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Even without appearing underweight, the physical and emotional effects can be just as serious as those of anorexia nervosa.",{"type":65,"attrs":2316,"content":2317},{"textAlign":67},[2318],{"text":2319,"type":71},"Symptoms often develop gradually and may become more severe over time, especially when the illness goes untreated.",{"type":2275,"attrs":2321,"content":2323},{"level":2322,"textAlign":67},3,[2324],{"text":2325,"type":71},"Common atypical anorexia symptoms",{"type":65,"attrs":2327,"content":2328},{"textAlign":67},[2329],{"text":2330,"type":71},"Common atypical anorexia symptoms include:",{"type":2247,"content":2332},[2333,2340,2347,2354,2361,2368,2375,2382,2389,2396],{"type":2250,"content":2334},[2335],{"type":65,"attrs":2336,"content":2337},{"textAlign":67},[2338],{"text":2339,"type":71},"Restrictive eating patterns",{"type":2250,"content":2341},[2342],{"type":65,"attrs":2343,"content":2344},{"textAlign":67},[2345],{"text":2346,"type":71},"Intense fear of weight gain",{"type":2250,"content":2348},[2349],{"type":65,"attrs":2350,"content":2351},{"textAlign":67},[2352],{"text":2353,"type":71},"Significant or rapid weight loss",{"type":2250,"content":2355},[2356],{"type":65,"attrs":2357,"content":2358},{"textAlign":67},[2359],{"text":2360,"type":71},"Preoccupation with food, calories or body image",{"type":2250,"content":2362},[2363],{"type":65,"attrs":2364,"content":2365},{"textAlign":67},[2366],{"text":2367,"type":71},"Fatigue or weakness",{"type":2250,"content":2369},[2370],{"type":65,"attrs":2371,"content":2372},{"textAlign":67},[2373],{"text":2374,"type":71},"Dizziness or fainting",{"type":2250,"content":2376},[2377],{"type":65,"attrs":2378,"content":2379},{"textAlign":67},[2380],{"text":2381,"type":71},"Anxiety around eating",{"type":2250,"content":2383},[2384],{"type":65,"attrs":2385,"content":2386},{"textAlign":67},[2387],{"text":2388,"type":71},"Social withdrawal",{"type":2250,"content":2390},[2391],{"type":65,"attrs":2392,"content":2393},{"textAlign":67},[2394],{"text":2395,"type":71},"Excessive exercise",{"type":2250,"content":2397},[2398],{"type":65,"attrs":2399,"content":2400},{"textAlign":67},[2401],{"text":2402,"type":71},"Signs of malnutrition",{"type":65,"attrs":2404,"content":2405},{"textAlign":67},[2406],{"text":2407,"type":71},"If thoughts about food, weight, exercise or body shape are getting in the way of your life, it’s something to take seriously.",{"type":2275,"attrs":2409,"content":2410},{"level":2277,"textAlign":67},[2411],{"text":2412,"type":71},"What are the mental and emotional symptoms of atypical anorexia?",{"type":65,"attrs":2414,"content":2415},{"textAlign":67},[2416,2418],{"text":2417,"type":71},"Research has found that people with atypical anorexia may experience emotional distress that is just as severe as — and sometimes more severe than — that of people diagnosed with anorexia nervosa.",{"text":2419,"type":71,"marks":2420},"[2]",[2421],{"type":2261},{"type":65,"attrs":2423,"content":2424},{"textAlign":67},[2425],{"text":2426,"type":71},"The emotional impact of atypical anorexia is serious, with many describing feeling consumed by thoughts about food, weight, calories or body size. Even when weight loss occurs, it may never feel like enough. The seemingly endless pursuit of a certain appearance or number on the scale can become overwhelming and difficult to control.",{"type":2275,"attrs":2428,"content":2429},{"level":2322,"textAlign":67},[2430],{"text":2431,"type":71},"Common emotional symptoms of atypical anorexia",{"type":65,"attrs":2433,"content":2434},{"textAlign":67},[2435],{"text":2436,"type":71},"Common emotional symptoms include:",{"type":2247,"content":2438},[2439,2446,2453,2460,2467,2474,2481,2488,2495,2502,2509],{"type":2250,"content":2440},[2441],{"type":65,"attrs":2442,"content":2443},{"textAlign":67},[2444],{"text":2445,"type":71},"An intense fear of gaining weight",{"type":2250,"content":2447},[2448],{"type":65,"attrs":2449,"content":2450},{"textAlign":67},[2451],{"text":2452,"type":71},"Excessive focus on weight, shape or appearance",{"type":2250,"content":2454},[2455],{"type":65,"attrs":2456,"content":2457},{"textAlign":67},[2458],{"text":2459,"type":71},"Persistent body image distress",{"type":2250,"content":2461},[2462],{"type":65,"attrs":2463,"content":2464},{"textAlign":67},[2465],{"text":2466,"type":71},"Body dysmorphia",{"type":2250,"content":2468},[2469],{"type":65,"attrs":2470,"content":2471},{"textAlign":67},[2472],{"text":2473,"type":71},"Anxiety around food, eating or social situations involving food",{"type":2250,"content":2475},[2476],{"type":65,"attrs":2477,"content":2478},{"textAlign":67},[2479],{"text":2480,"type":71},"Mood swings",{"type":2250,"content":2482},[2483],{"type":65,"attrs":2484,"content":2485},{"textAlign":67},[2486],{"text":2487,"type":71},"Depression connected to eating disorders",{"type":2250,"content":2489},[2490],{"type":65,"attrs":2491,"content":2492},{"textAlign":67},[2493],{"text":2494,"type":71},"Anxiety",{"type":2250,"content":2496},[2497],{"type":65,"attrs":2498,"content":2499},{"textAlign":67},[2500],{"text":2501,"type":71},"Trouble concentrating or focusing",{"type":2250,"content":2503},[2504],{"type":65,"attrs":2505,"content":2506},{"textAlign":67},[2507],{"text":2508,"type":71},"Feelings of guilt or shame after eating",{"type":2250,"content":2510},[2511],{"type":65,"attrs":2512,"content":2513},{"textAlign":67},[2514],{"text":2515,"type":71},"Suicidal thoughts or self-harm",{"type":65,"attrs":2517,"content":2518},{"textAlign":67},[2519],{"text":2520,"type":71},"While the emotional impact of atypical anorexia can be significant, the illness can also affect nearly every system in the body.",{"type":2275,"attrs":2522,"content":2523},{"level":2277,"textAlign":67},[2524],{"text":2525,"type":71},"What physical symptoms of atypical anorexia should you watch for?",{"type":65,"attrs":2527,"content":2528},{"textAlign":67},[2529],{"text":2530,"type":71},"Physical symptoms of atypical anorexia can affect nearly every system in the body. Even when someone is not medically underweight, prolonged restriction and malnutrition can lead to serious medical complications.",{"type":65,"attrs":2532,"content":2533},{"textAlign":67},[2534],{"text":2535,"type":71},"At Eating Recovery Center (ERC), we frequently see patients experiencing significant medical concerns despite being at a weight others consider \"healthy.\" Physical appearance alone does not determine medical risk.",{"type":2275,"attrs":2537,"content":2538},{"level":2322,"textAlign":67},[2539],{"text":2540,"type":71},"Cardiovascular symptoms",{"type":65,"attrs":2542,"content":2543},{"textAlign":67},[2544],{"text":2545,"type":71},"Malnutrition can place significant strain on the heart and circulatory system.",{"type":65,"attrs":2547,"content":2548},{"textAlign":67},[2549],{"text":2550,"type":71},"Common cardiovascular symptoms include:",{"type":2247,"content":2552},[2553,2560,2567,2573,2580],{"type":2250,"content":2554},[2555],{"type":65,"attrs":2556,"content":2557},{"textAlign":67},[2558],{"text":2559,"type":71},"Slow heart rate",{"type":2250,"content":2561},[2562],{"type":65,"attrs":2563,"content":2564},{"textAlign":67},[2565],{"text":2566,"type":71},"Low blood pressure",{"type":2250,"content":2568},[2569],{"type":65,"attrs":2570,"content":2571},{"textAlign":67},[2572],{"text":2374,"type":71},{"type":2250,"content":2574},[2575],{"type":65,"attrs":2576,"content":2577},{"textAlign":67},[2578],{"text":2579,"type":71},"Heart palpitations",{"type":2250,"content":2581},[2582],{"type":65,"attrs":2583,"content":2584},{"textAlign":67},[2585],{"text":2586,"type":71},"Cardiac complications",{"type":2275,"attrs":2588,"content":2589},{"level":2322,"textAlign":67},[2590],{"text":2591,"type":71},"Gastrointestinal symptoms",{"type":65,"attrs":2593,"content":2594},{"textAlign":67},[2595],{"text":2596,"type":71},"Restrictive eating can affect digestion and gastrointestinal functioning.",{"type":65,"attrs":2598,"content":2599},{"textAlign":67},[2600],{"text":2601,"type":71},"Common gastrointestinal symptoms include:",{"type":2247,"content":2603},[2604,2611,2618,2625,2632],{"type":2250,"content":2605},[2606],{"type":65,"attrs":2607,"content":2608},{"textAlign":67},[2609],{"text":2610,"type":71},"Constipation",{"type":2250,"content":2612},[2613],{"type":65,"attrs":2614,"content":2615},{"textAlign":67},[2616],{"text":2617,"type":71},"Bloating",{"type":2250,"content":2619},[2620],{"type":65,"attrs":2621,"content":2622},{"textAlign":67},[2623],{"text":2624,"type":71},"Stomach pain",{"type":2250,"content":2626},[2627],{"type":65,"attrs":2628,"content":2629},{"textAlign":67},[2630],{"text":2631,"type":71},"Delayed digestion",{"type":2250,"content":2633},[2634],{"type":65,"attrs":2635,"content":2636},{"textAlign":67},[2637],{"text":2638,"type":71},"Nausea",{"type":2275,"attrs":2640,"content":2641},{"level":2322,"textAlign":67},[2642],{"text":2643,"type":71},"Hormonal and metabolic symptoms",{"type":65,"attrs":2645,"content":2646},{"textAlign":67},[2647],{"text":2648,"type":71},"Inadequate nutrition can disrupt the body's normal hormone production and energy regulation.",{"type":65,"attrs":2650,"content":2651},{"textAlign":67},[2652],{"text":2653,"type":71},"Common hormonal and metabolic symptoms include:",{"type":2247,"content":2655},[2656,2663,2670,2677],{"type":2250,"content":2657},[2658],{"type":65,"attrs":2659,"content":2660},{"textAlign":67},[2661],{"text":2662,"type":71},"Endocrine abnormalities",{"type":2250,"content":2664},[2665],{"type":65,"attrs":2666,"content":2667},{"textAlign":67},[2668],{"text":2669,"type":71},"Menstrual irregularities or loss of menstrual cycles",{"type":2250,"content":2671},[2672],{"type":65,"attrs":2673,"content":2674},{"textAlign":67},[2675],{"text":2676,"type":71},"Difficulty regulating body temperature",{"type":2250,"content":2678},[2679],{"type":65,"attrs":2680,"content":2681},{"textAlign":67},[2682],{"text":2683,"type":71},"Feeling cold frequently",{"type":2275,"attrs":2685,"content":2686},{"level":2322,"textAlign":67},[2687],{"text":2688,"type":71},"Blood and immune system changes",{"type":65,"attrs":2690,"content":2691},{"textAlign":67},[2692],{"text":2693,"type":71},"Blood and immune system symptoms include:",{"type":2247,"content":2695},[2696,2703,2710,2717,2724],{"type":2250,"content":2697},[2698],{"type":65,"attrs":2699,"content":2700},{"textAlign":67},[2701],{"text":2702,"type":71},"Low white blood cell counts",{"type":2250,"content":2704},[2705],{"type":65,"attrs":2706,"content":2707},{"textAlign":67},[2708],{"text":2709,"type":71},"Low red blood cell counts",{"type":2250,"content":2711},[2712],{"type":65,"attrs":2713,"content":2714},{"textAlign":67},[2715],{"text":2716,"type":71},"Low platelet counts",{"type":2250,"content":2718},[2719],{"type":65,"attrs":2720,"content":2721},{"textAlign":67},[2722],{"text":2723,"type":71},"Increased fatigue",{"type":2250,"content":2725},[2726],{"type":65,"attrs":2727,"content":2728},{"textAlign":67},[2729],{"text":2730,"type":71},"Frequent illness",{"type":2275,"attrs":2732,"content":2733},{"level":2322,"textAlign":67},[2734],{"text":2735,"type":71},"Musculoskeletal symptoms",{"type":65,"attrs":2737,"content":2738},{"textAlign":67},[2739],{"text":2740,"type":71},"Without adequate nutrition, the body may begin breaking down muscle and bone tissue.",{"type":65,"attrs":2742,"content":2743},{"textAlign":67},[2744],{"text":2745,"type":71},"Musculoskeletal symptoms include:",{"type":2247,"content":2747},[2748,2755,2762,2769],{"type":2250,"content":2749},[2750],{"type":65,"attrs":2751,"content":2752},{"textAlign":67},[2753],{"text":2754,"type":71},"Muscle loss",{"type":2250,"content":2756},[2757],{"type":65,"attrs":2758,"content":2759},{"textAlign":67},[2760],{"text":2761,"type":71},"Bone lossWeakness",{"type":2250,"content":2763},[2764],{"type":65,"attrs":2765,"content":2766},{"textAlign":67},[2767],{"text":2768,"type":71},"Fatigue",{"type":2250,"content":2770},[2771],{"type":65,"attrs":2772,"content":2773},{"textAlign":67},[2774],{"text":2775,"type":71},"Increased risk of injury",{"type":2275,"attrs":2777,"content":2778},{"level":2322,"textAlign":67},[2779],{"text":2780,"type":71},"Changes to hair, skin and nails",{"type":65,"attrs":2782,"content":2783},{"textAlign":67},[2784],{"text":2785,"type":71},"Physical signs of malnutrition may also appear in a person's hair, skin and nails.",{"type":65,"attrs":2787,"content":2788},{"textAlign":67},[2789],{"text":2790,"type":71},"Symptoms involving the hair, skin and nails include:",{"type":2247,"content":2792},[2793,2800,2807],{"type":2250,"content":2794},[2795],{"type":65,"attrs":2796,"content":2797},{"textAlign":67},[2798],{"text":2799,"type":71},"Hair thinning or anorexia-related hair loss",{"type":2250,"content":2801},[2802],{"type":65,"attrs":2803,"content":2804},{"textAlign":67},[2805],{"text":2806,"type":71},"Brittle nails",{"type":2250,"content":2808},[2809],{"type":65,"attrs":2810,"content":2811},{"textAlign":67},[2812],{"text":2813,"type":71},"Dry skin",{"type":2275,"attrs":2815,"content":2816},{"level":2277,"textAlign":67},[2817],{"text":2818,"type":71},"Can atypical anorexia cause bradycardia?",{"type":65,"attrs":2820,"content":2821},{"textAlign":67},[2822],{"text":2823,"type":71},"Yes. Atypical anorexia can cause bradycardia, a condition in which the heart beats more slowly than normal.",{"type":65,"attrs":2825,"content":2826},{"textAlign":67},[2827,2833],{"text":2828,"type":71,"marks":2829},"Bradycardia",[2830],{"type":104,"attrs":2831},{"href":2832,"uuid":67,"anchor":67,"target":16,"linktype":17},"https:\u002F\u002Fwww.acute.org\u002Fresources\u002Fbradycardia-eating-disorders",{"text":2834,"type":71}," develops because the body is not receiving enough energy and nutrients to keep up with its daily needs. Similar to a car running low on gas, the body begins conserving energy by slowing down certain processes, including heart rate.",{"type":2275,"attrs":2836,"content":2837},{"level":2322,"textAlign":67},[2838],{"text":2839,"type":71},"Why does atypical anorexia cause bradycardia?",{"type":65,"attrs":2841,"content":2842},{"textAlign":67},[2843],{"text":2844,"type":71},"Atypical anorexia and anorexia nervosa can cause bradycardia because prolonged calorie restriction can trigger the body's \"survival mode.\" Proper nutrition is like fuel for the body. While the mind may be thinking, \"I'm just eating less to lose weight,\" the body may be responding, \"We're not getting what we need to keep everything running — let's slow things down to conserve energy.\"",{"type":65,"attrs":2846,"content":2847},{"textAlign":67},[2848],{"text":2849,"type":71},"One way the body conserves energy is by slowing the heart rate. While this response evolved to help people survive periods of famine, it can become dangerous when food restriction continues over time, increasing the risk of serious medical complications.",{"type":2275,"attrs":2851,"content":2852},{"level":2277,"textAlign":67},[2853],{"text":2854,"type":71},"What are the warning signs of atypical anorexia?",{"type":65,"attrs":2856,"content":2857},{"textAlign":67},[2858],{"text":2859,"type":71},"Warning signs of atypical anorexia often involve changes in eating habits, excessive concern around body shape and emotional distress around food or body image.",{"type":65,"attrs":2861,"content":2862},{"textAlign":67},[2863],{"text":2864,"type":71},"Because eating disorders affect people across a wide range of body sizes, you cannot tell whether someone has an eating disorder simply by looking at them.",{"type":2275,"attrs":2866,"content":2867},{"level":2322,"textAlign":67},[2868],{"text":2869,"type":71},"Behavioral warning signs of atypical anorexia",{"type":65,"attrs":2871,"content":2872},{"textAlign":67},[2873],{"text":2874,"type":71},"Behavioral warning signs include:",{"type":2247,"content":2876},[2877,2883,2890,2897,2904,2910,2917],{"type":2250,"content":2878},[2879],{"type":65,"attrs":2880,"content":2881},{"textAlign":67},[2882],{"text":2353,"type":71},{"type":2250,"content":2884},[2885],{"type":65,"attrs":2886,"content":2887},{"textAlign":67},[2888],{"text":2889,"type":71},"Skipping meals",{"type":2250,"content":2891},[2892],{"type":65,"attrs":2893,"content":2894},{"textAlign":67},[2895],{"text":2896,"type":71},"Severely restricting calories",{"type":2250,"content":2898},[2899],{"type":65,"attrs":2900,"content":2901},{"textAlign":67},[2902],{"text":2903,"type":71},"Obsessively counting calories or tracking food",{"type":2250,"content":2905},[2906],{"type":65,"attrs":2907,"content":2908},{"textAlign":67},[2909],{"text":2395,"type":71},{"type":2250,"content":2911},[2912],{"type":65,"attrs":2913,"content":2914},{"textAlign":67},[2915],{"text":2916,"type":71},"Binge eating or purging behaviors",{"type":2250,"content":2918},[2919],{"type":65,"attrs":2920,"content":2921},{"textAlign":67},[2922],{"text":2923,"type":71},"Avoiding social situations that involve food",{"type":2275,"attrs":2925,"content":2926},{"level":2322,"textAlign":67},[2927],{"text":2928,"type":71},"Emotional warning signs of atypical anorexia",{"type":65,"attrs":2930,"content":2931},{"textAlign":67},[2932],{"text":2933,"type":71},"Emotional warning signs include:",{"type":2247,"content":2935},[2936,2943,2950,2957,2964],{"type":2250,"content":2937},[2938],{"type":65,"attrs":2939,"content":2940},{"textAlign":67},[2941],{"text":2942,"type":71},"Increased anxiety around meals",{"type":2250,"content":2944},[2945],{"type":65,"attrs":2946,"content":2947},{"textAlign":67},[2948],{"text":2949,"type":71},"Frequent comments about weight or body shape",{"type":2250,"content":2951},[2952],{"type":65,"attrs":2953,"content":2954},{"textAlign":67},[2955],{"text":2956,"type":71},"Persistent dissatisfaction with appearance",{"type":2250,"content":2958},[2959],{"type":65,"attrs":2960,"content":2961},{"textAlign":67},[2962],{"text":2963,"type":71},"Withdrawal from friends and family",{"type":2250,"content":2965},[2966],{"type":65,"attrs":2967,"content":2968},{"textAlign":67},[2969],{"text":2970,"type":71},"Increased irritability or mood changes",{"type":65,"attrs":2972,"content":2973},{"textAlign":67},[2974],{"text":2975,"type":71},"Recognizing these warning signs early can help individuals access support before symptoms become more severe.",{"type":2275,"attrs":2977,"content":2978},{"level":2277,"textAlign":67},[2979],{"text":2980,"type":71},"How can you be malnourished if you're not underweight?",{"type":65,"attrs":2982,"content":2983},{"textAlign":67},[2984],{"text":2985,"type":71},"You can be malnourished at any body size because malnourishment is caused by inadequate nutrition. When the body does not receive enough calories, nutrients or energy, it can begin to experience the effects of starvation.",{"type":65,"attrs":2987,"content":2988},{"textAlign":67},[2989],{"text":2990,"type":71},"For example, someone may:",{"type":2247,"content":2992},[2993,3000,3007,3014],{"type":2250,"content":2994},[2995],{"type":65,"attrs":2996,"content":2997},{"textAlign":67},[2998],{"text":2999,"type":71},"Lose a significant amount of weight but still fall within the \"normal\" BMI range",{"type":2250,"content":3001},[3002],{"type":65,"attrs":3003,"content":3004},{"textAlign":67},[3005],{"text":3006,"type":71},"Restrict food intake for a prolonged period of time",{"type":2250,"content":3008},[3009],{"type":65,"attrs":3010,"content":3011},{"textAlign":67},[3012],{"text":3013,"type":71},"Experience nutrient deficiencies despite appearing healthy",{"type":2250,"content":3015},[3016],{"type":65,"attrs":3017,"content":3018},{"textAlign":67},[3019],{"text":3020,"type":71},"Remain at a higher weight while still experiencing serious medical complications",{"type":2275,"attrs":3022,"content":3023},{"level":2322,"textAlign":67},[3024],{"text":3025,"type":71},"Signs of malnutrition to watch for",{"type":65,"attrs":3027,"content":3028},{"textAlign":67},[3029],{"text":3030,"type":71},"Signs of malnutrition to watch for include:",{"type":2247,"content":3032},[3033,3039,3046,3053,3060,3067],{"type":2250,"content":3034},[3035],{"type":65,"attrs":3036,"content":3037},{"textAlign":67},[3038],{"text":2768,"type":71},{"type":2250,"content":3040},[3041],{"type":65,"attrs":3042,"content":3043},{"textAlign":67},[3044],{"text":3045,"type":71},"Weakness",{"type":2250,"content":3047},[3048],{"type":65,"attrs":3049,"content":3050},{"textAlign":67},[3051],{"text":3052,"type":71},"Difficulty concentrating",{"type":2250,"content":3054},[3055],{"type":65,"attrs":3056,"content":3057},{"textAlign":67},[3058],{"text":3059,"type":71},"Dizziness",{"type":2250,"content":3061},[3062],{"type":65,"attrs":3063,"content":3064},{"textAlign":67},[3065],{"text":3066,"type":71},"Vitamin deficiencies",{"type":2250,"content":3068},[3069],{"type":65,"attrs":3070,"content":3071},{"textAlign":67},[3072],{"text":2683,"type":71},{"type":65,"attrs":3074,"content":3075},{"textAlign":67},[3076],{"text":3077,"type":71},"This is one reason atypical anorexia is often overlooked. People may assume they are healthy because they do not appear underweight, while their body is experiencing many of the same effects of starvation seen in anorexia nervosa.",{"type":2275,"attrs":3079,"content":3080},{"level":2277,"textAlign":67},[3081],{"text":3082,"type":71},"Why is atypical anorexia often overlooked?",{"type":65,"attrs":3084,"content":3085},{"textAlign":67},[3086],{"text":3087,"type":71},"Atypical anorexia is often overlooked because many people expect eating disorders to look a certain way. This is common in both people experiencing atypical anorexia symptoms and providers who may not be sufficiently familiar with eating disorders.",{"type":2275,"attrs":3089,"content":3090},{"level":2322,"textAlign":67},[3091],{"text":3092,"type":71},"Common misconceptions about atypical anorexia",{"type":65,"attrs":3094,"content":3095},{"textAlign":67},[3096],{"text":3097,"type":71},"Common misconceptions about atypical anorexia include the following:",{"type":2247,"content":3099},[3100,3107,3114,3121,3128],{"type":2250,"content":3101},[3102],{"type":65,"attrs":3103,"content":3104},{"textAlign":67},[3105],{"text":3106,"type":71},"You must be underweight to have anorexia.",{"type":2250,"content":3108},[3109],{"type":65,"attrs":3110,"content":3111},{"textAlign":67},[3112],{"text":3113,"type":71},"Weight determines how medically serious an eating disorder is.",{"type":2250,"content":3115},[3116],{"type":65,"attrs":3117,"content":3118},{"textAlign":67},[3119],{"text":3120,"type":71},"Weight loss is always healthy.",{"type":2250,"content":3122},[3123],{"type":65,"attrs":3124,"content":3125},{"textAlign":67},[3126],{"text":3127,"type":71},"People in larger bodies cannot experience malnutrition.",{"type":2250,"content":3129},[3130],{"type":65,"attrs":3131,"content":3132},{"textAlign":67},[3133],{"text":3134,"type":71},"Eating disorders are easy to identify based on appearance.",{"type":65,"attrs":3136,"content":3137},{"textAlign":67},[3138],{"text":3139,"type":71},"Many individuals with atypical anorexia delay treatment because they believe their symptoms are not serious enough. Others may receive praise for weight loss without anyone recognizing the harmful behaviors driving it.",{"type":65,"attrs":3141,"content":3142},{"textAlign":67},[3143],{"text":3144,"type":71},"If you're unsure whether what you're experiencing is an eating disorder, it may be helpful to understand the difference between disordered eating and eating disorders.",{"type":2275,"attrs":3146,"content":3147},{"level":2277,"textAlign":67},[3148],{"text":3149,"type":71},"Concerned about atypical anorexia symptoms?",{"type":65,"attrs":3151,"content":3152},{"textAlign":67},[3153],{"text":3154,"type":71},"If thoughts about food, weight or body image are affecting your physical health, emotional well-being or daily life, it may be time to seek professional support.",{"type":65,"attrs":3156,"content":3157},{"textAlign":67},[3158],{"text":3159,"type":71},"You do not have to be underweight to experience serious eating disorder symptoms. And you do not have to wait until symptoms become severe before asking for help.",{"type":2275,"attrs":3161,"content":3162},{"level":2322,"textAlign":67},[3163],{"text":3164,"type":71},"Signs it's time to reach out for support",{"type":65,"attrs":3166,"content":3167},{"textAlign":67},[3168],{"text":3169,"type":71},"Consider reaching out for support if:",{"type":2247,"content":3171},[3172,3179,3186,3193,3200,3207],{"type":2250,"content":3173},[3174],{"type":65,"attrs":3175,"content":3176},{"textAlign":67},[3177],{"text":3178,"type":71},"Eating disorder thoughts are becoming harder to manage.",{"type":2250,"content":3180},[3181],{"type":65,"attrs":3182,"content":3183},{"textAlign":67},[3184],{"text":3185,"type":71},"Food rules are interfering with daily life.",{"type":2250,"content":3187},[3188],{"type":65,"attrs":3189,"content":3190},{"textAlign":67},[3191],{"text":3192,"type":71},"Physical symptoms such as fatigue, dizziness or weakness are developing.",{"type":2250,"content":3194},[3195],{"type":65,"attrs":3196,"content":3197},{"textAlign":67},[3198],{"text":3199,"type":71},"Weight or body image concerns feel overwhelming.",{"type":2250,"content":3201},[3202],{"type":65,"attrs":3203,"content":3204},{"textAlign":67},[3205],{"text":3206,"type":71},"Relationships, work and\u002For school are being affected.",{"type":2250,"content":3208},[3209],{"type":65,"attrs":3210,"content":3211},{"textAlign":67},[3212],{"text":3213,"type":71},"You are wondering whether you need help.",{"type":65,"attrs":3215,"content":3216},{"textAlign":67},[3217],{"text":3218,"type":71},"Many people with atypical anorexia wait months or even years before seeking treatment because they don't think they qualify for help. The truth is that eating disorders are serious at any weight, and early intervention can make a meaningful difference.",{"type":65,"attrs":3220,"content":3221},{"textAlign":67},[3222,3224,3231],{"text":3223,"type":71},"If you or someone you care about is experiencing signs of atypical anorexia, support is available. ",{"text":3225,"type":71,"marks":3226},"Contact us",[3227],{"type":104,"attrs":3228},{"href":3229,"uuid":738,"anchor":67,"target":27,"linktype":31,"story":3230},"\u002Fform\u002Fself-assessment-form",{"name":741,"id":742,"uuid":738,"slug":743,"url":744,"full_slug":744,"_stopResolving":35},{"text":3232,"type":71}," today for a free, confidential assessment and learn more about your treatment options.",{"type":3234,"attrs":3235},"blok",{"id":3236,"body":3237},"4d6d9c4c-d8a3-4eae-b52e-b8ae9d42d307",[3238],{"_uid":3239,"heading":3240,"component":3241,"faq_items":3242,"heading_tag":3288,"heading_appearance":3288},"i-45690574-b2ab-479d-8979-b587178b9a8b","Frequently asked questions","ContentFaqV2",[3243,3255,3266,3277],{"_uid":3244,"name":3245,"value":3246,"component":3254},"ea8bef67-5970-4018-aaa8-567fdf83b464","Can you have anorexia if you're not underweight?",{"type":62,"attrs":3247,"content":3248},{"backgroundColor":67},[3249],{"type":65,"attrs":3250,"content":3251},{"textAlign":67},[3252],{"text":3253,"type":71},"Yes. People with atypical anorexia experience many of the same symptoms, behaviors and medical complications as those with anorexia nervosa but are not considered underweight. Weight alone does not determine the severity of an eating disorder.","name_value",{"_uid":3256,"name":3257,"value":3258,"component":3254},"4f5edcdc-d5d2-41e6-a9e8-2c381e7c6a9a","Is atypical anorexia as serious as anorexia nervosa?",{"type":62,"attrs":3259,"content":3260},{"backgroundColor":67},[3261],{"type":65,"attrs":3262,"content":3263},{"textAlign":67},[3264],{"text":3265,"type":71},"Yes. Research suggests that people with atypical anorexia can experience medical complications, emotional distress and eating disorder symptoms that are just as severe as those seen in anorexia nervosa. Serious health risks can occur regardless of body size.",{"_uid":3267,"name":3268,"value":3269,"component":3254},"e0792d6d-9113-4fd2-b589-fd4200661f21","What are the most common symptoms of atypical anorexia?",{"type":62,"attrs":3270,"content":3271},{"backgroundColor":67},[3272],{"type":65,"attrs":3273,"content":3274},{"textAlign":67},[3275],{"text":3276,"type":71},"Common symptoms include restrictive eating, intense fear of weight gain, rapid or significant weight loss, excessive focus on food or body image, fatigue, dizziness, anxiety around eating, excessive exercise and signs of malnutrition.",{"_uid":3278,"name":3279,"value":3280,"component":3254},"a9936c5b-4e0a-49d4-8014-eb673605ed1b","When should someone seek help for atypical anorexia?",{"type":62,"attrs":3281,"content":3282},{"backgroundColor":67},[3283],{"type":65,"attrs":3284,"content":3285},{"textAlign":67},[3286],{"text":3287,"type":71},"It's important to seek support if thoughts about food, weight or body image are affecting your daily life, relationships, physical health or emotional well-being. You do not need to be underweight or wait until symptoms become severe to benefit from treatment.","h2",{"id":67,"alt":67,"name":14,"focus":67,"title":67,"source":67,"filename":14,"copyright":67,"fieldtype":175,"meta_data":3290},{},"Blog","Signs and Symptoms",[],{"type":62,"attrs":3295,"content":3296},{"backgroundColor":67},[3297],{"type":3298,"attrs":3299,"content":3301},"ordered_list",{"order":3300},1,[3302,3323],{"type":2250,"content":3303},[3304],{"type":65,"attrs":3305,"content":3306},{"textAlign":67},[3307,3309,3314,3316,3321],{"text":3308,"type":71},"Golden, N. H., & Mehler, P. S. (2020). Atypical anorexia nervosa can be just as bad. ",{"text":3310,"type":71,"marks":3311},"Cleveland Clinic Journal of Medicine, 87",[3312],{"type":3313},"italic",{"text":3315,"type":71},"(3), 172-174. ",{"text":3317,"type":71,"marks":3318},"https:\u002F\u002Fdoi.org\u002F10.3949\u002Fccjm.87a.19146",[3319],{"type":104,"attrs":3320},{"href":3317,"uuid":67,"anchor":67,"target":27,"linktype":17},{"text":3322,"type":71},".",{"type":2250,"content":3324},[3325],{"type":65,"attrs":3326,"content":3327},{"textAlign":67},[3328,3330,3334,3336,3341],{"text":3329,"type":71},"Stice, E., Marti, C. N., & Rohde, P. (2013). Prevalence, incidence, impairment, and course of the proposed DSM-5 eating disorder diagnoses in an 8-year prospective community study of young women. ",{"text":3331,"type":71,"marks":3332},"Journal of Abnormal Psychology, 122",[3333],{"type":3313},{"text":3335,"type":71},"(2), 445-457. ",{"text":3337,"type":71,"marks":3338},"https:\u002F\u002Fpubmed.ncbi.nlm.nih.gov\u002F23148784\u002F",[3339],{"type":104,"attrs":3340},{"href":3337,"uuid":67,"anchor":67,"target":27,"linktype":17},{"text":3322,"type":71},"Atypical anorexia is an eating disorder characterized by restrictive eating, intense fear of weight gain and significant emotional distress, despite an individual not appearing underweight. People with atypical anorexia can experience many of the same physical, psychological and medical complications as those with anorexia nervosa, including malnutrition, bradycardia, fatigue, anxiety and body image distress. This article explores the common physical, emotional and behavioral symptoms of atypical anorexia, explains why the condition is often overlooked and highlights when it's important to seek professional support.",[390,3344,3345,3346,1450],"Community","Family & Caregivers","Patient",[518,490],"Atypical Anorexia Symptoms: Physical, Emotional and Medical Warning Signs | Eating Recovery Center",[3350],{"name":3351,"created_at":3352,"published_at":3353,"updated_at":3354,"id":3355,"uuid":3356,"content":3357,"slug":3396,"full_slug":3397,"sort_by_date":67,"position":3398,"tag_list":3399,"is_startpage":177,"parent_id":3400,"meta_data":67,"group_id":3401,"first_published_at":3402,"release_id":67,"lang":201,"path":67,"alternates":3403,"default_full_slug":67,"translated_slugs":67,"_stopResolving":35},"Rebecca VanBebber","2026-03-02T16:24:34.788Z","2026-06-08T18:43:55.397Z","2026-06-08T18:43:55.410Z",150647090367622,"425c4109-cf87-4859-90c8-9e3dcd64b138",{"bio":3358,"_uid":3359,"body":3360,"layout":3361,"status":3362,"facebook":3363,"linkedin":3364,"pronouns":14,"component":3365,"instagram":3366,"locations":3367,"twitter_x":3368,"categories":3369,"meta_title":14,"bio_heading":14,"credentials":3370,"designation":3371,"rater8_link":14,"specialties":3372,"what_we_treat":3373,"featured_image":3374,"portrait_image":3379,"specialization":14,"languages_spoken":3381,"meta_description":14,"advanced_training":3382,"areas_of_interest":3386,"education_history":3387,"listing_sort_order":14,"board_certifications":3390,"schema_person_address":14,"schema_person_same_as":14,"show_in_all_locations":177,"schema_person_works_for":14,"clinical_information_text":3391,"primary_clinical_location":3394,"professional_associations":3395},"\u003Cp>Rebecca VanBebber is the Clinical Director for Eating Recovery Center in Bellevue. She is a Licensed Mental Health Counselor with extensive experience in treating eating disorders as well as in clinical leadership and supervision. Rebecca oversees treatment programs for individuals with eating disorders and mood disorders across a range of levels of care. She is passionate about creating effective, compassionate care environments.\u003C\u002Fp>","f7caa7d0-b672-4055-ba91-01f5e2ddc26f",[],"standard","Active",{"id":14,"url":14,"linktype":31,"fieldtype":18,"cached_url":14},{"id":14,"url":14,"linktype":31,"fieldtype":18,"cached_url":14},"staff",{"id":14,"url":14,"linktype":31,"fieldtype":18,"cached_url":14},[],{"id":14,"url":14,"linktype":31,"fieldtype":18,"cached_url":14},[],"LMHC, MS","Clinical Director",[],[],{"id":3375,"alt":3376,"name":14,"focus":14,"title":14,"source":14,"filename":3377,"copyright":14,"fieldtype":175,"meta_data":3378,"is_external_url":177},150647079146548,"Rebecca VanBebber, LMHC, MS","https:\u002F\u002Fa.storyblok.com\u002Ff\u002F286555691919486\u002F450x450\u002F8ceed73253\u002Frebecca-vanbebber.jpg",{"alt":3376,"title":14,"source":14,"copyright":14},{"id":3375,"alt":3376,"name":14,"focus":14,"title":14,"source":14,"filename":3377,"copyright":14,"fieldtype":175,"meta_data":3380,"is_external_url":177},{"alt":3376,"title":14,"source":14,"copyright":14},[],[3383],{"_uid":3384,"year":14,"degree":14,"component":3385,"university":14},"uuid-hUrqM","education",[],[3388],{"_uid":3389,"year":14,"degree":14,"component":3385,"university":14},"uuid-BFdSn",[],{"type":62,"content":3392},[3393],{"type":65},[],[],"rebecca-vanbebber","profile\u002Frebecca-vanbebber",-4680,[],148823052330811,"b3d765e9-9111-40c3-a385-ef2bfe52fe70","2026-03-02T16:24:34.829Z",[],{"id":67,"alt":67,"name":14,"focus":67,"title":67,"source":67,"filename":14,"copyright":67,"fieldtype":175,"meta_data":3405},{},{"id":3407,"alt":3408,"name":14,"focus":14,"title":14,"source":14,"filename":3409,"copyright":14,"fieldtype":175,"meta_data":3410,"is_external_url":177},222886857594124,"Young woman standing in front of mirror at home","https:\u002F\u002Fa.storyblok.com\u002Ff\u002F286555691919486\u002F2121x1414\u002F502caa369d\u002Fwoman-looking-mirror.jpg",{"alt":3408,"size":3411},"2121x1414",[],"Discover common atypical anorexia symptoms, including physical, mental and emotional symptoms, warning signs and health complications to watch for.",{"id":3407,"alt":3408,"name":14,"focus":14,"title":14,"source":14,"filename":3409,"copyright":14,"fieldtype":175,"meta_data":3415,"is_external_url":177},{"alt":3408,"size":3411},[],"atypical-anorexia-symptoms","resources\u002Fatypical-anorexia-symptoms",-8200,[],109705324666269,"1f477aa2-3d70-45a6-836c-dd3d790399f9","2026-09-21T06:00:00.000Z",[],[],[],{"age":3428,"cache-control":3429,"connection":3430,"content-encoding":3431,"content-type":3432,"date":3433,"etag":3434,"referrer-policy":3435,"sb-be-version":3436,"server":3437,"strict-transport-security":3438,"transfer-encoding":3439,"vary":3440,"via":3441,"x-amz-cf-id":3442,"x-amz-cf-pop":3443,"x-cache":3444,"x-content-type-options":3445,"x-frame-options":3446,"x-permitted-cross-domain-policies":3447,"x-request-id":3448,"x-runtime":3449,"x-xss-protection":1974},"1","max-age=0, public, s-maxage=604800, stale-if-error=3600","keep-alive","gzip","application\u002Fjson; charset=utf-8","Fri, 30 Oct 2026 18:38:01 GMT","W\u002F\"7cf6d69be55150d9da583d287f4029c5\"","strict-origin-when-cross-origin","5.996.4","nginx","max-age=31536000","chunked","Origin,Accept-Encoding","1.1 42aed972fa621ce88b3040a924849922.cloudfront.net (CloudFront)","0vLUAFr21arrSmBjO4wQfOK1B1ppilpPcceWzLH9VHeXQHO0icdDJw==","IAD55-P6","Hit from cloudfront","nosniff","SAMEORIGIN","none","2a527fa2-ef2e-46dc-960c-b7b78ec700ac","0.035347",{"data":3451,"headers":3666,"perPage":3676,"total":3677},{"stories":3452,"cv":203,"rels":3664,"links":3665},[3453,3499,3557,3604],{"name":3454,"created_at":3455,"published_at":3456,"updated_at":3457,"id":3458,"uuid":3459,"content":3460,"slug":3493,"full_slug":3494,"sort_by_date":67,"position":3495,"tag_list":3496,"is_startpage":177,"parent_id":1896,"meta_data":67,"group_id":3497,"first_published_at":3456,"release_id":67,"lang":201,"path":67,"alternates":3498,"default_full_slug":67,"translated_slugs":67},"Her 12-year-old had an eating disorder. Caregiving meant healing herself, too","2026-09-01T15:45:22.326Z","2026-09-01T15:50:15.477Z","2026-09-01T15:50:15.488Z",215400129878194,"144a223b-01fa-4566-b26c-2f6b6cd373ed",{"_uid":3461,"body":3462,"authors":3480,"excerpt":14,"summary":3482,"component":1878,"categories":3483,"article_type":1880,"external_link":3484,"featured_image":3485,"external_link_text":3490,"listing_thumbnail_image":3491},"38fb8d5c-e5f1-4819-9fc0-7ff6e5e2d061",{"type":62,"attrs":3463,"content":3464},{"backgroundColor":67},[3465,3470,3475],{"type":65,"attrs":3466,"content":3467},{"textAlign":67},[3468],{"text":3469,"type":71},"Beth Ayn Stansfield, of Virginia, was excited when her preteen told her she wanted to start running together.",{"type":65,"attrs":3471,"content":3472},{"textAlign":67},[3473],{"text":3474,"type":71},"\"Initially, she came home from school one day, middle school, and announced that she just wanted to get healthy and that she was going to go on a diet,\" Stansfield said. \"At that time, I didn't give it much thought because I was on the South Beach diet.\"",{"type":65,"attrs":3476,"content":3477},{"textAlign":67},[3478],{"text":3479,"type":71},"Stansfield enjoyed bonding with her daughter, Carly, through food and exercise, especially working out together as a way to have fun and relieve stress. But she soon realized that for Carly, \"it started to become extreme.\" At first Carly eliminated sweets. Then she cut out all carbs. Stansfield then noticed her daughter sometimes skipped meals altogether.",[3481],"1d5cd4af-12a4-4c28-911c-6884dbf73df1","USA Today recently put a spotlight on the lived experience perspective of ERC National Family Advocate Beth Ayn Stansfield who shared her story of supporting a daughter in eating disorder treatment while also recognizing her own complex relationship with food. This thoughtful article highlights a situation many caregivers may go through while caring for a child with an eating disorder -- and addresses the complexities of living in a diet-culture and GLP-1-driven society.",[],"https:\u002F\u002Fwww.usatoday.com\u002Fstory\u002Flife\u002Fhealth-wellness\u002F2026\u002F07\u002F27\u002Fchild-parent-eating-disorder-recovery\u002F90997723007\u002F",{"id":3486,"alt":3487,"name":14,"focus":14,"title":14,"source":14,"filename":3488,"copyright":14,"fieldtype":175,"meta_data":3489,"is_external_url":177},215400775769246,"Beth Ayn Stansfield with daughters posing at the beach","https:\u002F\u002Fa.storyblok.com\u002Ff\u002F286555691919486\u002F441x460\u002F0389a68824\u002Fbeth-ayn-stansfield-daughters.png",{"alt":3487,"title":14,"source":14,"copyright":14},"Read more",{"id":3486,"alt":3487,"name":14,"focus":14,"title":14,"source":14,"filename":3488,"copyright":14,"fieldtype":175,"meta_data":3492,"is_external_url":177},{"alt":3487,"title":14,"source":14,"copyright":14},"child-parent-eating-disorder-recovery","news\u002Fchild-parent-eating-disorder-recovery",-4900,[],"a551d1fa-fc6c-40a7-b5ba-de204a97bcb8",[],{"name":3500,"created_at":3501,"published_at":3502,"updated_at":3503,"id":3504,"uuid":3505,"content":3506,"slug":3551,"full_slug":3552,"sort_by_date":67,"position":3553,"tag_list":3554,"is_startpage":177,"parent_id":1896,"meta_data":67,"group_id":3555,"first_published_at":3502,"release_id":67,"lang":201,"path":67,"alternates":3556,"default_full_slug":67,"translated_slugs":67},"Parents may not know: Baltimore expert warns AI chatbots can encourage disordered eating","2026-09-01T15:33:29.337Z","2026-09-01T15:38:20.050Z","2026-09-01T15:38:20.062Z",215397209483565,"a7148c77-c3c7-46bd-b0da-98b153f79503",{"_uid":3507,"body":3508,"authors":3536,"excerpt":14,"summary":3538,"component":1878,"categories":3539,"article_type":1914,"external_link":3540,"featured_image":3541,"external_link_text":3490,"listing_thumbnail_image":3548},"54d16e8d-7833-4742-afab-7bfb61cd093e",{"type":62,"attrs":3509,"content":3510},{"backgroundColor":67},[3511,3516,3521,3526,3531],{"type":65,"attrs":3512,"content":3513},{"textAlign":67},[3514],{"text":3515,"type":71},"HUNT VALLEY, Md. — Psychologists are warning parents about a new trend of kids using artificial intelligence chatbots as a \"secret eating disorder coach.\"",{"type":65,"attrs":3517,"content":3518},{"textAlign":67},[3519],{"text":3520,"type":71},"Not only do the chatbots give tips on weight loss, but they may also encourage disordered eating.",{"type":65,"attrs":3522,"content":3523},{"textAlign":67},[3524],{"text":3525,"type":71},"Dr. Kaitlin Slaven, an expert with the Eating Recovery Center in Baltimore, told WBAL-TV 11 News that parents may have no idea it's going on.",{"type":65,"attrs":3527,"content":3528},{"textAlign":67},[3529],{"text":3530,"type":71},"\"These chatbots are equipped with tools to be able to sort of gather information and learn. And so, as somebody is inputting information about 'I'm trying to lose weight,' and the chatbot is saying, 'Good job, you're losing weight.' And so, they start to adapt to what is happening and they start to almost encourage the behavior,\" Slaven explained.",{"type":65,"attrs":3532,"content":3533},{"textAlign":67},[3534],{"text":3535,"type":71},"Slaven advises parents to pay attention to clues.",[3537],"86c19221-c58b-4139-9138-a4cde149c18f","ERC's Dr. Kaitlin Slaven was a featured guest recently on WBAL to share insight about how AI chatbots are impacting eating disorders in kids. 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