How to Recognize the Signs of an Eating Disorder in Children and Teens
Eating disorders in children and adolescents are on the rise two years after the start of the COVID-19 pandemic, and hospitalization rates are now three times higher than they used to be. According to a study by six Canadian hospitals, even children as young as eight or nine suffer from this condition.
“Most often we see [eating disorders] in young teenagers, but we see them in 8-, 9- or 10-year-olds more often than we have seen in the past,” said Katherine Gordon , chair of pediatrics at Baylor College of Medicine. and chief pediatrician at the Texas Children’s Hospital.
With this in mind, it’s important to be aware of the signs of an eating disorder, as early detection can help prevent more serious long-term complications. If you spot a child’s eating disorder early on, Gordon says, “you can help them feel better about themselves and food and prevent some long-term [complications].”
Eating Disorder Warning Signs
Some of the signs of an eating disorder include:
- skipping meals
- compulsive exercise, especially after eating
- severely restricted eating patterns, such as avoiding entire food groups or eating only at certain times.
- talk about food, but only poke around while eating
- drinking high-caffeinated drinks as an appetite suppressant
“Needing to exercise every day or exercise after meals can be a warning sign,” Gordon said. “A child or teenager who has been eating well, stops eating well, or comes up with a lot of excuses for not eating, is often a wake-up call.”
She added, “Most of the patients I’ve treated for eating disorders have an element of anxiety, depression, or both.” Look for signs of anxiety and depression, such as being withdrawn or losing interest in entertainment.
How to talk to your child about what’s going on
If your child starts showing signs of an eating disorder, it’s important to be proactive. Gordon’s advice is to first have a patient conversation with the child about what’s going on in his life.
“Sit down with them and ask open-ended questions. It can really take time for them to open up and show you how they feel,” Gordon said. “The more you validate their feelings, the more they will feel comfortable opening up.” If your child is having a hard time opening up to you, consider finding someone else they feel comfortable talking to, such as a school counselor, therapist, or your pediatrician.
If your child is struggling with an eating disorder, enlist the help of experienced professionals. Your pediatrician is a good place to start, as they can provide referrals and find additional resources at the National Eating Disorders Association .