Feelings of guilt, depression and anxiety about not conforming to these beliefs only add to the problem. Lack of self-esteem in anorectics may also contribute to their feelings that they're not worthy to eat and be healthy. Progression Anorexia nervosa begins with dieting, which may occur as part of a major life change, such as moving, puberty or the loss of an important relationship. If the dieting is successful, the victim begins to feel in control of her life once again. To make the dieting even more successful, she may begin to exercise excessively.
Internal control becomes a substitute for feeling helpless over external situations.
The fear of losing control then becomes transferred to a fear of gaining weight. Dangers Permanent physiological damage can take place from anorexia nervosa, including damage to the heart, kidneys and brain. Recovery Professional care is necessary to treat the disorder. If someone you love appears to have anorexia nervosa, support her in seeking treatment. Regular visits to a doctor and to a counselor are necessary.