What is Anorexia Nervosa?
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Anorexia nervosa is a life-threatening eating disorder with the highest mortality rate among mental illnesses. Anorexia nervosa is a type of eating disorder, and it affects people of all ages, genders, abilities, bodies, cultures, and socioeconomic statuses.
People with anorexia typically restrict the amount or types of foods they eat, they have intense fears about gaining weight, and they believe that the size and shape of their body is one of the most defining factors about who they are. They often also have a distorted view of their own bodies, thinking they are much larger than they are, for example.
Anorexia is a complex and debilitating disorder, and is about much more than simply 'being skinny'. It can be triggered by traumatic events, life changes and transitions, is linked to societal pressures, oppression and marginalization, and can sometimes feel like a way to establish control when things feel chaotic.
A Call to Action
Anorexia nervosa is bigger than just a bathroom scale or a trip to the grocery store. It is a social justice issue. Anorexia affects individuals across all races, genders, and body sizes, yet systemic biases and stigma continue to limit access to care.
By prioritizing research, funding, and inclusive practices, we can work toward a future where recovery is possible for everyone.
Stigma and stereotypes often paint anorexia to be a disorder that only young, white women experience, and this might lead to people who don't fit this mold feeling like treatment is out of reach. However, everyone who experiences anorexia is deserving of socially just, equitable, and empathetic treatment. The disorder carries significant physical and psychological risks, including high rates of suicidal thoughts and attempts. It is important for clinicians to take anorexia seriously - it has the highest mortality rate among mental illnesses.
Current treatments, such as cognitive behavioral therapy (CBT), exposure therapy, and inpatient care, can be effective, but there is plenty of room for improved access and quality of care. Relapse rates remain high, and barriers like stigma, long wait times, and lack of personalized options are all factors that might make recovery harder.
Barriers to Recovery
Stigma
Many individuals feel ashamed or undeserving of help, particularly those who do not fit societal stereotypes.
Systemic Bias
Medical and systemic biases often overlook individuals with anorexia because of lack of training and awareness, or because people live in larger bodies. Learn about 'atypical' anorexia here »
Access Issues
Long waitlists, geographical limitations, and financial constraints prevent many from receiving timely care.
Relapse Rates
Relapse is common, with rates as high as 52%, highlighting the need for better post-treatment support.
The Need for Innovation
Anorexia is a deadly disorder that requires inclusive, accessible, and personalized treatment approaches. Current methods, while effective for some, leave many individuals underserved. Innovations in therapy, research, and policy are essential to improving outcomes and reducing barriers to care.
Share Your Thoughts
What are your thoughts on the stigmatization and diagnosis of anorexia nervosa?
How can we improve access to care? Share your thoughts in the comments below!
Eiring, K., Wiig Hage, T., & Reas, D. L. (2021). Exploring the experience of being viewed as “not sick enough”: A qualitative study of women recovered from anorexia nervosa or atypical anorexia nervosa. Journal of Eating Disorders, 9(1), 142. https://doi.org/10.1186/s40337-021-00495-5
Gaudiani, J. L. (2018). Sick Enough: A Guide to the Medical Complications of Eating Disorders (1st edition). Routledge.
Krug, I., Liu, S., Portingale, J., Croce, S., Dar, B., Obleada, K., Satheesh, V., Wong, M., & Fuller-Tyszkiewicz, M. (2025). A meta-analysis of mortality rates in eating disorders: An update of the literature from 2010 to 2024. Clinical Psychology Review, 116, 102547. https://doi.org/10.1016/j.cpr.2025.102547
MacDonald, D. E., McFarlane, T., & Trottier, K. (2020). Chapter 22: Eating disorders. In J. E. Maddux & B. A. Winstead (Eds.), Psychopathology: Foundations for a Contemporary Understanding (5th Edition, pp. 495–521). Routledge.
Moreno, R., Buckelew, S. M., Accurso, E. C., & Raymond-Flesch, M. (2023). Disparities in access to eating disorders treatment for publicly-insured youth and youth of color: A retrospective cohort study. Journal of Eating Disorders, 11(1), 10. https://doi.org/10.1186/s40337-022-00730-7
Rodgers, R. F., Berry, R., & Franko, D. L. (2018). Eating disorders in ethnic minorities: An update. Current Psychiatry Reports, 20(10), 90. https://doi.org/10.1007/s11920-018-0938-3
Russell, H., Aouad, P., Le, A., Marks, P., Maloney, D., National Eating Disorder Research Consortium, Touyz, S., & Maguire, S. (2023). Psychotherapies for eating disorders: Findings from a rapid review. Journal of Eating Disorders, 11(1), 175. https://doi.org/10.1186/s40337-023-00886-w