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Food for thought: the problem of anorexia nervosa and bulimia

Introduction Eating disorders have become a prevalent problem and a therapeutic challenge. Now, as never before, young people, especially young women, are "dying to be beautiful." Anorexia nervosa is the diagnosis attached to the eating disorder in which patients refuse to eat. Anorexia has a mortality rate of 4 — 25% (Neuman and Halvorson, 1983). Bulimia, established as a separate eating disorder in 1980, involves episodes of binge-ing on enormous quantities of food followed by purging, exercising, or compensatory fasting. Two modalities, psychotherapy and Orthomolecular medicine, utilized in the treatment of eating disorders will be examined. The conventional therapeutic mode, which is psychotherapy, is so unsuccessful in the rehabilitation of the anorexic or bulimic patient that even classical psychoanalysts are looking for alternatives. Psychoanalytic explanations that do not benefit the patient have no basis in fact. In view of the failure of psychotherapy to benefit patients with eating disorders, I consider the Orthomolecular mode the correct alternative for this enigmatic malady. Interviews and review of the literature have convinced me that all physicians who treat adolescent girls, including pediatricians, gynecologists, family practitioners, and psychiatrists, should become aware of underlying biochemical abnormalities in these patients. The increasing incidence of eating disorders and their relatively high mortality rates make it necessary for the medical community to consider the Orthomolecular approach.