Anorexia—Self-Starvation

Anorexia sufferers, anorexics, either refuse to eat or eat in such small amounts that they become malnourished. Consider 17-year-old Antoinette, who says that at one point her weight may have dropped to 82 pounds [37 kg]—very low for a teenager five feet seven inches [170 cm] tall. “I ate no more than 250 calories a day and kept a notebook about what I ate,” she says.

Anorexics are obsessed with food, and they will go to extreme lengths to avoid gaining weight. “I started to spit my food out in a napkin pretending I was wiping my mouth,” says Heather. Susan strenuously exercised to keep her weight down. “Virtually every day,” she says, “I ran eight miles [12 km], or swam for an hour, or felt terribly anxious and guilty. And every morning I got my greatest pleasure, usually my only real pleasure, by getting on the scale to confirm that my weight was well under 100 pounds [45 kg].”

Ironically, some anorexics become excellent cooks and will serve exquisite dinners that they themselves refuse to touch. “When I was at my very worst,” says Antoinette, “I prepared every single dinner at home and made all the brown-bag lunches for my little brother and sister. I wouldn’t let them near the refrigerator. I felt like the kitchen was all mine.”

According to the book A Parent’s Guide to Anorexia and Bulimia, some anorexics “become obsessively neat and may demand that the entire family meet their unrealistically fastidious standards. No magazine or pair of slippers or coffee cup may be left out of place for a moment. They may become equally, or even more, obsessed with personal hygiene and appearance, spending hours in the bathroom with the door locked and refusing to allow others to come in to get ready for school or work.”

How does this unusual disorder called anorexia develop? Typically, a teenager or young adult—most often a female—sets out to lose a certain number of pounds. When she reaches her goal, however, she is not satisfied. Looking in the mirror, she still sees herself as fat, and so she decides that shedding a few more pounds would be even better. This cycle continues until the dieter’s weight falls to 15 percent or more below what is normal for her height.

At this point friends and family members begin to express their concern that the dieter looks extremely thin, even emaciated. But the anorexic sees things differently. “I didn’t think I looked skinny,” says Alan, a five-foot-nine-inch [175 cm] male anorexic whose weight at one point dwindled to 72 pounds [33 kg]. “The more weight you lose,” he says, “the more your mind becomes distorted and you can’t see yourself clearly.”a

Over time, anorexia can lead to serious health problems, including osteoporosis and kidney damage. It can even be fatal. “My doctor told me that I had deprived my body of so many nutrients that two more months of my eating habits, and I would have died of malnutrition,” says Heather. The Harvard Mental Health Letter reports that over a ten-year period, about 5 percent of women diagnosed as anorexic die.