Eating Disorders and Your Teen

Eating disorders are a big concern for teenagers. In fact, the incidence of anorexia and bulimia peaks at age 16 to 20. Eating disorders often include compulsive and unhealthy reductions in food intake, severe overeating and an overall obsession with body shape and weight. Exercising too intensely or too often to maintain a sense of control and lose weight is also closely linked to eating disorders. Anorexia (self-starvation) and bulimia (overeating and then purging) are the two major eating disorders.

But concerns about body image and adopting unhealthy weight-management strategies are common even among students who are at their normal, healthy weight. It is estimated that half of girls between ages 11 and 13 see themselves as overweight, and 80 percent of 13-year-olds have tried to lose weight. And most girls at this age, even if they're happy with the way they look, have probably fallen into the trap of comparing themselves to others. Images of the female body on television, film, billboards and fashion magazines hype the idea that thin is in, leaving many girls with unrealistic expectations of what they should look like.

But being too thin can have dangerous, potentially life-threatening consequences (an estimated one in 10 women with an eating disorder will eventually die of starvation). Problems with eating can take a physical and emotional toll and often lead to social isolation and poor academic performance. So if you're concerned that your teen or someone you know struggles with food and/or weight issues, be sure to read on and seek professional help.

Watch for the Warning Signs
Because the pressures and competitive nature of college life and athletics can contribute to eating problems in some women, it's important to watch for warning signs.

Women who struggle with these disorders tend to have a distorted sense of body image, low self-esteem and unresolved interpersonal conflicts that may contribute to an unhealthy preoccupation with food and weight. They may also become overly obsessed with exercise and burning calories. Some develop rituals around eating (e.g., avoiding certain foods, eating unusually small portions) or perhaps choose not to eat in front of people.