Intense fear of weight gain even though underweight

Refusal to maintain an appropriate weight for height

Anxiety around mealtimes

Strange behavior around meals, including moving food around on the plate without eating it and hiding food

Unrealistic or distorted body image, such as feeling overweight when underweight

Missed menstrual periods

Withdrawing emotionally from people and avoiding social activities that involve food • Eating large amounts of food in one sitting (bingeing), then getting rid of it by vomiting or abusing laxatives (purging)

Disappearing into the bathroom after meals for protracted periods of time

Excessive exercising

Sources: American Psychiatric Association, American Academy of Pediatrics, National Association of Anorexia Nervosa and Associated Disorders and the Harvard Eating Disorders Center