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Understanding the Different Types of Teen Eating Disorders

Teen girl staring at food with disinterest, symbolizing struggles with eating disorders. Text overlay: 'Understanding the Different Types of Teen Eating Disorders.'

According to the National Eating Disorders Association, it is estimated that 22% of children and teenagers in the United States have an eating disorder. These conditions also have the second-highest mortality rate of any behavioral health condition. Eating disorders are a high-risk health condition that affects a teen’s relationship with food. As a parent or guardian, it can be heartbreaking to watch your son or daughter struggle with teen eating disorders. 

As a parent or guardian, you should educate yourself about the different types of eating disorders. This article will help you with that. It will explore different eating disorders, their symptoms, and their effects. If you need more guidance or immediate help, do not hesitate to contact Nexus Teen Academy. We will be happy to provide further information.

Common Types of Eating Disorders in Teens

Teen girl looking distressed at her plate of food, symbolizing struggles with eating disorders. Represents the common types of eating disorders in teens.

Eating disorders are complex mental health conditions that affect people’s relationship with food, weight, and appearance. They can cause teens to experience overwhelming and distressing thoughts. Moreover, eating disorders in teen boys differ from eating disorders in teen girls. Some types of more prevalent in girls vs. boys. The following are some common types of eating disorders: 

Anorexia Nervosa

Anorexia is by far one of the most well-known types of eating disorders. It is an eating disorder where teens restrict their food intake because of the fear of gaining weight. Anorexic teens engage in self-starvation or cut out certain food groups to prevent weight gain. They become obsessed with their caloric intake and restrict their food intake. As a result, anorexic teens become nutrient-deficient and have a very low BMI. 

According to the American Psychiatric Association, anorexia has the highest mortality rate of any eating disorder. It prevents teens from realizing that their body image is distorted. Anorexic teens lose significant weight over a short period. This type of weight loss is dangerous and can be fatal. 

Symptoms of Anorexia Nervosa

  • An intense fear of weight gain or becoming fat
  • Unrealistic weight standards 
  • Obsessive calorie counting
  • Becoming overly self-critical 
  • Eliminating certain food groups from one’s diet
  • Feeling ‘fat’ despite significant weight loss
  • Abusing appetite suppressants 
  • Obsessively working out to burn calories 
  • Limiting food intake despite its negative effects 
  • Fatigue
  • Fainting
  • Dizziness
  • Wearing baggy clothes to hide weight loss 
  • Social withdrawal 
  • Cardiovascular issues like heart arrhythmia
  • Being unable to keep warm 
  • Absent periods 
  • Hair loss or thinning

Anorexia is a serious mental health condition that should be addressed immediately. If your teen exhibits a combination of the above symptoms, seek professional help immediately. 

Bulimia Nervosa

Bulimia Nervosa is a mental health condition that makes teens feel out of control when they are eating. It causes them to eat high amounts of food until it becomes painful. Bulimia is cyclic in nature. It causes teens to cycle between dieting and consuming large quantities of high-calorie foods. Since their overconsumption becomes unbearable, they purge the food through vomiting or laxative misuse. 

Bulimia is potentially life-threatening. The cyclic pattern of bulimia can cause teens to develop gastrointestinal issues and other mental health conditions. According to NEDA, bulimia nervosa is prevalent in 0.32% of females and 0.05% of males. 

Signs and Symptoms of Bulimia Nervosa

Detecting bulimia can be difficult for most parents. The following are the signs and symptoms of bulimia:

  • Visiting the bathroom immediately after every meal
  • Excessive exercise
  • Feeling out of control during a binge-eating episode
  • Laxative misuse
  • Self-induced vomiting 
  • Fear of gaining weight 
  • Obsession with body image 
  • Feeling guilty about eating high-calorie foods 
  • Social withdrawal 
  • Constipation
  • Hair loss or thinning
  • Acid reflux and other gastrointestinal issues 
  • Swollen cheeks
  • Scars on the knuckles due to inducing vomiting 
  • Fatigue 
  • Muscle weakness

Binge-Eating Disorder

Teens with binge-eating disorder feel out of control when they eat. They eat large quantities of food in one sitting. If your teen has binge-eating disorder, they may feel embarrassed about how much food they consume. According to NEDA, binge-eating disorder is prevalent in 0.96% and 0.26% of females and males, respectively. 

Binge-eating disorder can have a negative effect on your teen’s mental and physical health. It is common for binge eating disorder to co-occur with depression. This condition differs from bulimia nervosa because it does not include purging.

Symptoms of Binge-Eating Disorder 

  • Consuming large quantities of food in a short period
  • Eating to the point of discomfort 
  • Eating too fast
  • Not enjoying the food 
  • Eating to alleviate stress
  • Stashing food to eat in secret 
  • Feeling embarrassed about binge-eating episodes 
  • Obsession with high-calorie foods 
  • Low self-worth 
  • Dramatic weight gain

Avoidant Restrictive Food Intake Disorder (ARFID)

ARDID is quite similar to anorexia. It causes teens to develop disordered eating habits, including limiting their food intake. The main difference between anorexia and ARFID is the driving force of the condition. While body image issues drive anorexia, ARFID is driven by various issues relating to food. The most common factor is a lack of interest in food. Similarly, teens with ARFID feel anxious about food because of its texture, color, and smell. It can be difficult to detect ARFID in teens because many parents dismiss it as ‘selective eating.’ 

Since ARFID is a relatively new type of eating disorder, there is little research on its prevalence. However, according to NEDA, the prevalence of ARFID is between 0.5% and 5%

ARFID affects your teen’s nutrient intake since they may avoid certain foods. Additionally, it can make teens develop rituals around eating. For example, your teen may develop a ritual that affects the order in which they consume different types of food. 

Signs and Symptoms of Avoidant Restrictive Food Intake

  • Loss of body hair 
  • Dramatic or significant loss of weight 
  • Dizziness
  • Fatigue and lethargy 
  • Confusion 
  • Difficulty concentrating 
  • Lack of appetite 
  • Avoiding certain food groups 
  • Fear of choking
  • Abdominal pain 
  • Gastrointestinal issues 
  • Low body temperature 
  • Fainting 
  • Dizziness 

Lesser-Known Types of Eating Disorders in Teens

a teen with a type of eating disorder

Other eating disorders affecting teens include the following:

Other Specified Feeding and Eating Disorders (OSFED)

This is the most common type of eating disorder. It affects 1.18% and 0.27% of females and males, respectively. It is a complex mental health condition where teens exhibit symptoms that are similar to, but not the same as, those of other eating disorders. 

Symptoms of OSFED

  • Significant fluctuation in body weight
  • Loss of menstrual periods 
  • Low libido 
  • Dizziness
  • Fainting 
  • Fatigue 
  • Compromised immunity 
  • Obsession with dieting 
  • Becoming overly sensitive to comments about one’s body 
  • Feeling shame after eating 
  • Limiting food intake 
  • Hoarding food 
  • Purging behavior 
  • Social withdrawal

Rumination Disorder

We have all seen or heard of ruminants. Rumination is a special eating characteristic in herbivores, which brings undigested food back to the mouth for chewing. Some teens develop a rumination disorder where they regurgitate, chew, and swallow food again. This behavior can be persistent. Teens with rumination disorder learn to regurgitate their food after every meal. You might wonder whether the food will taste sour or bitter. The answer to this question is no. Since the food has not been fully mixed with stomach acids, it is not bitter or tart. 

Signs and Symptoms of Rumination Disorder

  • Weight loss
  • Gastrointestinal issues 
  • Acid reflux due to weakening of the lower esophageal sphincter
  • Stained teeth
  • Frequent dental issues 
  • Dry lips 
  • Bad breath 
  • Bloating and indigestion 

Orthorexia Nervosa

This type of eating disorder is associated with an unhealthy obsession with healthy eating. It involves cutting out some food groups from one’s diet. Teens with orthorexia worry about the quality of their food. They begin cutting out foods that contain gluten, sugar, and other ‘unhealthy’ food components. 

Signs of Orthorexia Nervosa

  • Constant anxiety about food quality 
  • Significant loss of weight
  • Worrying about falling sick when you consume ‘bad’ food
  • Obsessive calorie-counting 
  • Compulsive food research 
  • Cutting out certain food groups from one’s diet 
  • Being self-critical 

Warning Signs of Eating Disorders in Teens

Teen girl looking disinterested in food, holding a fork with spaghetti while resting her head on her hand. Represents warning signs of eating disorders in teens.

While eating disorders are different, they may share several warning signs. Some red flags you can look out for include the following: 

  • Withdrawal from social events
  • Being obsessed with one’s weight, shape, or physical appearance
  • Consuming large quantities of food
  • Limiting food intake 
  • Misusing supplements
  • Using laxatives to purge food 
  • Injuries around the knuckles due to self-induced vomiting
  • Excessive exercise
  • Bad dental hygiene 
  • Focus on healthy eating 
  • Weight fluctuation 
  • Eating in secret 
  • Making comments about being fat even after weight loss 
  • Obsession with herbal remedies for weight loss

Causes and Risk Factors

Young girl in a red sweater looking at a plate of food with a worried expression. Represents causes and risk factors associated with eating disorders in teens.

Several factors cause eating disorders. These factors include the following: 

Genetics

Like other mental health conditions, eating disorders can be linked to genetics. Studies have shown that teenagers can inherit genetic traits linked to eating disorders. For example, one study showed that monozygotic twins were more likely to be diagnosed with anorexia than teens from different eggs. Similarly, another study concluded that teenagers were more likely to develop eating disorders if their parents or siblings had an eating disorder. Their risk of developing the condition is ten times higher than teens whose parents did not have an eating disorder. 

Underlying Mental Health Conditions

Teens with other mental health conditions like depression and trauma are at an increased likelihood of developing an eating disorder. Teens with depression may use food as a way of managing negative emotions. This makes them reliant on food to regulate their emotions. 

Cultural and Societal Pressures

Teens develop eating disorders because of societal and cultural pressure. Some cultures value bigger bodies. As a result, smaller teens may develop eating disorders to reach their ideal body type. 

Bullying

Teenagers who have been bullied because of their weight are at an increased risk of developing eating disorders. This is because the bullying impacts their relationship with food. As a result, they develop disordered eating to prevent further trauma. 

Dieting

Teens who diet frequently are at an increased risk of developing eating disorders. Frequent starvation affects a teen’s brain chemistry and causes them to develop disordered eating. Due to appetite fluctuations, teenagers who diet will likely limit their food intake. As a result, they lose weight drastically and cannot return to their normal weight. 

Behavioral Health Treatment at Nexus Teen Academy

Teen girl with red hair hugging a pillow while talking to a therapist in a cozy setting. Represents behavioral health treatment at Nexus Teen Academy.

Nexus Teen Academy is a premier mental health treatment facility in Arizona that offers treatment for teens aged 12 to 17. Our residential treatment center provides comprehensive mental health treatment for conditions like teen depression, anxiety, and eating disorders. Our facility is in a serene environment where your teen can focus on overcoming their mental health challenges. At Nexus Teen Academy, we provide a family-centered treatment approach where parents can actively participate in their teen’s treatment.

Nexus Teen Academy uses evidence-based and holistic treatment approaches to ensure positive mental health outcomes. Contact us today for more information about the different types of teen eating disorders and about our programs or treatment services.

Frequently Asked Questions (FAQs)

Eating disorders can have devastating psychological effects. These effects include: 

  • Low self-worth 
  • Loss of confidence 
  • Onset of other mental health conditions 

Social media can exasperate teen eating disorders. Social media can influence your teen’s perception of their bodies. To achieve an unrealistic body standard, teens develop eating disorders. 

Yes, boys also develop eating disorders. Despite the myth that only girls develop eating disorders, studies show that one in three teens with eating disorders is male. 

author avatar
Executive Director Hannah Carr, LPC and nexus_admin