A guide to eating disorders in young people

In this article, written with the help of AI, leading consultant child and adult psychiatrist Dr Jon Goldin goes into expert detail about eating disorders in young people. He answers common questions and sheds light on effective treatments.

What are eating disorders?

Eating disorders are serious mental health conditions that can significantly impact both mental and physical well-being. They can affect anyone, regardless of:

• body shape;
• lifestyle;
• gender;
• culture;
• age, or;
• ethnicity.

Often, young people with eating disorders are also dealing with other mental health issues such as anxiety, depression or low self-esteem.

What are the different types of eating disorders?

Anorexia nervosa

Anorexia nervosa is characterised by an extreme fear of gaining weight. Individuals with this disorder often perceive themselves as overweight, even when they are significantly underweight.

Behaviours include:

• Restricting food intake
• Excessive exercise, and;
• An obsession with body weight and shape.

Treatment:

A combination of medical, nutritional, and psychological support is essential for anorexia. Weight restoration, cognitive-behavioural therapy (CBT) and family-based therapy are common approaches.

Bulimia nervosa

Bulimia nervosa involves recurrent episodes of binge eating followed by compensatory behaviours (e.g., vomiting, laxative use).

Behaviours include:

• Bingeing;
• Purging

Emotions:

• Intense guilt or shame.

Treatment:

CBT, interpersonal therapy and nutritional counselling are effective. Addressing underlying emotional issues is crucial.

Binge-eating disorder

Description

Binge-eating disorder is characterised by frequent episodes of overeating without compensatory behaviours.

Behaviours include

• Consuming large quantities of food rapidly;
• feeling out of control during binges.

Treatment

CBT, self-help strategies and addressing emotional triggers.

What are the signs and symptoms of eating disorders in young people?

Recognising the signs of an eating disorder in young people is crucial for early intervention. Look out for:

• Significant weight loss;
• Obsession with food, calories, and body image;
• Avoidance of social situations involving food;
• Excessive exercise;
• Changes in mood and behaviour.

How can I seek help for a young person with an eating disorder?

If you suspect your child may have an eating disorder, seek professional help as soon as possible. Early intervention improves outcomes. Here’s what you can do:

Consult a GP: Start by discussing your concerns with your child’s general practitioner.

Specialist referral: Your GP may refer you to a specialist, such as a child and adolescent psychiatrist or paediatrician.

Therapeutic approaches: Evidence-based treatments include CBT, family therapy and nutritional counselling.

Support network: Involve family members and create a supportive environment.

How can parents of young people with an eating disorder utilise self-care? 

Caring for a child with an eating disorder can be emotionally challenging. Remember to:

Educate yourself: Learn about eating disorders and available treatments.

Seek support: Connect with other parents facing similar challenges.

Take care of your own well-being: Maintain a healthy balance between caregiving and self-care.

Eating disorders are complex, but with timely intervention and a compassionate approach, young people can recover. If you suspect an eating disorder, don’t hesitate to seek professional guidance. Remember, you’re not alone, and there is hope for recovery.

If you’re concerned about a young person with an eating disorder, arrange a consultation with Dr Jon Goldin via his Top Doctors profile.