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“Mirror, mirror on the wall, who’s the fattest one of all?”

Fairy tales are not real, so is the image you see in the mirror. Thousands of people look in the mirror and hate what they see. When you look in the mirror, you see what eating disorder wants you to see, not the true picture.

Despite the fact that many people think of an eating disorder as being an unhealthy quest for a perfect body, eating disorders are not about vanity and not really about weight. The causes of eating disorders are not known with precision but are thought to be a combination of genetic, neuro-chemical, psycho-developmental, and socio-cultural factors. Eating disorders are complex, psychological illnesses where people try to control conflict and stress in their lives by controlling food. The food, weight, and body image issues are identifiable symptoms of deep-rooted, often difficult-to-identify problems. Typically, people who develop an eating disorder are in emotional turmoil. They want to be in control but feel they are not. Any anxiety, self-doubt, or feelings of failure or inadequacy become tied to how they look. When being thin becomes an obsession, when self-worth becomes associated with slimness, the stage is set for eating disorders. People with eating disorders become preoccupied, even obsessed, with food and weight. Eating disorders can lead to extreme behavior including self-starvation, bingeing, purging, and compulsive exercise. Untreated eating disorder lead to heart damage, depression, permanent health damage, or suicide. Eating disorders-- anorexia nervosa, bulimia nervosa, and binge eating disorder are psychiatric illnesses that affect over five million American women and men. Eating disorders can affect anyone -- adults, young adults, teenagers, boys, girls, men, women, athletes, and couch potatoes. There is no single cause for eating disorders. Although eating disorders were once thought to be strictly psychological illnesses, recent research indicates that some people may have a genetic predisposition toward eating disorders. Studies also show that there is often a connection between eating disorders and other illnesses such as clinical depression, post-traumatic stress disorder, and obsessive-compulsive disease Eating disorders are complex conditions that arise from a combination of long-standing behavioral, emotional, psychological, interpersonal, and social factors. Scientists and researchers are still learning about the underlying causes of these emotionally and physically damaging conditions. There are some general issues that contribute to the development of eating disorders. While eating disorders may begin with preoccupations with food and weight, they are most often about much more than food. People with eating disorders often use food and the control of food in an attempt to compensate for feelings and emotions that may otherwise seem over-whelming. For some, dieting, bingeing, and purging may begin as a way to cope with painful emotions and to feel in control of one's life, but ultimately, these behaviors will damage a person's physical and emotional health, self-esteem, and sense of competence and control. Anorexia nervosa is an eating disorder characterized by a refusal to eat enough to maintain a healthy body weight. People with anorexia develop an intense, irrational fear of becoming fat even though underweight. This fear escalates to the point where intentional starvation is used as a means to achieve the desired thinness. People with this illness truly believe they are fat, even though others can see that they have become painfully thin, even emaciated. Anorexia nervosa has the most severe consequence, with a mortality rate of 0.56 percent per year (or 5.6 percent per decade) (Sullivan, 1995), a rate higher than that of almost all other mental disorders (Herzog et al., 1996). Like all eating disorders, it tends to occur in pre or post puberty, but can develop at any life change. Anorexia...

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