to eat meals with family
- Food rituals (such as eating food in rigid sequence, foods cannot touch each other, eating a very limited variety of foods, cutting food into small pieces, blotting foods with napkins to remove fat)
If you suspect your teen is showing signs of an eating disorder, don't delay. Consult with a qualified professional and get your teen the help he or she needs for the diagnostic and recovery process.