Early warning signs
Behaviours suggesting someone is developing an eating disorder include:11
- being obsessive about food
- a change in behaviour or personality
- distorted beliefs about body shape or size
- tiredness and/or problems with concentration
- disappearing to the toilet after meals
- exercising excessively.
Other aspects to consider in assessing or deciding whether to refer someone include:3
- exceptionally low or high BMI or body weight for their age;
- rapid weight loss;
- changes in eating behaviour or dieting or restrictive eating practices (eg dieting when they are already underweight) that are worrying them or family members;
- social withdrawal, especially from situations involving food;
- other mental health problems;
- disproportionate concerns about weight or shape, eg possible weight gain when using hormonal contraception;
- menstrual or endocrine disturbances;
- electrolyte imbalance;
- hypoglycaemia;
- unexplained gastrointestinal symptoms;
- abdominal pain associated with vomiting or dietary restrictions;
- physical signs of malnutrition such as poor circulation, dizziness, palpitations, fainting or pallor;
- indications of laxative or appetite suppressant misuse, vomiting or excessive exercise;
- tooth erosion;
- participation in activities linked to increased risk of eating disorders such as professional sport, fashion, dance or modelling.