In addition to the presenting physical symptoms, psychological manifestations may be detected on emergency evaluation. Depression, including suicidal ideation, is the primary psychological complication of eating disorders. Other psychological manifestations include obsessive-compulsive personality traits, with rumination about food, calories, and weight. Ritualistic eating and exercising behavior are also evident. Perfectionistic striving often results in deterioration of friendships and leisure activities.
Impulse-control disorder is a psychological complication of eating disorders more commonly seen in bulimics than in anorexics. Other behavioral manifestations include shoplifting and stealing, sexual promiscuity, drug and alcohol abuse, and self-mutilation.
Was this article helpful?