Spot eating disorders early to avoid struggle

While anorexia, bulimia and binge eating disorders often surface during adolescence, girls (and boys) can show signs of trouble much earlier.

“Catching these problems quickly can prevent a lifelong struggle,” says Jill Layne, social worker with Children’s Hospital of the King’s Daughters in Norfolk, Va. Some red flags:

Being obsessed with weight: A child might voice an intense fear of gaining weight, comment about feeling fat when she’s a normal size or, if she is overweight, become fixated on that fact.

She sneaks or hoards food. You might find discarded wrappers in her room or notice she’s ashamed of what she’s eaten.

She makes excuses for not eating. She may say she had a big lunch or ate before coming home. She seems to prefer eating alone.

Eating and exercise habits become extreme: A child might refuse anything but very low-calorie options — which can alternate with binges on favourite “bad” foods — and constantly try to burn off calories: running in front of the television, say, or going for a jog after a long sports practice.

A changing appearance: A child may or may not lose weight. If she’s not getting enough calories, her hair and skin will dry out and her energy levels will fall.

Following “rituals” at meals: Anorexics might cut food into tiny pieces or keep different items from touching each other. Bulimics will go to the bathroom immediately after meals to purge.

What to do: Reassure a child she’s beautiful — never belittle her or her behaviour — and ask why she’s feeling insecure. Brainstorm ways to live healthfully without banning any particular foods: a weekly dessert night instead of a regular supply of sweets, maybe, or family walks after dinner. Educate her on good food choices and how to follow hunger cues. Help her find ways to be successful, whether through sports or the arts, and nurture her friendships. Schedule a medical checkup and, if symptoms continue, seek counselling.