Patient :I was very fat when I was a child and started a diet, lost about 50 K.gs. Till then it was ok. But given my situation that I study abroad and I can't cook and don't give much thinking about food plus study stress, I started losing weight unintentionally. And people comments such as "you lost so much weight" made me feel good about myself, even though they say it with concern, but living my whole life as "the fat kid" and feeling less attractive and having no self-esteem about my looks and hearing all kinds of comments that can hurt your feelings, made me obssessed with the idea of being thin. Last semester, I was put under so much stress and pressure that I lost weight very fast. And I'm afraid to gain back that weight and constantly thinking about how to lose weight "so later I can enjoy all kinds of food", but I never get satisfied with my weight and always convence myself that if I eat normally, my body will gain weight too fast. Now I'm 168cm and weigh 49-50 k.gs and all I think about is that I want to eat a lot like other people but without gaining weight. My period stopped, I always feel tired and hungry, I have bad mood swings and depression, I hate seeings other people eat normally and don't gain weight so I avoid eating with friends who don't care about dieting, and yet, I don't want to gain weight. What should I do? Are those signs of Anorexa Nervosa?
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