When an individual refuses to consume the necessary amount of food and drink to maintain a healthy body weight, has a distorted body image, and an intense fear of gaining weight, they are likely suffering from anorexia. Anorexia is an extremely dangerous eating disorder that can lead to dehydration, low blood pressure, loss of bone density, and fainting, among other consequences. Fortunately, you can combat anorexia by combining the right physical, psychological, and social therapies.
Steps
Addressing Your Physical Needs

Seek emergency treatment if necessary. Anorexia can cause severe, life-threatening issues. If you require urgent care, the first thing you must do is go to the emergency room.
- Seek emergency help if you experience irregular heartbeats, dehydration, or electrolyte imbalances.
- Symptoms of electrolyte imbalance include weakness, muscle cramps, confusion, rapid heartbeat, lethargy, and seizures.
- If you feel suicidal or want to harm yourself, seek emergency care immediately.
- Depending on the severity, doctors may hospitalize you for treatment. In less severe cases, you may be sent home for outpatient care.

Consult a licensed nutritionist. This professional plays a crucial role in your recovery journey. A nutritionist can determine how much weight you need to gain and recommend the best foods to provide the calories and nutrients essential for improving your health.
- The nutritionist will collaborate with you to create a customized weekly meal plan. These meals will ensure you receive the necessary calories while maintaining nutritional balance.
- They may also suggest vitamin and mineral supplements. These supplements are not a replacement for food but are used to quickly address any nutrient deficiencies.

Restore a healthy weight. Whether or not complications arise, you must work toward achieving a normal, healthy weight based on your height, gender, and age. Your doctor will guide you, but your determination is key to reaching this goal.
- In severe cases, you might initially need to receive nutrition through a nasogastric tube.
- Once immediate nutritional needs are met, long-term weight management becomes the focus.
- A safe and healthy weight gain target is typically between 1 to 3 pounds per week.

Schedule regular check-ups. Your primary care physician will conduct periodic examinations to monitor your weight and overall health. It’s best to book these appointments in advance.
- During these visits, the doctor will check your vital signs, hydration, and electrolyte levels. Any related medical conditions will also be assessed.

Explore medications that may help. While no medication directly treats anorexia, certain conditions that worsen the disorder can be managed with prescribed drugs.
- Depression is often linked to anorexia, so antidepressants might be necessary to address this issue.
- You may also require estrogen therapy to regulate menstrual cycles and prevent bone fractures.
Psychological Treatment

Acknowledge that you have anorexia. There are many resources available to support you, but to make progress, you must first admit to yourself that you have anorexia and that it poses a serious threat to your health and well-being.
- You may still hold the harmful belief that losing more weight will make you feel better. When this unhealthy mindset has been ingrained for too long, it becomes a deeply rooted bias that isn’t easy to eliminate.
- You need to recognize that your relentless pursuit of this goal has reached a damaging level. Acknowledge the physical and emotional toll this pursuit has taken on you.

Engage in cognitive-behavioral therapy. Seek individual therapy with a psychologist or counselor. A mental health professional can help you uncover the psychological roots of your eating disorder.
- Through cognitive-behavioral therapy (CBT), your therapist will help you understand how your thought patterns, negative self-talk, and distorted self-image contribute to your unhealthy eating habits.
- This involves identifying distorted thoughts and beliefs and working toward corrective solutions.
- Your doctor may also recommend specific behavioral interventions. You might be asked to set goals and reward yourself for achieving them.
- CBT is time-limited, so treatment occurs in sessions. You can receive therapy on an outpatient or inpatient basis.

Consider family therapy. Social pressures and stress are often contributing factors to anorexia. If these issues are part of your struggle, consider speaking with a family counselor, marriage counselor, or other support groups.
- Family therapy is the most common form of social therapy. It typically involves the patient and their family members, though in some cases, families may receive counseling without the patient present.
- Unhealthy family dynamics are often identified during these sessions. Once recognized, the therapist will work with the family to implement changes that address the issues.
- Sometimes, certain family attitudes or behaviors unintentionally encourage anorexia. Families that emphasize perfection, struggle with negative emotions, or focus excessively on appearance and weight (for both parents and children) may contribute to the development of eating disorders.

Stick to your treatment plan. There may be times when you feel like stopping treatment or skipping sessions, but it’s crucial to stay committed to your plan, no matter how discouraged or uncomfortable you feel. Eating disorders, including anorexia, have the highest mortality rate among mental health conditions. Individuals with these disorders can die from malnutrition, organ failure, heart failure, or suicide. Continuing treatment can save your life.
Seek Emotional and Social Support

Discuss this issue. Identify a few trusted relatives and try to share with them the challenges you face regarding your eating habits and body image perceptions.
- Understand that feeling fear, shame, or pride when confiding in someone is natural. No matter how you feel, talking about it will be beneficial.
- Ensure you confide in someone who will support, not harm you. A person who encourages unhealthy eating habits or criticizes you is not the right choice for comfort and encouragement.
- If you're uncomfortable talking to family, seek out a teacher or a counselor to discuss your concerns.

Find a support group. Ask your doctor, nutritionist, or counselor to recommend a local support group for eating disorders. Many group members are dealing with similar issues, so you can find empathy and encouragement.
- Stick to officially recognized support groups led by mental health professionals for the best outcomes.
- Some informal groups might unexpectedly promote anorexia and encourage competition over who is the thinnest.

Seek a positive role model. Find at least one person you know who can serve as a strong physical and mental role model for you. Whenever you feel conflicted about something related to anorexia, look to your idol to guide you in the right direction.
- Your role model could be someone you know personally or a public figure.
- Ensure your idol truly represents good health. For example, avoid choosing an extremely thin model or a celebrity known for weight loss. A better choice would be someone with a positive body image, even if they don't have a perfect body.

Avoid triggering factors. You need to steer clear of psychological, emotional, and social events that can trigger negative feelings about your body image, low self-esteem, or similar issues, especially when you are on the path to recovery. It's crucial to consider external factors that might influence your behavior. This isn't about blaming others or shirking responsibility; it's about gaining a broader perspective rather than a close-up 'selfie' view.
- You might need to give up or reconsider participating in activities or sports that emphasize a slim body, such as ballet, gymnastics, modeling, acting, running, figure skating, swimming, horseback riding, or wrestling.
- Avoid fashion and fitness magazines.
- Stay away from pro-anorexia websites.
- Keep a distance from friends who often diet or discuss weight loss, or those who encourage unhealthy weight loss practices (excessive exercise, skipping meals, making 'weight loss pacts,' etc.)
- Resist the urge to step on the scale.

Be kind to your body. Find ways to pamper yourself occasionally. When you take care of your body, you gradually learn to love it and are less likely to mistreat yourself by not eating properly.
- Wear comfortable clothes. Dress in a style that expresses your personality rather than trying to impress others.
- Regularly pamper your body with massages, manicures, bubble baths, or by trying a new perfume or scented lotion.

Maintain a positive outlook. Stay active both physically and socially. This can help regulate your physical and mental health. However, remember that excessive exercise is sometimes used by individuals with eating disorders as a way to compensate for their eating habits. Avoid falling into the trap of trading one problem for another. Consult a doctor to determine the appropriate types of exercise and duration for you.

Remind yourself regularly. Frequently remind yourself of what you stand to lose if you give up and what you can gain by continuing your recovery journey. Social support is crucial, but self-support is equally important.
Help someone else

Become a positive influence. Let your loved ones see you as a role model for physical and mental health. Maintain a balanced diet, treat your body with love and respect, and avoid self-criticism when you notice aspects of your body you dislike. Promote a healthy body image by celebrating your own form and challenging the 'ideal' body image idolized in the media. You never know who might be looking up to you for encouragement.

Eat together. A great way to gradually reintroduce your loved one to healthy eating habits is to spend time eating meals together. Create a joyful atmosphere and make meals enjoyable to leave a positive impression.

Offer support without making the person feel overwhelmed. Always be ready to assist your loved ones, but applying pressure might push them away. Remind them that you're available to talk or listen whenever they need.

Stay patient and calm. Consider yourself an objective observer in this situation. This is their battle, not yours. Distinguishing this can help you avoid taking things personally.
Warning
- If you suspect that you or someone you know is suffering from anorexia, seek help as soon as possible. Early treatment increases the chances of recovery and can prevent serious health complications.
