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How to spot body-image disorders and where to go for help
Dec. 3, 2001

For more information on body dysmorphia disorder and eating disorders, contact:

National Association of Anorexia Nervosa and Associated Disorders (847) 831-3438, (www.anad.org)

American Anorexia Bulimia Association (212) 575-6200, (www.aabainc.org/ home.html)

Eating Disorders Awareness and Prevention Inc. (800) 931-2237, (www.edap.org)

National Alliance for the Mentally Ill (800) 950-6264, (www.nami.org)

Mental Health Net (mentalhelp.net/guide/eating.htm)

Knight Ridder Newspapers

Serious body-image problems and eating disorders are best treated when diagnosed in the early stages. Here’s what to look for in men and boys:

Muscle dysmorphia: Man believes body is not sufficiently lean and muscular. A man must have at least two of these symptoms:

Gives up important social, work or leisure activities because of compulsive need to maintain workout and diet schedule.

Avoids situations when body is exposed to others, or endures those situations with stress or anxiety.

Experiences significant distress or is unable to function day to day because of preoccupation with inadequacy of body size or musculature.

Continues to work out, diet, use performance-enhancing substances despite knowledge of adverse effects.

———

Anorexia nervosa: Eating disorder marked by extreme dieting and starvation.

Is underweight and refuses to reach appropriate body weight for height and age.

Has intense fear of gaining weight even though underweight.

Denies seriousness of underweight problem, and self-evaluation is affected tremendously by weight and shape.

———

Bulimia nervosa: Eating disorder marked by binge eating and practices to get rid of the consumed food.

Has recurring episodes of eating larger-than-normal amounts of food and feels lack of control while binge eating.

Has recurring compensatory behaviors to prevent weight gain, such as self-induced vomiting; misuse of laxatives, diuretics, enemas and other medications; fasting and excessive exercising.

Is influenced tremendously by body shape and weight.

Binge eating: Disorder marked by eating abnormally large amounts of food and lack of control while overeating.

Eats more rapidly than normal.

Eats until feeling uncomfortably full.

Eats large amounts of food when not hungry.

Eats alone because he feels embarrassed about amount of food consumed.

Feels distressed, depressed, very guilty or disgusted with himself because of eating behavior.

———

Source: American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders

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