NCP Logo

The National Council of Psychotherapists

Est. 1971


Anorexia Nervosa

Myths, Causes, and Cure
by Abigail Natenshon, MA

What is Anorexia Nervosa?

Anorexia Nervosa is a disease marked by the pathological fear of weight gain leading to rapid or extreme weight loss. Victims with anorexia restrict or limit their intake of food, as well as their behaviors in life spheres beyond food and eating. As an example, an anorexic young adult refused to go to her roommate's wedding because the ceremony was to take place at precisely the moment when she would need to be eating dinner. She did not have the flexibility to diverge from her daily schedule; and so her life became severely compromised. Another anorexic woman ate the same limited number of foods every day of her life in the same order and in the same amounts; she felt compelled to wear the same few items of clothing as well.

Anorexia is a condition that describes the refusal to eat. It should be noted that the refusal to eat could be based on many different factors. Anorexia nervosa is a condition that implies an effort to resolve emotional problems through the misuse of food. Anorexia, per se, is a term that describes the inability or refusal to eat for reasons that are other than emotional.

Three distinct aspects of eating dysfunction must be in place for your child's behaviors to qualify as a clinical eating disorder.


  1. The physical aspect may include weight loss, amenorrhea, fainting, cold intolerance, etc.
  2. The behavioral aspect may include strict dieting, secretive eating, binge eating, compulsive exercise, laxative, diet pill or diuretic abuse, impaired relationships, etc
  3. The emotional aspect may include depression, anxiety, low self-esteem, fear of weight gain, body image distortion, etc.


Who gets anorexia?


  • There are 11 millions victims of anorexia and bulimia in American today, 87 percent of whom are below the age of twenty
  • There are ten times as many female sufferers, though during the past decade, the number of males with anorexia has doubled
  • Anorexia has been called a "rich girl's" disease, though the fact is that this eating disorder is prevalent among all races, cultures and ethnic groups that are upwardly mobile, including African Americans, American Indians, Fiji Islanders, etc.
  • Children as young as age five are now being reported to suffer from anorexia, displaying such symptoms as compulsive exercise, food restriction, vegetarianism, etc.


Why do people develop anorexia?

Anorexia is caused by the merging of environmental factors in an atmosphere of physiological susceptibility. Children can be born with a predisposition to developing anorexia through genetics and temperament. There has been shown a direct correlation between inherited addictions and the development of clinical eating disorders, including both anorexia and bulimia.

Other predisposing factors that are environmental in nature include the influence of peers and the media, as well as communication and problem solving patterns in the family. The good news is that when children are taught by their parents to recognize feelings so they can address problems and find effective solutions early in life, they will have less of a tendency to need or want to turn to an eating disorder such as anorexia to "solve" their problems for them.

In addition, the nature of one's eating lifestyle (healthy or not so healthy) will have a great influence on whether or not a person may become a victim of extreme, disregulated or dysfunctional eating habits or obesity later in life.


Are parents responsible for causing anorexia?


There is no direct correlation between parenting and anorexia, particularly because genetics play a significant part in disease development. However, parents are largely responsible for shaping a child's attitudes about eating, body image, weight, and weight management and about establishing a healthy eating lifestyle during the growing up years. Parents are their child's best teachers and role models. Most importantly, they are the best observers of their child; through early disease detection, parents can most effectively stack the cards in favor of prevention and a timely and lasting recovery.

Parents belong in their child's anorexia recovery in a supportive way, particularly when the child is young and living at home.


What are the myths and misconceptions connected with anorexia?


A few common misconceptions about anorexia include the notion that

  • people with anorexia do not eat
  • people with anorexia are incurable
  • all anorexics are thin or emaciated.

These statements are not true and can divert an observer from making a skillful diagnosis and becoming proactive to protect a child's life quality and possibly save a child's life.


Is anorexia curable?

Anorexia is curable in 80 percent of cases that are detected early and treated effectively. In 50 percent of cases, anorexia is so completely curable that food and eating cease to be an issue for the individual. In the other 30 percent of cases, anorexia is totally curable, though the patient may need to stay in treatment or return to treatment on an as-needed basis in order to stay on top of the underlying emotional issues that may have initially driven the disease.


How can you recognize anorexia when you see it?


The earliest warning signs of disease-in-the-making are more likely to be seen in the child's mood, attitudes, fears, and preoccupations than in weight or food-related behaviors. By the time your child has begun to show physical signs of losing weight, the window of opportunity for prevention may already have passed. Paying special attention to your child's or loved one's emotions will give you a window into your child's emotional and behavioral future.

Eating disorders are more likely to present themselves at home than in the doctor's office, so the responsibility for early diagnosis lies with parents and families. Recovery from anorexia results in the development of emotionally healthy and functional children who are free to grow up to become emotionally healthy adults. With recovery, kids get their personality and their life quality back; at the same time, their parents claim to "get their child back." When Your Child Has an Eating Disorder: A Step-by-Step Workbook for Parents and Other Caregivers (Jossey Bass Publishers) will guide you in your efforts to help your child regain their good health.


Do you see anorexia in yourself or in your child?


The following is a short quiz to help you consider whether or not you or your child may have a problem that could develop into anorexia.


  • Do you worry about your appearance?
  • Do you spend a lot of time on preening, grooming?
  • Do you eat special foods just to improve appearance?
  • Do you use behaviors around food and exercise to relieve or resolve anxiety, depression?
  • Are your behaviors around eating and exercise compulsive, inflexible?
  • Does excessiveness or extremism show up in other life spheres as well?
  • Do you notice depression and moodiness?

What should you do if you suspect that your child has anorexia?


Parents and coaches have a vital role to play in the lives of youngsters with anorexia or anorexia-in-the- making. If your child does not recognize a problem, or refuses to respond to his condition or to care for himself or herself, it is up to you as a parent to:


  • Take charge
  • Know what you are looking at
  • Understand what anorexia is
  • Talk to your child. Discussing an existent problem won't make it worse, but by defining it as such, can make a solution possible
  • Get professional help.


Remember that eating disorders are a misuse of food to resolve emotional problems. If eating or exercise behaviors diminish anxiety or depression, or if they double as pseudo-solutions to emotional problems even as they address issues of hunger and satiety, it's time to seek out more effective ways to solve problems. Professional treatment for anorexia may best involve a multi-disciplinary team of professionals, including a medical doctor and nutritionist, as well as a psychotherapist.


Psychotherapist Abigail H. Natenshon
(MA, LCSW, GCFP) has specialized in the treatment of eating disorders with individuals, families, and groups for the past 31years. She is the author of When Your Child Has An Eating Disorder, A Step-by-Step Workbook For Parents And Other Caregivers, Jossey-Bass, 1999. Based on hundreds of successful outcomes, this book shepherds concerned parents step-by-step through the processes of eating disorder recognition, confronting the child, finding the most effective treatment for patient and family, and evaluating and insuring a timely recovery. A guide to eating disorder prevention, this book is useful to parents, health professionals and school personnel alike in countering the pervasive epidemic of unhealthy eating and body image concerns, and destructive media and peer influences. Abigail is also a Guild Certified Feldenkrais Practitioner.  Her work can be reviewed further at and and her book is available through



Abigail H. Natenshon, MA, LCSW, GCFP
Author of "When Your Child Has an Eating Disorder:
A Step-by-Step Workbook For Parents and Other Caregivers"

A Family Approach to Healthy Eating,
Positive Body Image and the Prevention and Healing of Eating Disorders



Article Menu - Members Directory - Navigation Page - Home