Anorexia nervosa is a serious eating disorder that affects a large number of people around the world. However, within this spectrum, there is a lesser-known but equally relevant subtype: atypical anorexia nervosa. This subtype has distinctive characteristics that make it unique compared to typical anorexia nervosa. In this article, we will explore in detail what atypical anorexia nervosa is, its symptoms, causes, diagnosis and available treatments.

Characteristics of atypical anorexia nervosa

Atypical anorexia nervosa is characterized by having symptoms that do not completely meet the traditional diagnostic criteria for anorexia nervosa. Although it shares similarities with typical anorexia nervosa, atypical anorexia nervosa has particularities that distinguish it. Some of the common characteristics of atypical anorexia nervosa include:

  • Restriction of food intake.
  • Intense fear of gaining weight or being considered "fat" /a".
  • Distortion of body image.
  • Excessive concern about body shape and weight.
  • Negative impact on physical and emotional health of the individual.

Differences with typical anorexia nervosa

Although atypical anorexia nervosa shares similarities with typical anorexia nervosa, it also presents significant differences. One of the main differences lies in the classification according to the established diagnostic criteria. While typical anorexia nervosa follows specific criteria, atypical anorexia nervosa may not meet all the requirements, making it difficult to identify and treat.

Symptoms of atypical anorexia nervosa

The symptoms of atypical anorexia nervosa can vary in intensity and presentation, making its diagnosis difficult. Some of the common symptoms that may be present in individuals with atypical anorexia nervosa are:

  • Severe restriction of food intake or extremely restrictive diets.
  • Obsession with counting calories , constantly weighing oneself or controlling one's eating obsessively.
  • Intense fear of gaining weight or losing control over one's eating.
  • Social isolation and difficulties in interpersonal relationships.
  • Obsession with body image and the perception of oneself as "fat".
  • Distortion of body image and denial of the seriousness of the situation.
  • Impact on physical and emotional health

    Atypical anorexia nervosa can have serious repercussions on the physical and emotional health of those who suffer from it. Malnutrition, electrolyte imbalances, and medical complications associated with anorexia nervosa can lead to devastating consequences. In addition, emotional problems such as depression, anxiety and low self-esteem are common in people with atypical anorexia nervosa, which further aggravates their condition.

    Causes of atypical anorexia nervosa

    Atypical anorexia nervosa, like other eating disorders, is the result of a combination of genetic, biological, psychological and environmental factors. Some of the factors that may contribute to the development of atypical anorexia nervosa are:

    • Genetic and hereditary factors that predispose the person to develop eating disorders.
    • Social pressure and cultural to meet certain standards of beauty and thinness.
    • Traumatic or stressful experiences in childhood or adolescence.
    • Self-esteem problems, perfectionism and low body self-image.
    • Psychological disorders such as depression, anxiety or obsessive-compulsive disorder.

    Risk factors

    Some risk factors that may increase the likelihood of developing Atypical anorexia nervosa includes a family history of eating disorders, a history of restrictive diets, body image problems, and difficulties in interpersonal relationships. It is important to identify and address these risk factors to prevent the development of atypical anorexia nervosa.

    Diagnosis of atypical anorexia nervosa

    Diagnosis of atypical anorexia nervosa can be challenging due to to the variety of symptoms and clinical presentations that can manifest in this condition. It is essential that health professionals perform a thorough evaluation that includes a medical history, a physical and mental evaluation, laboratory tests, and observation of the individual's eating behavior patterns.

    Diagnostic criteria

    Diagnostic criteria

    To diagnose atypical anorexia nervosa, health professionals can use the diagnostic criteria established in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). These criteria include restriction of food intake, intense fear of weight gain, alterations in weight perception and body shape, among other relevant aspects. It is crucial to make an accurate diagnosis in order to plan an appropriate and personalized treatment for each individual.

    Treatment of atypical anorexia nervosa

    Treatment of atypical anorexia nervosa requires a multidisciplinary approach that Address the physical, emotional, and psychological aspects of the disorder. Some of the therapeutic interventions that may be beneficial for people with atypical anorexia nervosa are:

    • Individual and family psychological therapy to address underlying problems that may contribute to the eating disorder.
    • Regular medical follow-up to monitor physical health and treat associated medical complications.
    • Participation in support groups and group therapy to share experiences, receive emotional support, and foster recovery.
    • Nutritional advice to promote a balanced and healthy diet.
    • Pharmacological treatment in cases of comorbidities such as depression or anxiety.

    Importance of social support

    Social support plays a fundamental role in the recovery process of people with atypical anorexia nervosa. Developing a support network comprised of family, friends, health professionals, and self-help groups may be key to overcoming the challenges associated with the disorder. Emotional support, understanding and empathy are essential elements to promote the recovery and well-being of those suffering from atypical anorexia nervosa.

    Conclusions

    In conclusion, atypical anorexia nervosa is a subtype of eating disorder that has distinctive characteristics compared to typical anorexia nervosa. It is essential to recognize the differences and similarities between both subtypes in order to effectively diagnose and treat affected people. With a multidisciplinary approach that encompasses the physical, emotional and psychological aspects of the disorder, it is possible to promote the recovery and well-being of those suffering from atypical anorexia nervosa.