Condition : Eating disorders
What are eating disorders?
An eating disorder is a mental health condition, where you develop unhealthy eating behaviours to cope with difficult thoughts and feelings.
There are different types of eating disorder which are diagnosed based on a behaviour or combination of behaviours, such as:
- starving, by eating nothing or very little, or avoiding foods that you think are fattening
- get rid of (purge) food in your stomach, by making yourself sick, doing an extreme amount of exercise, taking medicines to help you poo (laxatives) or pee (diuretics)
- bingeing, by eating a lot of food in a short time and not being able to stop when full
These behaviours can often lead to severe weight gain or loss, and other physical and mental health problems such as:
- throat and teeth damage caused by stomach acid from too much vomiting
- increased risk of infections, from not digesting enough of the right nutrients
- weak muscles and bones
- brittle hair
- bruised, pale skin
- fertility issues
- mood changes, like feeling withdrawn
- anxiety and depression
- social isolation, as you feel pressured to eat 'normally' around others
Types of disorders
There are three most common eating disorders, which are:
- anorexia (also known as anorexia nervosa), which means you starve and purge to keep your weight as low as possible, despite being a healthy weight or underweight
- bulimia (also known as bulimia nervosa), which involves binge eating followed by purging
- binge eating disorder (also known as BED), which is when you eat a lot of food in a short time and you can't stop when full
Other specified feeding or eating disorder (OSFED)
OSFED is the most common diagnosis given to someone with an eating disorder.
It’s a broad term for when your symptoms and behaviours don’t exactly fit with a diagnosis for anorexia, bulimia, or binge eating disorder.
The symptoms can still be distressing and impact different areas of your life.
You may be diagnosed with OSFED if:
- you show symptoms of anorexia, except your weight remains within or above the typical range (atypical anorexia)
- you show symptoms of bulimia, except the binge/purge cycles don’t happen as often or over as long a period as doctors would use to diagnose bulimia (of low frequency and/or limited duration)
- you show symptoms of binge eating disorder, except the binges don’t happen as often or for as long as a confirmed binge eating diagnosis (of low frequency and/or limited duration)
- you purge, by being sick or using laxatives, to affect your weight or shape, but this isn’t as part of binge/purge cycles (purging disorder)
- you repeatedly eat at night, either after waking up from sleep, or by eating a lot of food after their evening meal (night eating syndrome)
It’s not necessary to fit under one of these subtypes for a diagnosis of OSFED.
What causes eating disorders?
The exact cause of eating disorders is unknown.
While many people with eating disorders do worry a lot about their weight and body shape, it is not necessarily the reason that they start.
Eating disorders are more common in teenagers and young adults, and are also more likely if:
- you or a member of your family has a history of eating disorders, depression, or alcohol or drug misuse
- you've been criticised or bullied for your eating habits, body shape, or weight
- you're really worried about being slim, particularly if you also feel pressure from society or your job, for example ballet dancers, models, or athletes
- you have anxiety, low self-esteem, an obsessive personality, or are a perfectionist
- you've been sexually abused
Next steps
Browse our advice and resources to learn more about your condition and ways to manage it.
If you need further support or have concerns, a Healthcare Professional is here to help. Reach out for professional medical advice tailored to you.
Discover services and support options available to help you with your health and wellbeing.
Managing your health
You can use our health condition and advice pages to confidently manage your health conditions at home.
Browse our expert guidance on self-care and practical support to start seeing the benefits to your wellbeing and independence.
Related services
Eating Disorder Service
- Adults
Assessment and treatment service for people with symptoms of an eating disorder, such as anorexia, bulimia, binge eating, or OSFED.
Eating Disorder Service: Go to serviceNutrition and Dietetics Service
- Children & young people
- Adults
Tailored diet advice to suit health conditions, manage weight, and avoid complications while receiving artificial nutrition.
Nutrition and Dietetics Service: Go to serviceEating Disorder Service for children and young people
- Children & young people
Support for children and young people aged 8 to 18 with eating disorders, such as anorexia, bulimia, binge eating, or OSFED.
Eating Disorder Service for children and young people: Go to serviceSpecialist Dietetic Service for children and young people
- Children & young people
Assessments, monitoring, and tailored dietary plans for under-18s who receive enteral nutrition at home or in community settings.
Specialist Dietetic Service for children and young people: Go to serviceExternal support
Eating disorder information from the NHS
Living healthy information from the NHS
Beat
Information and support for people with eating disorders and their family and friends
Mental Health Foundation
Research and campaigns to prevent poor mental health
Rethink Mental Illness
Advice and information about living with a mental health problem

