Eating disorders are becoming one of the most common mental health issues in modern society, especially among young people. These disorders not only affect physical health but also cause serious harm to psychological well-being and overall quality of life. From a professional perspective, we aim to help you better understand eating disorders, recognize their early signs, identify the underlying causes, and explore effective treatment methods.
What are eating disorders?

Eating disorders are a group of mental health conditions characterized by severe disturbances in eating behaviors, body perception, and emotions related to food. Individuals affected often experience an excessive obsession with weight and body shape or, conversely, a complete loss of control over their eating habits.
According to experts, eating disorders are not merely issues of diet but rather the result of an imbalance in mental health. This condition can lead to malnutrition, obesity, hormonal disorders, and even death if not treated promptly.
Common types of eating disorders

Eating disorders are divided into several types, with the most common including:
- Anorexia Nervosa: Characterized by extreme food restriction due to an intense fear of gaining weight, even when the person is already underweight.
- Bulimia Nervosa: Marked by cycles of binge eating — consuming excessive amounts of food — followed by compensatory behaviors such as self-induced vomiting, misuse of laxatives, or excessive exercise to avoid weight gain.
- Binge Eating Disorder: Similar to bulimia in the loss of control over eating, but without compensatory behaviors like purging.
- Other types: Such as selective eating disorder, night eating syndrome, or orthorexia (an obsession with “clean” or healthy eating).
Each type presents its own symptoms and risks, but they all share profound psychological distress and difficulty controlling eating behaviors.
Common signs and symptoms of eating disorders
Early detection of eating disorders plays a crucial role in treatment success and long-term recovery. However, recognizing the warning signs is not always easy, as the condition often develops gradually, hidden behind subtle changes in behavior, emotions, and physical health.
According to mental health experts, a person may be at high risk when they exhibit multiple abnormal patterns in eating habits, body image perception, and prolonged psychological distress.
Abnormal changes in eating habits

The most noticeable and often the earliest sign is sudden, irregular changes in eating habits. Patients may shift from eating normally to eating very little—or excessively—in a short period, and this behavior often repeats in cycles.
Some common signs include:
- Prolonged fasting, frequent meal skipping, or eating extremely small portions.
- Consuming an excessive amount of food in a short time, often at night or when alone.
- Feeling tense, irritable, or avoiding situations involving food.
- Eating secretly, hiding food, or discarding it without others noticing.
According to nutrition experts, people with eating disorders do not lose the need to eat entirely—they lose a healthy relationship with food.
Obsession with weight and body shape

One of the core symptoms of eating disorders is an excessive obsession with weight, body shape, and physical appearance. Individuals often check themselves in the mirror repeatedly, weigh themselves multiple times a day, and remain dissatisfied with their body even when they are already underweight.
They frequently hold distorted thoughts such as:
- “I’m too fat,” even when their BMI is within the normal range.
- “People are judging my body every time I eat.”
These repetitive thoughts severely affect both eating behaviors and emotional well-being. Many patients become overly self-critical and may refuse to eat simply because they believe they are not “thin enough.”
Psychological and emotional changes

Disordered eating behaviors are often accompanied by emotional and psychological disturbances. Individuals may become irritable, overly sensitive, or fall into varying degrees of depression—from mild to severe.
Some notable changes include:
- Insomnia, excessive sleep, or poor sleep quality.
- Social withdrawal, avoiding communication with friends and family.
- Feelings of guilt or shame after eating.
- Difficulty regulating emotions and heightened stress over simple situations.
Psychologists describe this as a vicious cycle: eating disorders cause emotional instability, and that instability, in turn, worsens disordered eating behaviors.
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Physical symptoms

Although eating disorders begin with behavioral disturbances, they leave clear physical signs that should never be ignored.
If you notice any of the following symptoms in yourself or someone close to you, take caution:
- Rapid weight loss—often exceeding 10% of body weight in a short period.
- Fatigue, weakness, dry skin, brittle nails, and hair loss.
- Amenorrhea (in women) or sexual dysfunction (in men).
- Frequent stomach pain, constipation, bloating, or vomiting.
- Cold hands and feet, low blood pressure, slow heartbeat.
According to experts, when the body becomes severely energy-deficient, it prioritizes vital organs like the heart and brain—sacrificing skin, hair, digestion, and reproductive functions. This explains why physical symptoms often appear later but tend to be more serious.
Extreme or dangerous eating behaviors

In addition to eating too little or excessively, some individuals engage in harmful compensatory behaviors to control their weight. These actions are extremely dangerous and can cause irreversible health consequences.
Common behaviors include:
- Self-induced vomiting after meals (common in individuals with bulimia).
- Abuse of laxatives, diuretics, or weight-loss pills.
- Fasting for several consecutive days as a form of self-punishment.
- Excessive exercise, even when physically exhausted, to burn calories.
These behaviors reflect a deep loss of control and an intense fear of gaining weight — clear signs that the disorder has progressed to a severe stage requiring urgent medical intervention.
If you or someone you know exhibits two or more of these signs for more than two weeks, do not delay seeking help. Early consultation at a specialized mental health clinic is crucial to assess the condition and develop an appropriate treatment plan.
Common Causes of Eating Disorders
There is no single cause of eating disorders. According to experts, these are complex conditions resulting from the interaction of multiple factors, including genetics, psychological factors, living environment, and social-cultural influences. Understanding these causes not only helps patients and their families recognize the disorder early but also supports more effective and sustainable treatment.
Genetic Factors

Genetic factors play a significant role in the risk of developing eating disorders, especially in individuals with a family history of the condition. Clinical studies have shown that heredity may account for 50–60% of the likelihood of disease onset.
Certain genes related to the neurotransmitters serotonin and dopamine are believed to strongly influence appetite control, mood, and compulsive behaviors. When these genes function abnormally, individuals may experience anxiety, loss of control, and turn to eating as a form of self-soothing.
Additionally, innate biological factors such as metabolic rate, hormone structure, and stress sensitivity can make some people more vulnerable to pressures related to appearance or emotions.
Lifestyle and habit-related factors

In modern society, placing excessive importance on appearance inadvertently creates a harsh standard of beauty. From social media to advertising, images of extremely thin or “ideally proportioned” bodies are glorified, causing many people—especially young women—to engage in constant comparison and develop feelings of insecurity.
Unhealthy dieting habits, such as fasting, skipping meals, using weight-loss pills, or following extreme detox trends, can leave the body in a state of energy deficiency and disrupt the nervous system that regulates hunger and satiety. Over time, individuals lose the ability to recognize their body’s true nutritional needs.
Additionally, a stressful lifestyle and lack of sleep are significant risk factors. Prolonged stress increases cortisol levels, prompting the brain to either stimulate excessive hunger or reduce appetite. Both conditions can serve as precursors to eating disorders.
Psychological and emotional factors

Psychological and Emotional Factors
Psychological factors are central to all cases of eating disorders. Individuals with perfectionist, sensitive, or anxious personalities often feel the need to control everything—including their eating habits and body weight.
A psychological shock, such as being criticized for appearance, experiencing heartbreak, or school bullying, can act as a trigger for disordered eating behaviors. Initially, eating too little or too much may serve as a way to cope with emotions, but over time, it can develop into compulsive habits.
Many patients report that they eat not out of hunger, but out of fear or loneliness. In these cases, eating ceases to be a physiological need and becomes a tool to manage emotions. When psychological instability persists, this mechanism gradually transforms into a vicious cycle of anxiety, guilt, and self-harm.
Social and Cultural Factors
The living environment and societal standards also contribute to the development of eating disorders. In East Asian cultures, which often value neatness and grace, young women may face invisible pressure to conform. Meanwhile, individuals in the arts, sports, or modeling industries face strict weight standards, forcing many to adopt extreme dietary practices.
Media and social networks further distort perceptions. Influencers often share only idealized images and rarely discuss the consequences of excessive weight loss. Viewers—especially adolescents—may internalize a distorted mindset: thin is beautiful, overweight is failure.
Additionally, rapid urban lifestyles, academic and work pressures, and a lack of family cohesion leave many young people feeling emotionally unbalanced. Controlling food intake becomes one of the few ways they can assert a sense of control over their lives.
Experts note that as society advances, pressures regarding body image and perfection intensify. Eating disorders are no longer an individual issue—they have become a societal problem that requires national attention.
Treatment Approaches for Eating Disorders
Treatment for eating disorders goes beyond dietary adjustments. It is a long-term process requiring the integration of medical care, psychotherapy, family support, and a healthy living environment. Experts agree that the most effective approach is multifaceted and personalized, tailored to each patient according to the severity and type of disorder.
Early intervention is crucial. The longer the disorder persists, the more entrenched it becomes in thoughts, behaviors, and emotions, making recovery more difficult and increasing the risk of relapse.
Treatment Goals

First and foremost, it is important to understand that the goal of treating eating disorders is not merely to restore body weight to a normal level. The core objectives should include:
- Restoring healthy and autonomous eating habits.
- Addressing underlying mental health issues such as low self-esteem, anxiety, and depression.
- Rebuilding a positive self-image.
- Enhancing the ability to cope with social and cultural pressures related to appearance.
A comprehensive treatment plan helps patients recover not only physically but also restructure their thinking, enabling them to lead a healthier and more fulfilling life in the long term.
Psychotherapy

Psychotherapy is the cornerstone of eating disorder treatment. Various approaches are applied depending on the severity and type of disorder, but the most common include:
- Cognitive Behavioral Therapy (CBT): Helps patients identify and adjust distorted thoughts about food, body image, and self-worth. CBT has been shown to be highly effective in treating anorexia nervosa and bulimia nervosa.
- Family-Based Therapy (FBT): Especially suitable for adolescents, FBT encourages parents to actively participate in recovery, acting as supervisors to support healthy eating behaviors in their children.
- Psychodynamic Therapy: Explores underlying psychological causes such as childhood trauma, feelings of loss of control, or identity conflicts.
Experts emphasize that psychotherapy is not about changing the patient, but helping them understand themselves so they can make informed choices about how to relate to their body.
Nutritional Education

Many individuals with eating disorders do not fully understand the nutritional value and actual energy needs of their bodies. Therefore, nutrition experts play a crucial role in:
- Guiding the creation of personalized meal plans.
- Restoring physiological hunger and satiety cues rather than being driven by emotions.
- Eliminating misconceptions such as “carbs make you fat,” “eating at night causes weight gain,” or “only dieting leads to weight loss.”
Nutritional education also helps patients gradually rebuild a positive relationship with food, eating out of necessity rather than fear or avoidance.
Medication Use

In some cases, medication is necessary to manage accompanying symptoms such as depression, anxiety, or compulsive behaviors. However, medication is never the sole solution.
Commonly prescribed medications include:
- Antidepressants (SSRIs): such as fluoxetine, which help improve mood and reduce compulsive behaviors.
- Anti-anxiety medications: used during emotional crises or prolonged insomnia.
- Hormone-regulating medications: in cases of long-term endocrine disorders.
Medication use in treating eating disorders must be prescribed and closely monitored by a mental health specialist. Self-medication or misuse is strongly discouraged, as each drug profoundly affects the nervous system and emotions. Incorrect dosage or inappropriate use can lead to dependency, worsened psychological issues, or even exacerbate the disorder.
Patients should be regularly monitored, with clinical responses evaluated and treatment adjusted according to recovery stages, avoiding abrupt discontinuation or incorrect combinations of medications.
Hospitalization and Medical Care

In severe cases—such as extreme physical exhaustion, abnormal slow heart rate, significant weight loss, or suicidal tendencies—hospitalization is necessary for urgent medical intervention.
In the hospital, patients will receive:
- Monitoring of vital signs such as electrolytes, blood pressure, heart rate, and liver/kidney function.
- IV fluids and supplementation of essential nutrients if severe deficiencies are present.
- Structured refeeding programs, with step-by-step supervision.
- Care from a multidisciplinary team, including doctors, nurses, psychologists, and nutritionists.
The duration of inpatient treatment may range from several weeks to a few months, depending on the extent of physical damage and the body’s response to treatment.
The Role of the Family

In most cases of eating disorder treatment, the family serves as the most powerful long-term therapy. Support, companionship, and understanding from loved ones help patients:
- Reduce feelings of shame, guilt, or self-blame.
- Gain motivation for recovery, knowing they are not alone.
- Comply more easily with treatment plans and prevent relapse.
When medical care, psychotherapy, nutrition guidance, and family support work in synchronized coordination, patients can recover not only physically but also rebuild their mental health and self-esteem, which may have been deeply damaged. This is the ultimate goal of any treatment program.
Common Groups Affected by Eating Disorders

Eating disorders are not limited to women; they are increasingly seen in men, middle-aged adults, and children.
- Adolescents and students: susceptible to social media influences, academic pressure, and beauty standards.
- Individuals in arts, sports, and modeling: where weight is considered a mandatory standard.
- Those with a history of psychological trauma: often turn to controlling food intake as a way to cope with emotions.
Understanding these at-risk groups helps doctors and families detect and intervene early.
Hoàng Yến Specialized Mental Health Clinic – A Trusted Address for Eating Disorder Diagnosis and Treatment in Hanoi

In Hanoi, Hoàng Yến Specialized Mental Health Clinic is recognized as one of the most trusted centers for the diagnosis and treatment of eating disorders. With a team of doctors highly skilled in psychiatry and nutrition, the clinic provides personalized treatment plans tailored to each patient.
Hoàng Yến Clinic focuses not only on alleviating symptoms but also on comprehensive recovery, addressing physical health, psychological well-being, and social relationships. Patients receive thorough examinations, regular monitoring, and psychological counseling alongside guidance for healthy eating habits.
Contact Information:
Address: 12, Alley 44, Do Quang Street, Yen Hoa Ward, Hanoi.
Hotline: 0974 509 322
Website: https://phongkhamtamthanhoangyen.com/
According to specialists, the most important aspect of treatment is early and proper intervention. When detected in time, the recovery rate for individuals with eating disorders can exceed 80%.
Eating disorders are serious conditions that should not be underestimated. With timely detection and appropriate treatment, patients can fully recover and lead healthy lives.
We believe that accurate knowledge, combined with the support of professionals and family, is the key to helping individuals break free from the distress of eating disorders and return to a balanced, confident, and fulfilling life.

