Am I Anorexic?

By Kristina Randle, Ph.D., LCSW

Hi I’m 15, female, 5’2 and 87. I’m completely obsessed with food. It literally rules my life. I stay up all night thinking and planning what I will eat the next day. I love making food for others but I never eat it. I find it hard to eat over 400 calories a day. I am on my feet every minute I am awake, I never sit down. I workout and exercise also. Not as much as I should. I cancel plans with my friends because I’m afraid they will make me eat or I will be confronted with food. I have constant urges to throw up but I never have. I also self harm by cutting.
I cancel all plans with friends also because I hate being social. I’m a nice person, I just get nervous around other people. I hate staying the night at other peoples’ houses because I have certain routines that I do every day.

I’m constantly sad. Nothing makes me happy. Not even going on vacations or “fun” trips to the mall or amusement park. Being with friends doesn’t make me happy, it just makes me freak out. I constantly think people are judging me. What the heck is wrong with me?? Eating disorder? Anxiety? OCD? Depression? I’ve taken many online quizzes and I’ve scored high on all of the above disorders. I haven’t been to a doctor in over a year, I’m afraid they’ll force me to gain weight and eat. I have insomnia also. Please help. I feel suicidal all the time but I’ve never attempted. I feel like I’m constantly bothering people.

A. I am sorry that you are suffering. You asked about whether you have anxiety, OCD, depression, or an eating disorder. I cannot know with certainty. What fundamentally seems to be driving your behavior is anxiety and fear.

You also seem to lack self-esteem. You are constantly worried about what other people think of you. You worry that you are “bothering people” which may indicate that you consider yourself unimportant.

You are not functioning well. Your eating or sleeping patterns are unstable and you are experiencing significant mental health symptoms, all of which are disrupting your life. You need help. Receiving help at this time is especially imperative because you admitted that you are considering suicide. People often consider suicide when they feel as though they have no other option or they don’t know what to do.

I would advise you to see a mental health professional. You should also have a physical evaluation by a medical professional to determine what damage your body has sustained. Undergoing those evaluations will help to determine your psychological and physical health status.

Accessing professional mental health treatment is the wisest and most efficient approach to your problems. Asking for help may be difficult but force yourself to do it anyway. There are many people who have had very similar problems, received help and their life has significantly improved. If you are willing to seek professional help, then you can expect the same, positive outcome. There is a great deal of hope if you are willing to seek treatment. Please take care.

Dr. Kristina Randle

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Last reviewed: By John M. Grohol, Psy.D. on 27 Jul 2012

APA Reference
Randle, K. (2012). Am I Anorexic?. Psych Central. Retrieved on October 1, 2014, from http://psychcentral.com/ask-the-therapist/2012/07/27/anorexia/