10 Terrible Eating Disorders You Should Never Ignore

by Brian Sepp

Welcome to our deep‑dive into the world of the 10 terrible eating disorders that can hijack a person’s relationship with food and their own body. From the obsessive quest for purity to the relentless urge to gorge in the dead of night, each condition brings its own bizarre twists and serious health risks. Read on, stay informed, and maybe share a story in the comments if you recognize any of these unsettling habits.

1. Orthorexia – A 10 Terrible Eating Disorder

Orthorexia illustration - 10 terrible eating focus

Orthorexia is defined by an all‑consuming fixation on eating only “pure” or “healthy” foods. While it can masquerade as anorexia, the key difference lies in motivation: anorexics chase weight loss, whereas orthorexics are driven by a moral imperative to consume only the cleanest fare. Though not officially listed in the DSM‑IV, the condition is gaining recognition across the United States. For a heartbreaking real‑life account, see the story of a young woman who ultimately succumbed to orthorexia.

2. Prader‑Willi Syndrome

Prader-Willi syndrome illustration - 10 terrible eating focus

Prader‑Willi Syndrome (PWS) stems from a chromosomal defect that is neither hereditary nor confined to any specific race or gender. Alongside motor‑skill delays, stunted growth, and intellectual challenges, PWS triggers an insatiable appetite that can drive sufferers to literally eat themselves to death if left unchecked. Management typically involves growth‑hormone therapy paired with a strictly low‑calorie diet. A dramatized version of PWS even appeared on the TV series CSI back in 2005.

3. Pica

Pica illustration - 10 terrible eating focus

Pica stands out as perhaps the most unsettling disorder on our list, blending an eating compulsion with a psychiatric component. Those afflicted feel an irresistible urge to ingest non‑nutritional items—anything from cigarette butts to paint chips. The danger is real: consuming toxic chemicals or sharp objects can cause severe internal injury or even death.

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4. Bigorexia

Bigorexia illustration - 10 terrible eating focus

Often dubbed the “reverse anorexia,” bigorexia predominantly affects men. Bigorexics obsess over relentless workouts, supplement stacks, and severe dietary restrictions. Despite achieving impressive muscularity, they remain plagued by shame, refusing to showcase their physiques because they never feel “big enough.” Statistics are murky, partly because many men hide their struggles, assuming eating disorders are a women’s issue.

5. Binge Eating Disorder

Binge eating disorder illustration - 10 terrible eating focus

Binge Eating Disorder (BED) differs from bulimia and is considered the most common eating disorder, though the DSM‑IV classifies it under EDNOS (Eating Disorder Not Otherwise Specified). Unlike other compulsive disorders, BED sufferers don’t typically purge after overeating; instead, they grapple with profound shame and embarrassment about their eating patterns, often keeping the behavior hidden from friends and family.

6. Anorexia Athletica

Anorexia athletica illustration - 10 terrible eating focus

While not a standalone eating disorder, anorexia athletica almost always co‑occurs with another condition. Those afflicted push beyond normal post‑exercise fatigue, driving themselves to over‑exertion or injury in the relentless pursuit of the “perfect” body. Their compulsion to train excessively eclipses typical post‑workout satisfaction.

7. Night Eating Syndrome

Night eating syndrome illustration - 10 terrible eating focus

Night Eating Syndrome (NES) is a relatively new diagnosis, gaining traction alongside orthorexia. Individuals with NES—often obese or morbidly obese—consume little during daylight hours, saving more than half of their daily calories for the night. They frequently battle insomnia, waking to gorge, and remain secretive about their nocturnal habits, reluctant to admit a problem.

8. Body Dysmorphic Disorder

Body dysmorphic disorder illustration - 10 terrible eating focus

Body Dysmorphic Disorder (BDD) can appear without an eating disorder, yet it commonly co‑exists with the “big two” (anorexia and bulimia) and often lingers after other symptoms subside. Those with BDD are convinced they possess numerous flaws—being overweight, having ugly features, bad hair, or even a foul odor. Their self‑image is so distorted that a mirror shows a completely different person than everyone else sees.

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9. Bulimia

Bulimia illustration - 10 terrible eating focus

Bulimia is characterized by cycles of bingeing followed by purging. While many picture self‑induced vomiting, bulimics also resort to diuretics, enemas, ipecac syrup, and even excessive exercise to eliminate calories. They are acutely aware of the abnormality of their behavior, often going to great lengths to conceal it. Interestingly, those with a balanced binge‑purge pattern may maintain a normal weight; pronounced weight loss usually signals more extreme purging.

10. Anorexia

Anorexia illustration - 10 terrible eating focus

Recent studies estimate that 1 in 100 teenage girls suffers from anorexia, with cases reported in girls as young as eight. Brain imaging reveals that the addiction to not eating mirrors the intensity of drug or alcohol dependence. Anorexics face a high risk of relapse, as the disorder behaves like an addiction—never truly gone. Even after successful treatment, a single trigger can reignite the illness, though many achieve full recovery and can lead normal lives with ongoing vigilance.

Contributor: Callie

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