
Signs & Symptoms:
-
Anxiety Disorders
Ongoing excessive worrying about 2 or more things
Difficulty focusing
Feeling restless or keyed up
Skipping, racing or pounding of the heart
Trembling or shaking
A choking sensation or feeling a "lump" in your throat
Nausea or stomach problems
Feeling strange, unreal, or detached
Having difficulty sleeping
Feeling uneasy attending social situations
Disruption to normal work or social functioning
Fear of being judged
Avoidance of situations due to worrying about being judged or that remind you of past events
-
Depression
Constant feeling of being down for the majority of the day
Loss of interest in most things, especially those things that you normally enjoy
Increase or decrease in appetite
Sudden weight gain or loss without trying
Difficulty sleeping or sleeping excessively
Talking or moving more slowly than usual
Feeling tired or lethargic almost every day
Feelings or worthlessness or guilt
Suicidal thoughts or ideation
Disruption to normal work or social functioning
-
Trauma Related Disorders
Intrusive memories, flashbacks, or nightmares about the traumatic event
Avoiding people, places, or situations that remind you of the trauma
Negative changes in beliefs and feelings about yourself or others
Feeling emotionally numb or disconnected from yourself
Hypervigilance—always being "on alert" for danger
Difficulty sleeping or concentrating
Startling easily or having strong physical reactions
Changes in appetite or unexplained physical symptoms
Difficulty managing emotions or sudden mood shifts
Feeling unsafe even in safe environments
-
Anorexia Nervosa
Significant weight loss in a short period of time.
Intense fear of being "fat" or becoming "fat" despite normal body weight and/or significant weight loss.
Obsession/preoccupation with food, weight loss, calorie counts, fat grams, etc. to the extent that conversations and other activities revolve around these topics.
Absence of menstrual periods and/or problems with menstruation or infertility not explained by other medical conditions.
Other signs and symptoms which sometimes, but not always, appear include:
Rigid and obsessive exercise regimens, despite weather, fatigue, illness and/or injury.
Paleness, lightheadedness, loss of balance, and poor circulation.
Withdrawal from activities previously enjoyed to focus solely on weight loss activities.
-
Bulimia Nervosa
Recurrent episodes of binge eating. Binge eating is characterized as:
Eating in a discrete period of time (e.g. within any two-hour period) an amount of food that is definitely larger than most people would eat during a similar period of time and under similar circumstances.
A sense of lack of control over eating during the episode (e.g. feeling that one cannot stop eating or control how much one is eating)
Recurrent, purging behavior to prevent weight gain (self-induced vomiting, use of laxatives, diuretics, enemas, or other medications, fasting or excessive exercise.
Extreme fear of being "fat" or becoming "fat"- extreme hatred of one's body.
Obsession/preoccupation with food, weight loss, calorie counts, fat grams, etc. to the extent that conversations and other activities revolve around these topics.
Other signs and symptoms which may or may not appear:
Swelling of the submandibular glands (under jawline) giving a "chipmunk" appearance.
Rushing to the bathroom immediately after a meal and returning with bloodshot eyes.
Hoarding food or stealing food; eating strange foods not usually consumed.
Rigid and obsessive exercise regimens, despite weather, fatigue, illness and/or injury.
Paleness, lightheadedness, loss of balance, and poor circulation.
Withdrawal from activities previously enjoyed to focus solely on weight loss activities.
Problems with menstruation and infertility not explained by other medical conditions.
-
Binge Eating Disorder
Regularly eating far more food than most people would in a similar time period
Criteria for "regular binge eating"- the occurances must take place at least once per week for three months
The time period during which binge eating instances take place can vary by individual, but is generally considered to be less than two hours and does not have to be in one setting
Feeling that one's eating is out of control during a binge
The feeling of not being in control can be either the inability to keep from starting to eat or the inability to stop eating once a binge eating episode has begun
Binge eating instances that include three or more of the following:
Eating extremely fast
Eating beyond feeling full
Eating large amounts of food when not hungry
Eating alone to hide how much one is eating
Feeling emotionally and physically uncomfortable after a binge
Unlike people with other eating disorders, adults with B.E.D. don't routinely try to "undo" their excessive eating with extreme actions like throwing up or over-exercising
-
Avoidant Restrictive Food Intake Disorder
Extremely limited range of accepted foods, often less than 20 items
Avoidance based on food texture, temperature, smell, or appearance
Lack of interest in eating or food in general
Consistent failure to meet nutritional needs
Weight loss or failure to gain expected weight
Nutritional deficiencies that may require supplements
Difficulty eating with others or in social situations
Anxiety or panic when faced with new or feared foods
Gagging, choking, or vomiting when attempting to eat certain foods
No body image distortions or fear of weight gain (unlike other eating disorders)
-
Other Specified Feeding and Eating Disorder
Atypical anorexia: All symptoms of anorexia without being underweight
Bulimia nervosa with less frequent behaviors
Binge eating disorder of limited duration or frequency
Purging disorder: Purging without binge eating
Night eating syndrome: Excessive eating after evening meal or during night
Significant food restriction that doesn't meet anorexia criteria
Preoccupation with weight, food, calories, or exercise
Rigid food rules or rituals
Body checking behaviors or avoidance of mirrors
Social withdrawal, especially around food-related events
-
Obsessive Compulsive Disorder
OBSESSIONS
Unwanted, intrusive thoughts, images, or urges that cause distress:
Intense fear of contamination or germs
Unwanted violent, sexual, or religious thoughts
Need for symmetry, exactness, or order
Excessive doubt and need for reassurance
Fear of harming yourself or others
COMPULSIONS
Repetitive behaviors or mental acts performed to reduce anxiety:
Excessive handwashing, cleaning, or showering
Checking behaviors (doors, appliances, reassurance)
Counting, arranging, or organizing objects
Mental rituals like praying or repeating phrases
Avoidance of triggering situations or objects
Other signs include:
Spending at least 1 hour per day on obsessions/compulsions
Significant distress when unable to perform rituals
Interference with daily life, work, or relationships
Recognition that thoughts may be excessive or unreasonable
Avoiding situations that trigger obsessions