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An eating disorder is a mental health condition where someone is unable to control how they perceive and interact with food.

Oftentimes, people may overindulge in food, or not eat enough, because they are coping with other issues such as anxiety, depression, self-loathing, self-consciousness, and much more.

Eating disorders are stigmatised in society, however, they are serious mental illnesses which require proper treatment.

Eating disorders affect many facets of their victim’s lives in both physical and mental ways.

Suffering from an eating disorder can lead to many complications [1] such as malnutrition, anxiety, depression, and more.

While these symptoms are harmful in themselves, they can lead to serious long-term health complications.

Woman suffering from the dangers of anorexia or bulimia

Woman suffering from the effects of anorexia or bulimia

Sadly, eating disorders are far more common than people might assume.

Some people may also be suffering from a form of eating disorder without even realising it.

The stigmatisation of eating disorders exists because people are unaware of how they work.

Additionally, the people who are fortunate enough not to suffer from an eating disorder may think that it is simply a choice, a lack of discipline, or a lifestyle.

However, it is a serious condition.

Someone who is suffering from an eating disorder may suffer from social discrimination and shame due to their actions or behaviour.

Furthermore, symptoms of eating disorders can be apparent, which will make people feel self-conscious and discriminated against on first sight.

The median age of someone suffering from an eating disorder is 21 years of age, [2] and females are more likely to suffer from a condition of this type.

This is likely due to a number of factors, such as intense social media use, worrying about appearance, genetics, and more.

Statistics show that binge eating-related hospital admissions have increased by 84% from 2017 to 2022. [3]

Types of Eating Disorders

Doctor speaking with a patient about the dangers of anorexia and bulimia

Doctor speaking with a patient about the dangers of anorexia and bulimia

Unhealthy eating patterns can come in many different forms and can range from the most severe forms of overeating and undereating.

Eating disorders can also affect how someone perceives reality, such as their weight, appearance and other factors.

Anyone can suffer from an eating disorder, however, younger demographics are more likely to suffer due to issues related to self-image, especially in the age of social media.

Some of the most common forms of eating disorders include:

Anorexia

Man suffering from the symptoms of anorexia

Man suffering from the symptoms of anorexia

Anorexia nervosa, [4] commonly referred to as anorexia, is an eating disorder where the subject has an intense fear of gaining weight.

This is often rooted in a warped sense of reality, as some people who are severely underweight may think they are severely overweight.

There are different forms of anorexia. It can manifest in the form of extreme dieting and calorie restriction.

Bulimia can also lead to anorexia, where an individual frequently induces vomiting or otherwise “purges” in order to limit their calorie intake.

Anorexia is common among people who are suffering from chronic stress, anxiety or depression.

Some believe that extreme dieting can bring people a sense of autonomy over someone’s life, making them feel more in control.

However, their obsession with their eating habits dictates many aspects of their life, such as what they can eat, who they can eat and socialise with, where they can eat and so on.

In the age of social media and an obsession with self-image, younger people are far more likely to suffer from anorexia in an attempt to make themselves look more acceptable or pleasant to other people.

Bulimia

Woman experiencing fatigue from bulimia

Woman experiencing fatigue from bulimia

While anorexia is a form of extreme calorie restriction, bulimia nervosa [5] – or bulimia – is characterised by events of uncontrolled eating followed by a form of “purging”.

The subject will eat extreme quantities of food because they are unable to control their portions.

Instead of restricting their food intake, the subject will resort to “purging” or throwing up the food they’ve already consumed in an attempt to maintain weight.

The subject will often purge by using their own fingers to stick down their throat, triggering their gag reflexes.

The purpose of this is to enjoy and indulge in the food which they are so compelled to eat, but to throw up in order to negate the calories in which they have already consumed.

Laxatives are another common method for some people suffering from bulimia.

However, while the user may think that laxatives help them maintain or lose weight, it will actually rid the body of valuable nutrients, electrolytes, water and other things that are essential for survival.

This can leave them malnourished and in an intense state of dehydration.

Since the subject is not actually gaining much weight despite the large quantities of food that they consume, this allows them to maintain a consistent size, and thus hide their condition.

People who suffer from bulimia think it is a solution to their uncontrollable eating habits.

However, there are long-term adverse health effects associated with bulimia.

Binge Eating Disorder

Unhealthy food is often a key part of eating disorders

Unhealthy food is often a key part of eating disorders

Binge Eating Disorder [6] is when a subject is unable to control their eating habits, and consumes extremely high quantities of food.

What separates this from bulimia is that these subjects do not “purge” by throwing up or consuming laxatives afterwards.

Which is More Dangerous, Anorexia or Bulimia?

Two friends discussing the dangers of anorexia and bulimia

Two friends discussing the dangers of anorexia and bulimia

Asking the question “Which is more dangerous, anorexia or bulimia?” is complicated because each case is different and the level of severity will vary according to several factors.

There are many short-term and long-term adverse health effects of anorexia and bulimia.

Dangers and Effects of Anorexia

Doctor speaking with a patient during alcohol withdrawal

Doctor talking to a patient about the dangers of anorexia

Anorexia can lead to a range of serious short-term and long-term health conditions.

Here are some of the adverse health effects of anorexia:

  • Malnutrition: Anorexia is essentially chronic starvation. Because the subject is not eating enough food, they are missing out on a range of important nutrients that are needed to support healthy organs, boost immune system functions, and optimise cognitive performance.
  • Osteoporosis & muscle atrophy: Malnutrition, especially when it comes to lacking protein, will lead to muscle atrophy. The absence of other nutrients such as calcium will lead to the weakening of bones – which is called osteoporosis. Studies show that impaired muscle function and severe forms of skeletal myopathy. [7]
  • Constipation: Missing out on nutrients such as fibre and consuming extremely low quantities of food in general will lead to constipation. This can lead to abdominal pain, rectal bleeding and more.
  • Organ failure: Stomach, heart, and liver issues are pervasive among subjects who are suffering from anorexia. Anorexia can become severe enough that it causes liver failure because the body is starved of nutrients.
  • Brain damage: Anorexia can also lead to brain damage. Studies show that patients of anorexia show signs of deterioration and reduction in cortical thickness, volume and surface area. This means that severe forms of undereating can lead to the death of brain cells or the deterioration of brain matter. Anorexia can lead to structural changes in the brain [8] on a more severe scale than depression.
  • Anxiety & depression: While anxiety and depression may be causing factors for anorexia, they can also be symptoms of anorexia. Comorbidity [9] is common among patients suffering from anorexia. In addition to the structural changes in the brain caused by anorexia, food and nutrients play a part in regulating our cognitive functions and moods, [10] and starving our body of valuable nutrients can lead to erratic moods, irritability, anxiety, and depression.
  • Mortality: Heart problems are a serious concern among anorexia patients. This is because it can cause arrhythmia and other conditions which affect the heartbeat. This can even result in complications which can cause heart attack, heart failure and sudden death. Studies show that anorexia has the highest mortality rate of any psychiatric disorder. [11]

Dangers and Effects of Bulimia

Medical professional taking notes about the dangers and effects of bulimia

Medical professional taking notes about the dangers and effects of bulimia

While some people may see bulimia as a rather simple answer to an overeating problem, it can lead to a wide range of harmful health effects.

Some of the dangers and effects of bulimia include but are not limited to:

  • Dental problems: Oral problems such as dental pain and tooth erosion [12] are highly common among patients suffering from bulimia. This is because constantly purging or throwing up frequently exposes the teeth to stomach acid contents, which erodes tooth enamel.
  • Laxative abuse: Relying on laxatives to purge will cause a range of complications. Excessive laxative use can lead to health problems such as dehydration, organ failure, long-term constipation and increasing the risk of colon cancer. [13]
  • Irregular menstrual periods & birth defects: Frequently purging or throwing up can cause significant disruptions to a woman’s menstrual cycle. It may even make someone miss their menstrual cycle by a few months. This can affect their fertility and ability to get pregnant by affecting their ovulation. If someone is already pregnant and suffering from bulimia, it can lead to premature birth, birth defects, or even miscarriage.
  • Anxiety & depression: Much like with anorexia, many people suffering from bulimia also suffer from comorbidities, such as anxiety or depression. Those suffering from bulimia are often suffering from anxiety and depression because of how they perceive themselves and their appearance. Instead of addressing their mental issues, bulimia allows them to mask these insecurities. However, these mental issues can also be symptoms of bulimia.
  • Inflammation of the oesophagus: Frequently throwing up large quantities of food can lead to the inflammation of the oesophagus. Regurgitated acidic contents can lead to hoarseness, dysphagia, chronic coughing, painful inflammation, and even oesophagal rupture. [14]
  • Fatigue & lethargy: Since they will be throwing up most of the contents of their food, people suffering from bulimia will also suffer from fatigue and lethargy. Malnutrition, electrolyte imbalances, and low levels of potassium –  while combined with intense convulsions through purging – can lead to fatigue.
  • Stomach issues: Stomach issues such as constipation, irritable bowel syndrome, diarrhoea and abdominal pain may arise due to frequent purging.
  • Heart problems: Studies show that people suffering from bulimia are far more likely to suffer from hospitalisations and death due to cardiovascular disease in the future. [15] This is attributed to the side effects of bulimia which include malnutrition and electrolyte imbalances. [16]
  • Kidney problems: Frequent purging can cause chronic hypokalemia, which can eventually lead to chronic kidney disease. [17]

Causes of Eating Disorders

Man holding his head and suffering from the effects of anorexia or bulimia

Man holding his head and suffering from the effects of anorexia or bulimia

Anyone is susceptible to developing an eating disorder based on a number of factors.

Each case is different, and there are a number of variables and combinations of factors which will lead to someone developing an eating disorder.

Some of the most significant causing factors include but are not limited to:

  • Genetics: According to studies in the National Library of Medicine, [18] genetic factors are some of the most significant factors when considering the cause of developing an eating disorder. Statistics show a strong case of familial transmissions when it comes to eating disorders.
  • Social expectations: Social expectations are also some of the most influential factors. In the age of digitization and social media, people are more concerned about their physical appearance than ever. People, when suffering from social pressure to maintain or optimise their appearance for peers and even strangers, will go to great lengths to maintain their image, whether in the form of extreme dieting, purging, and more.
  • Mental and emotional health: Poor mental and emotional health can be exacerbated by social expectations. However, suffering from anxiety disorder can intensify feelings of self-loathing and coerce people into taking drastic measures to change. Furthermore, it is thought that some people who suffer from stress or anxiety overeat in order to cope with their negative feelings, only to minimise their caloric intake by purging.

Causes of Developing Anorexia

Therapist and patient discussing the dangers of anorexia and bulimia

Therapist and patient discussing the dangers of anorexia and bulimia

Anorexia is often caused by the fear of gaining weight. People who suffer from anorexia also often suffer from body dysmorphia.

Body dysmorphia is a mental health condition where the subject’s perception of their physical appearance is warped.

They may see flaws in themselves which others may not, and may interpret themselves as being overweight when in fact they are severely underweight.

While that is a common cause, it can also be attributed to genetic factors.

If someone in the family has suffered from physical or mental illnesses related to weight problems, it is possible to inherit these traits.

Other sports and activities which are heavily associated with eating disorders such as anorexia include:

  • Dancing and ballet
  • Bodybuilding
  • Cheerleading
  • Modelling
  • Combat Sports

Sports and competitions related to bodybuilding or combat sports often require some form of a “weight cut” in order to be eligible to compete or win.

This can put a lot of young people – especially young males – at risk of developing an eating disorder in the long term.

Frequently cutting weight and putting your body in a state of extreme calorie deficit – and having to manipulate how your body looks or feels due to external factors – can lead to a range of eating disorders in the future, whether in the form of extreme dieting or overeating.

Activities and sports popular with young women and often associated with spectacular appearances – such as dancing, ballet, cheerleading, or modelling – can have a harmful effect on the participant’s mental health.

Many of these activities and sports rely on participants being agile and light, not only for practical reasons but sometimes for appearances.

Many of these sports maintain a level of beauty standards which can create a toxic environment and coerces them into developing eating disorders and diminishing one’s mental and physical health.

Causes of Developing Bulimia

Two people talking about the dangers of anorexia and bulimia

Two people talking about the dangers of anorexia and bulimia

Binge eating disorders and bulimia stem from the inability to control how much one eats.

People suffering from bulimia turn towards purging to cope with their overeating habits.

Similar to anorexia, purging is a way to minimise weight gain.

People who are suffering from anxiety and stress often turn towards food in order to cope with their negative feelings.

This is often known as “stress eating” or “emotional eating, [19]” and is defined by eating in response to not only negative feelings but also positive feelings, and not responding to the physical need for feeding.

Warning Signs That You May Have an Eating Disorder

Young person discussing the dangers of anorexia and bulimia

Young person discussing the dangers of anorexia and bulimia

There are many signs to look out for if you are concerned about your eating habits.

Performing some of these habits doesn’t necessarily mean that you are suffering from an eating disorder, however, doing them excessively or intensely may indicate that you are suffering from an eating disorder.

Some signs and symptoms [20] of eating disorders include but are not limited to:

  • Constantly worrying about your weight: Worrying about your weight, especially if you are underweight or at a healthy weight, may indicate that you are suffering from a form of eating disorder. Additionally, your self-image may be warped in a way where you’re overly critical of yourself.
  • Calorie counting: While calorie counting can be a healthy way to maintain weight, people suffering from anorexia will have a calorie count in extremely small quantities. While men should aim to consume around 2,500 calories per day and women around 2,000 per day, people suffering from anorexia may consume as little as 500 calories or fewer.
  • Constantly worrying about your appearance: People who worry about their weight will frequently look in the mirror or may even shy away from looking at social media pictures of themselves if they are too worried about how they may look. Worrying too much about your appearance can lead to extreme and unhealthy caloric restrictions or dieting, which will affect your general wellbeing.
  • Editing pictures: Editing pictures in order to make yourself appear thinner is a symptom of an eating disorder, and indicates that the person is not happy with their current weight.
  • Eating to the point of discomfort: If you eat to the point where you are uncomfortably full, you may be suffering from a binge eating disorder. These people do not eat until their hunger is satiated, but past the point of satisfaction until they are uncomfortable.

Screening and Diagnosing Eating Disorders

Patient speaking to a therapist about the dangers of bulimia and anorexia

Patient speaking to a therapist about the dangers of bulimia and anorexia

Screening for and diagnosing eating disorders can be difficult.

However, if you think you may be suffering from an eating disorder, you should seek consultation with a licensed professional in order to understand the severity of your condition.

Your doctor or counsellor will need to assess your physical and mental health in order to determine whether you’re suffering from an eating disorder.

They will likely take a physical exam, which will consist of taking your weight, body mass index, history of weight fluctuations, and more.

They will also want to know about your exercise and eating habits.

They may also need to conduct a mental health assessment to see if you are suffering from any other conditions such as anxiety disorder, depression, and so on.

Seeking professional help is important because trying to determine whether you have an eating disorder using your own tools will provide an inaccurate assessment.

Some BMI (Body Mass Index) tools may lack depth, not taking into account muscle mass, bone mass and so on, and some people may be reluctant to accept that they are suffering from an eating disorder.

Treatment for Anorexia and Bulimia

Therapist and patient discussing the dangers of anorexia and bulimia

Therapist and patient discussing the dangers of anorexia and bulimia

You may be admitted to entering rehab as an outpatient or an inpatient depending on the severity of your eating disorder.

Once you are at rehab for treatment, you will receive thorough support from health professionals, nutritionists and licensed counsellors who will optimise your recovery and help you establish a healthy, sustainable, lifestyle.

Those who are suffering from a mild form of eating disorders will be able to undergo treatment as an outpatient.

Here, they have much more flexibility than inpatients, however, the risk of relapsing or reverting back to old habits is higher.

Patients suffering from moderate to severe forms of eating disorders will be encouraged to undergo treatment as an inpatient.

Here, they will have access to medically supported facilities, 24/7 supervision from health professionals and much more.

At Rehab 4 Addiction, we can help patients find the right treatment for a range of eating disorders, such as:

  • Binge Eating Disorder
  • Bulimia
  • Anorexia
  • Body Dysmorphic Disorder

Treatment programmes will vary not only from one disorder to the next, but from one patient to another.

Personalisation is a significant component when constructing an optimal recovery programme for patients.

Because there are so many variables to consider when it comes to the cause and severity of the disorder, and also personal history, it’s important to cater to the unique requirements of each patient.

Medical worker taking notes whilst speaking with a patient about the dangers of bulimia and anorexia

Medical worker taking notes whilst speaking with a patient about the dangers of bulimia and anorexia

However, while each treatment programme should be personalised and uniquely tailored, patients can expect to undergo therapy treatments such as:

  • Cognitive Behavioural Therapy: Cognitive Behavioural Therapy, or CBT, is one of the most popular forms of communication therapy for mental health treatment. CBT is beneficial because it takes place in a 1-1 setting, maximising personalisation for patients with their counsellors. The objective of CBT is to help patients understand the root cause of their addiction, how to overcome self-destructive tendencies and replace them to form a more positive lifestyle.
  • Dialectical Behavioural Therapy: Dialectical Behavioural Therapy (DBT) stems from CBT, however, it specialises in treating those suffering from intense emotions. Anxiety, stress, and depression are common among people suffering from eating disorders. DBT teaches patients how to manage these intense emotions, and how to turn towards positive coping mechanisms rather than destructive ones. DBT introduces patients to methods such as mindfulness, meditation and more.
  • Motivational Interviewing: Motivational Interviewing is different to traditional forms of therapy such as DBT and CBT. Rather than addressing root issues, it aims to activate the intrinsic motivation within patients to change their life. Motivational interviewing is effective in helping patients actualise and to facilitate their recovery journey with intention and purpose. Everyone has the pre-requisite tools for recovery, and Motivational Interviewing helps patients apply their motivation towards recovery.
  • Family Therapy: Family Therapy is particularly beneficial because it can address not only positive relations which can foster recovery, but negative relationships within families which can exacerbate disorders. Objectives vary from improving communication and educating family members to reinforcing the support networks for patients. Family Therapy is beneficial for patients suffering from eating disorders because it can help their family members understand their condition and how they can support recovery.
  • Holistic Therapy: Holistic Therapy is highly unique because it focuses on the physical, mental, and spiritual side of recovery. It does this by incorporating a wide range of activities which can promote general wellbeing, such as art therapy, adventure therapy, equine therapy, yoga, mindfulness, meditation and much more.

After completing treatment at rehab, patients will continue to receive support in the form of an aftercare programme.

While completing treatment means that the patient has the ability to sustain a healthy lifestyle with independence, they will still need support while they ease back into a more independent lifestyle.

Here, patients will continue to undergo recovery on a far less intensive scale during their post-rehab life. Patients will still benefit from counselling sessions, support sessions, access to fellowship groups and more.

Contact Rehab 4 Addiction Today

Person researching on their phone about the dangers of anorexia and bulimia

Person researching on their phone about the dangers of anorexia and bulimia

Contact Rehab 4 Addiction today by dialling the number 0800 140 4690.

When you call us, you’ll come into contact with a friendly and experienced member of the team at Rehab 4 Addiction.

Your recovery is at the forefront of our priorities, and we will be at your disposal to assist you with your personal recovery journey.

Whether you want to simply ask questions about your condition, discuss treatment options, or if you are ready to enter treatment as soon as you can, we will cater to your unique needs.

References for Which is More Dangerous, Anorexia or Bulimia?

[1] https://www.nimh.nih.gov/health/publications/eating-disorders

[2] https://www.nimh.nih.gov/health/statistics/eating-disorders

[3] https://www.rcpsych.ac.uk/news-and-features/latest-news/detail/2022/05/18/hospital-admissions-for-eating-disorders-increased-by-84-in-the-last-five-years

[4] https://www.hopkinsmedicine.org/health/conditions-and-diseases/eating-disorders/anorexia-nervosa

[5] https://www.hopkinsmedicine.org/health/conditions-and-diseases/eating-disorders/bulimia-nervosa

[6] https://www.nhs.uk/mental-health/conditions/binge-eating/overview/

[7] https://pubmed.ncbi.nlm.nih.gov/9650756/

[8] https://www.bath.ac.uk/announcements/largest-study-to-date-reveals-stark-changes-in-brain-structure-for-people-with-anorexia/

[9] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7967486/

[10] https://eating-disorders.org.uk/information/the-effects-of-under-eating/

[11] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8429328/

[12] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3267322/

[13] https://pubmed.ncbi.nlm.nih.gov/9647901/

[14] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4392812/

[15] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6802370/

[16] https://www.heart.org/en/news/2024/02/26/how-eating-disorders-can-damage-the-heart

[17] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9942359/

[18] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3010958/

[19] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9573278/

[20] https://www.nhs.uk/mental-health/feelings-symptoms-behaviours/behaviours/eating-disorders/overview/

boris

Boris is our editor-in-chief at Rehab 4 Addiction. Boris is an addiction expert with more than 20 years in the field.  His expertise covers a broad of topics relating to addiction, rehab and recovery. Boris is an addiction therapist and assists in the alcohol detox and rehab process. Boris has been featured on a variety of websites, including the BBC, Verywell Mind and Healthline. You can connect with Boris online at LinkedIn or X.com.