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1: Clinical features of anorexia nervosa

Change of eating pattern
Anorexic patients lose weight by adopting extreme dietary patterns.
  • The range of foods eaten is narrowed, with particular avoidance of fats and carbohydrates.
  • Patients start avoiding social situations where food is served.
Compulsive behaviours
Anorexic patients:
  • often develop compulsive behaviours centred around preparation of food, consumption of food, or bodily activities that help avoid a sense of fullness when eating;
  • may have rituals about emptying bladder and bowels before eating;
  • may develop eating rituals such as:
    food must be cut a certain number of times,
    food must be chewed for a definite time or a certain number of times,
    food must be consumed in a certain order.
Control of appetite
Anorexic patients develop behaviours aimed at controlling their appetite despite their hunger. These include:
  • frequent self-weighing;
  • consumption of large amounts of water or diet drinks, or smoking cigarettes, to decrease appetite;
  • abstaining from food.
Some patients lose control of their appetite and binge-eat, which they follow by self-induced vomiting or purging to avoid the perceived weight gain.


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