Eating disorders (EDs) are complex conditions that affect both physical and emotional health. Detecting them early can make a big difference in recovery. However, many times their symptoms go unnoticed or are mistaken for everyday habits. This article aims to help you recognize the warning signs that could indicate the presence of an ED. In addition, I will provide you with useful information and practical tips so that you know how to act on each of them, either in yourself or in someone close to you. Prevention and early detection save lives.
Sudden changes in eating habits
One of the most frequent signs is a significant alteration in eating habits. This may be excessive restriction of food, avoidance of entire meals or following very strict diets without medical supervision. The opposite behavior may also appear, such as episodes of binge eating where a large amount of food is consumed in a short time, almost always in secret.
It is essential to be aware of comments such as “I have already eaten before”, “I am not hungry” or “this is very fattening”, especially if they are repeated frequently. In these cases, the most useful thing to do is to observe without judging, and to show an understanding and close attitude. You can say something like, “I’ have noticed you have been eating less lately, how you feeling?” This opens the door to a non-confrontational conversation.
Obsession with body and weight
When a person spends much of his or her time measuring, weighing, looking in the mirror or comparing himself or herself with others, this could be a warning sign. This constant thinking about the body is often accompanied by low self-esteem and a distorted self-image. It is not uncommon for someone with ACT to see themselves as overweight, even if they are well below their healthy weight.
In this case, the most important thing is to avoid reinforcing the aesthetic ideal with phrases like “how thin you are” or “you look better this way.” Instead, focus your comments on non-physical aspects, such as her accomplishments, personality or capabilities. If you are concerned, convey your concern respectfully, “I notice you’ve been very aware of your body lately, is something in particular affecting you?”
Denial of the problem and resistance to help
One of the most complex characteristics of EDs is the strong denial of the problem, says the Barcelona therapist consulted. “The person usually justifies his or her behaviors or even gets upset if someone questions them. This denial is part of the disorder and should not be interpreted as disinterest in getting better,” continues the Barcelona therapist consulted.
In these cases, it is vital not to give up or give up support, even if the initial response is one of rejection. Consider being a constant support, not a pressuring or controlling figure. Speak from your emotional experience: “I feel distressed to see you like this. I care about you and I’m here for you.
Compensatory behaviors and eating rituals
Compensatory behaviors include self-induced vomiting, use of laxatives, extreme exercise, or prolonged fasting to counteract food intake. Rigid eating rituals may also appear, such as cutting food into tiny pieces, eating in a specific order, or avoiding eating in front of others.
If you witness any of these behaviors, it is crucial not to accuse or threaten, as this can lead to further concealment. It is best to express your concern empathetically, without going into detail about the behavior. You can suggest going to a professional together for counseling.
Emotional changes and isolation
ED is often accompanied by irritability, sadness, anxiety and a very intense need for control. Many times, the person begins to withdraw from friends, family and activities they once enjoyed, especially if they involve food. Isolation may be a way to avoid being observed or questioned.
In the face of this change, it is key to maintain the emotional bond. Look for quiet times to talk and show availability without forcing. Phrases such as “I care about you and I want to understand how you feel” help to build trust. Also, don’t minimize their emotions; validate what they express, even if you don’t fully share them.
Excessive preoccupation with health or “clean” eating
An interest in healthy eating becomes problematic when it becomes an obsession with eating “pure” or “clean” rejecting foods considered unhealthy without medical justification. If you notice someone restricting entire food groups, planning their day around food or feeling guilty for not following their self-imposed rules, it is advisable to suggest professional support. You can accompany with understanding, without mockery or irony, and pose thought-provoking questions, “Do you feel this is limiting you in your day-to-day life?”
