Dr Coral Arvon

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Eating Disorder

Eating disorders are a serious and persistent disturbance of eating and eating behaviors. According to The National Association of Anorexia and Associated Disorders (ANAD), an estimated 30 million people in the United States suffer from an eating disorder. It spares no gender, age, SES, religion or race.

Eating disorders also have the highest mortality rate among any mental illness (National Institute of Mental Health). Although the basis of an eating disorder is usually not about food, it manifests as a person’s life feels consumed by behaviors such as calorie counting, monitoring numbers on a scale, body checking, excessive exercise, or planning the next binge/purge episode. Dropping out from important areas of life and becoming isolated from loved ones, may feel reminiscent to an addiction or a toxic relationship, but for many this is also a descriptor of what it may feel like to struggle with an eating disorder.

Due to the complex nature of eating disorders, there is no one defined factor for the development of this illness.  Some contributors include Biological factors (i.e. genetics), Social factors (i.e. society pressures), Psychological factors (i.e. anxiety, depression, OCD), and Interpersonal factors (i.e. history of abuse, bullying). Although symptoms manifest in relation to food, usually the disorder stems as a maladaptive way to manage thoughts and emotions that are perceived as uncomfortable or distressing to the individual.

Signs of an Eating Disorder

Individuals struggling with an eating disorder may present some of these behaviors or emotional signs:

  • Preoccupied with food
  • Consuming very limited variety of foods
  • Social withdrawal
  • Mood swings
  • Fixation on weight
  • Eating Alone or avoiding social events involving food
  • Poor/distorted self-image
  • Food rituals (i.e. cutting food into small pieces, unusual food combinations)
  • Self-harm (cutting)
  • Going to the bathroom shortly after eating
  • Substance abuse

Three of the most common classifications of eating disorders are Anorexia Nervosa, Binge Eating Disorder and Bulimia Nervosa.

1. Anorexia Nervosa

Anorexia affects both males and females and usually starts in adolescence or early adulthood. It is characterized by self-starvation and excessive weight loss. According to the Diagnostic Statistical Manual of Psychiatric Disorders (DSM-5); the three main features of Anorexia Nervosa are:

  • Restricting food relative to the nutrition that the individual needs based on age, height and sex. Restriction leads to a significantly low body weight.
  • The intense fear of weight gain or persistent behaviors that interfere with weight gain.
  • A disturbance with way the individual perceives their weight or shape.

Medical consequences associated with Anorexia may include, hormonal imbalance, GI complications due to malnutrition, stomach aches, bloating, constipation, loss of or weakened heart muscle, heart palpitations, Bradycardia and tachycardia, and edema.

2. Binge Eating Disorder (BED)

The main characteristics of Binge Eating Disorder (BED) are the recurrent episodes of binging that occurs at least once per week for at least 3 months. A binge eating episode can be described as eating an amount of food that would be considered excessive for most people to eat in a similar period under similar circumstances (American Psychiatric Association).  In BED there is no purging behaviors after the binge episode.   A feeling of lack of control is felt during a binge episode, this may be manifested as the perceived inability to stop eating once a binge episode has started.

Some medical complications that may occur is obesity, increased blood pressure, kidney problems, heart disease, sleep apnea, and type II diabetes.

3. Bulimia Nervosa

Individuals struggling with Bulimia can sometimes go unnoticed by loved ones due to the individual typically being within their normal weight range, they also may be overweight. The symptoms of bulimia are usually secretive and conducted alone. Symptoms of Bulimia consist of:

  • Recurrent episodes of binge eating, which is eating large amounts of food that is relatively larger than what most individuals would consume in a discrete amount of time. Individuals associate an episode with a feeling of lack of control, some may describe it as feeling in a “trance”.
  • Recurrent purging (i.e. self-induced vomiting, laxative use, edema)
  • Negative self-evaluation influenced by body shape and weight. It is common for calories to be restricted between binges. Foods that are considered “fattening” or that may trigger a binge are avoided.

Some medical consequences may include, inflamed throat, swollen salivary glands which may be noticed in unusual swelling of jaw or cheek area, tooth decay, GI reflux disorder, constipation due to laxative abuse, and severe dehydration due to purging.

Getting Help

The chances of recovering from an eating disorder are improved the sooner treatment begins. If you have noticed signs that you or a loved one may be struggling with an eating disorder, it is important to reach out to a therapist to assist with assessment and to collaborate in a plan for recovery.

The therapeutic relationship assists clients in identifying influential factors and learning the tools and skills needed to battle an eating disorders and underlying issues. One of the most common obstacles to getting help in eating disorders is a lack of awareness or denial of a problem due to a distorted perception of body image or symptomology.

Please call 305-936-8000, for more information or to set an appointment to meet with a therapist specialized in treating eating disorders.

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Dr Arvon has trained her staff in many of these methods of treatment including The Arvon Method™.

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Frequently Asked Questions

An eating disorder is a serious mental health condition that affects a person’s relationship with food, body image, and self-worth. It often involves behaviors like restricting food, binge eating, or purging and can lead to significant emotional and physical health consequences if left untreated.
The three main types of eating disorders are Anorexia Nervosa, Bulimia Nervosa, and Binge Eating Disorder (BED). Each presents differently but often stems from emotional distress, body dissatisfaction, and unhealthy coping mechanisms.
Warning signs include obsessive thoughts about food or weight, avoiding meals, mood swings, eating alone, frequent bathroom visits after meals, excessive exercise, or social withdrawal. Physical signs may include fatigue, dizziness, or sudden weight changes.
Eating disorders result from a combination of biological, psychological, and social factors. Genetics, family dynamics, societal pressures, trauma, anxiety, or depression can all contribute to the development of disordered eating behaviors.
Yes. With the right treatment and support, recovery is absolutely possible. Therapy helps clients rebuild a healthy relationship with food, body image, and emotional wellbeing, while addressing the root causes of the disorder.
Therapy focuses on identifying emotional triggers, challenging negative beliefs, and learning healthier coping strategies. Approaches such as Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and The Arvon Method™ are used to promote lasting recovery.
No. Eating disorders can affect people of any gender, age, race, or background. While they often begin during adolescence or young adulthood, they can occur at any stage of life.
If you or someone you know shows signs of disordered eating, distorted body image, or extreme concern with weight and food, it’s crucial to seek help early. Early intervention greatly increases the chances of full recovery.
Yes. Many individuals recover through outpatient therapy alone. At Arvon & Associates, therapy is personalized and may include non-medication approaches to help clients heal emotionally and physically at their own pace.
Dr. Arvon and her team specialize in treating eating disorders with empathy, expertise, and proven therapeutic methods. Their integrative approach helps clients understand underlying emotions, restore balance, and reclaim confidence in both body and mind.
In-person sessions provide a supportive and structured environment that promotes accountability and emotional safety. Meeting face-to-face helps your therapist observe nonverbal cues like posture, tone, and body language—important factors in understanding progress and emotional state. It also allows for real-time connection, grounding exercises, and immediate feedback. Many clients find that being physically present in a therapeutic space strengthens focus, helps them feel understood, and fosters a stronger sense of trust throughout recovery.

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