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