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Dr. Mukesh Chand Daderwal

Consultant - Psychiatry

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Dr. Mukesh Chand Daderwal

Consultant - Psychiatry

Manipal Hospitals, Jaipur

Anorexia Nervosa: Symptoms, Causes, and Effective Treatment Options

Posted On: Apr 28, 2025
blogs read 6 Min Read
Anorexia Nervosa: Symptoms, Causes, and Effective Treatment Options

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In a world obsessed with appearance, where filters blur reality and diet culture reigns supreme, the desire to be "thin enough" can silently evolve into a life-threatening obsession. Behind curated Instagram feeds and smiles in the mirror, many are fighting a hidden battle with food, control, and self-worth. One of the most dangerous and misunderstood of these struggles is anorexia nervosa.

This is not merely about skipping meals or wanting to fit into a smaller dress size. Anorexia nervosa is a serious mental and physical illness that creeps in quietly and takes over fiercely, distorting perception, draining vitality, and threatening lives. Despite being highly visible in its physical form, it often goes unnoticed until the damage runs deep.

Let’s take a closer look at what anorexia nervosa truly is, how to recognise its symptoms, understand its causes, and most importantly, explore the paths to healing through proven treatment methods.

 

What is Anorexia Nervosa?

Anorexia nervosa is a type of eating disorder characterised by an intense fear of gaining weight, a distorted body image, and a relentless pursuit of thinness. People suffering from this condition drastically restrict their food intake, often to the point of starvation. While it's commonly associated with teenage girls and young women, anorexia nervosa can affect anyone, regardless of age, gender, or background.

What sets this illness apart is the disconnect between perception and reality. Someone who is dangerously underweight may still view themselves as overweight, leading them to continue restricting food even when their health is in jeopardy.

Anorexia Nervosa: Symptoms, Causes, and Effective Treatment Options

Anorexia Nervosa Symptoms

Understanding the anorexia nervosa symptoms can help in early detection, which is critical for successful recovery. These symptoms can manifest physically, emotionally, and behaviorally.

Physical Symptoms:

  • Noticeable weight loss and emaciation

  • Fatigue, dizziness, and fainting spells

  • Dry skin, hair thinning, and brittle nails

  • Cold hands and feet, even in warm temperatures

  • Irregular heartbeat or low blood pressure

  • Disruption in menstrual cycles (or loss of menstruation)

  • Digestive issues like constipation or bloating

Emotional and Behavioural Symptoms:

  • Preoccupation with food, calories, and dieting

  • Fear of gaining weight despite being underweight

  • Refusal to maintain a healthy body weight

  • Denial about the severity of weight loss

  • Obsessive weighing, mirror-checking, or body comparisons

  • Avoidance of meals or social situations involving food

  • Excessive or compulsive exercising

Not everyone will display all these anorexia nervosa symptoms, but even a few are reason enough to take action.

Causes of Anorexia Nervosa

Category

Details

Biological Factors

  • Genetic predisposition in families with a history of eating disorders

  • Imbalances in brain chemicals like serotonin that regulate mood and appetite

Psychological Factors

  • Low self-esteem or feelings of inadequacy

  • Perfectionist or obsessive personality traits

  • Emotional trauma or unresolved stress

Sociocultural Influences

  • Societal pressure to be thin and idealised media body standards

  • Influence from peers or social circles valuing thinness

  • Professions that emphasise weight (e.g., modelling, sports)

Anorexia Nervosa Treatment

Recovery from anorexia nervosa is possible with the right combination of medical, nutritional, and psychological care. The earlier the intervention, the better the prognosis.

1. Medical Stabilisation and Nutritional Support

The first step in anorexia nervosa treatment is to address life-threatening complications caused by starvation, including heart irregularities, electrolyte imbalances, or organ failure. In severe cases, hospitalisation may be required.

Once stabilised, the focus shifts to:

  • Reintroducing balanced nutrition gradually

  • Monitoring weight gain and vitals

  • Educating the patient on the importance of proper nourishment

A registered dietitian plays a key role in restoring healthy eating habits and designing a sustainable meal plan.

2. Psychotherapy

Mental health treatment is the cornerstone of long-term recovery. Several therapeutic approaches can be used based on age, severity, and personal needs.

a. Cognitive Behavioural Therapy (CBT):

CBT targets the distorted beliefs that fuel the disorder. It helps the individual challenge thoughts like "I’m only valuable if I’m thin" and develop healthier coping strategies.

b. Family-Based Therapy (FBT):

FBT is often used for adolescents. It empowers families to take charge of refeeding and provides tools to support the child through recovery.

c. Individual and Group Therapy:

Talking through fears, developing self-awareness, and connecting with others going through similar struggles can reinforce recovery and reduce isolation.

3. Medication

Although there’s no specific drug that cures anorexia nervosa, medications like antidepressants or antipsychotics can be used to treat co-occurring conditions like depression, anxiety, or obsessive-compulsive tendencies.

4. Holistic and Long-Term Support

Recovery doesn’t end with weight restoration. Long-term anorexia nervosa treatment includes relapse prevention, lifestyle counselling, body positivity training, and mindfulness practices. Many people benefit from ongoing support groups or therapy sessions well into the future.

Supporting a Loved One with Anorexia Nervosa

Watching someone battle anorexia nervosa can be painful and frustrating. You may feel helpless or unsure of what to say. Here are a few ways to help:

  • Be patient, not pushy: Recovery takes time. Avoid pressuring the person to “just eat.”

  • Avoid talking about appearance: Instead of commenting on weight, talk about their strength, courage, or personality.

  • Listen without judgment: Sometimes the most powerful support is simply being present.

  • Encourage professional help: Gently guide them toward treatment and offer to assist with appointments.

Your support can be a vital part of their healing journey.

Final Thoughts

Anorexia nervosa is not a choice—it’s an illness. One that can steal health, joy, and even life. But with awareness, compassion, and professional care, recovery is entirely possible. Recognising the anorexia nervosa symptoms, understanding its roots, and choosing the right anorexia nervosa treatment approach can pave the way toward healing.

If you or a loved one is battling an eating disorder, don’t wait. Consult an expert psychiatrist at Manipal Hospitals Jaipur and take the first step toward a healthier, happier life.

FAQ's

Anorexia nervosa is a serious mental health condition where a person restricts food intake due to an intense fear of gaining weight, even when underweight. Dieting, on the other hand, is usually temporary and health-motivated. With anorexia, the restriction becomes obsessive, harmful, and often life-threatening.

Yes, although anorexia nervosa is more common in females, it can affect people of any gender. The signs may be less recognized in men, but the psychological and physical impact is just as serious.

Approach with empathy, not judgment. Express concern about their well-being rather than focusing on appearance or weight. Encourage open conversation and suggest seeking professional help, like the expert care available at Manipal Hospitals Jaipur.

Yes, with early detection, a strong support system, and the right combination of medical, nutritional, and psychological treatment, individuals can fully recover. Recovery is a journey, but it is achievable.

If you're in Rajasthan and seeking expert, compassionate care, Manipal Hospitals Jaipur offers comprehensive treatment for eating disorders. Their multidisciplinary approach ensures that both physical and mental health are addressed with the utmost care and professionalism.

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