Updated on 09/12/23

Anorexia nervosa, like all eating disorders, is both a mental and physical health condition. Many people with anorexia also have one or more co-occurring mental health conditions. Treating these co-occurring issues is essential to helping you recover from anorexia, bulimia, binge eating disorder and other eating disorders.

Let’s take a closer look at some common mental health conditions that occur with anorexia along with some treatment options.

Anxiety and Anorexia

Anxiety is a common feeling. Many people might feel anxious before starting a new job or taking a test. Those with an anxiety disorder experience that feeling much more frequently, and it’s not necessarily tied to any particular event or activity. According to the National Eating Disorder Association, a significant subset of people with eating disorders show signs of having an anxiety disorder, including two-thirds of those with anorexia.

For many people with an eating disorder, anxiety developed before the eating disorder did. It’s not critical to know which developed first to receive treatment, though. Anxiety, along with other mental health disorders, can be treated at the same time and in conjunction with eating disorders.

There are several types of anxiety disorders, including:

  • Generalized anxiety disorder. People with this disorder feel anxious or worried most of the time and it interferes with social interactions, school or work. According to the National Institute of Mental Health, symptoms may include:
    • Feeling restless
    • Getting tired easily
    • Having difficulty concentrating
    • Experiencing problems falling or staying asleep
  • Panic disorder. Those with panic disorder have recurrent panic attacks. A panic attack can be frightening, including symptoms like heart palpitations, sweating and shortness of breath.
  • Social anxiety disorder. With social anxiety disorder, people may feel afraid of social or performance-oriented situations, which can lead to avoiding social situations altogether.

For people with anorexia, the anxiety may be around food, body image and body size, but it can manifest in other areas as well. Therapy is an essential part of treatment for people with anorexia and anxiety. Cognitive behavioral therapy (CBT) can be helpful for both.

Depression and Anorexia

When it comes to the topic of anorexia and mental health concerns, depression is a common condition on the list. Depression can cause difficulties with daily activities, such as going to school, going to work and eating. Some common types of depression include persistent depressive disorder, postpartum depression and seasonal affective disorder. Bipolar disorder also has a depressive component, but it’s also accompanied by euphoric or irritable moods, according to the NIMH.

Some common signs and symptoms of depression include:

  • Persistent sadness
  • A lack of energy
  • Difficulty concentrating
  • Changes in appetite
  • Changes in sleep patterns

Depression is often treated with medications, though it can take time to find the right medication and the right dose. Therapy is helpful for many as well. Treating underlying depression is an essential part of recovering from eating disorders, including anorexia.

Post-Traumatic Stress Disorder and Anorexia

Studies have also found that some people with anorexia also have post-traumatic stress disorder, or PTSD. Although many associate PTSD with military service (and rightfully so), PTSD can occur from any event that was frightening, extremely stressful or dangerous.

Our bodies do everything they can to protect us. When we experience a stressful event, our bodies have a fight or flight response, which is designed to help us defend ourselves. With PTSD, we react with that fight-or-flight response even when we are no longer in danger. Those with PTSD may experience flashbacks, feel tense or easily startled, lose interest in activities and may avoid situations that trigger a response. As with other mental health issues, PTSD is treated with a combination of approaches. Medication may help and talk therapy is often helpful as well.

Find Help for Anorexia and Mental Health Issues

Our culture stigmatizes those of us with mental health issues. Although acceptance has come a long way, many of us feel guilt or shame around mental health challenges. We may feel like we should just “get over” our mental health issues, but that’s not how they work.

If you are ready to overcome anorexia and mental health issues, know that there is nothing wrong with seeking help. It’s essential to recovery. It’s hard for many of us to admit we need help, though. Often the best first step is to talk with someone we trust, whether it’s a teacher, a parent, a partner, a friend or even a helpline like the one offered by the National Eating Disorder Association.

Often, anorexia and other eating disorders mask underlying mental health issues. Treating those underlying issues are essential to recovery. There’s no simple solution for solving anorexia and mental health problems, but there is help and hope. Places like Center for Discovery offer treatment and support. Contact us today.

Melinda Sineriz is a freelance writer and fat acceptance advocate. Read more of her thoughts on Twitter or visit her website to learn more.

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