Atypical Anorexia

Atypical anorexia often goes unnoticed because societal misconceptions associate eating disorders with extreme thinness. However, those struggling with this disorder may engage in restrictive eating, excessive exercise, or obsessive food behaviors while maintaining a weight that does not align with traditional perceptions of an eating disorder. Common signs include:

• Intense fear of gaining weight, even when at a healthy or above-average weight
• Preoccupation with food, calories, and dieting
• Restrictive eating patterns, such as skipping meals or severely limiting certain types of food
• Body dysmorphia, where individuals feel dissatisfied with their appearance, despite evidence to the contrary
• Physical symptoms like dizziness, fatigue, and gastrointestinal problems due to poor nutrition
• Excessive exercise or compensatory behaviors like purging

Because atypical anorexia often escapes detection, it is crucial to remain vigilant for these behaviors, even in individuals who appear physically healthy. The psychological toll can be just as profound as with anorexia nervosa.

Early detection and intervention are essential in addressing atypical anorexia, as the disorder can lead to severe health complications. Individuals may experience electrolyte imbalances, heart issues, bone density loss, and other medical concerns that stem from chronic malnutrition, regardless of their body weight. Additionally, the psychological strain of living with atypical anorexia can lead to heightened anxiety, depression, and social withdrawal.

Arin Bass, LMFT, emphasizes a holistic approach to treatment, recognizing the need to address both the physical and emotional components of the disorder. As a psychotherapist based in San Francisco and Marin, Arin works with individuals struggling with atypical anorexia, offering compassionate care in a non-judgmental environment. She tailors treatment plans to each individual’s unique needs, incorporating therapeutic modalities that foster self-awareness, emotional healing, and sustainable recovery.

In treating atypical anorexia, psychotherapy is an integral part of the healing process. Cognitive Behavioral Therapy (CBT) is commonly used to help individuals identify and challenge negative thought patterns around food, body image, and self-worth. This therapeutic approach empowers clients to develop healthier coping mechanisms and reframe their relationship with eating.

Family-Based Therapy (FBT) may also be incorporated, especially for younger clients, to involve family members in the recovery process. This can provide essential support and reinforce healthy habits at home.

Arin also explores the underlying emotional issues that often contribute to atypical anorexia, such as perfectionism, trauma, or low self-esteem. By working through these core challenges, clients can build resilience and begin to cultivate a more positive relationship with their bodies and food.