| Behavioural changes | Preoccupation with food, calories, body shape and weight Polarised/dichotomous thinking (including but not limited to thoughts about food, body or exercise) Avoidance of food-related social activities Restrictive eating, for example, cutting down or cutting out food groups, nutrients, reducing overall energy intake, counting, measuring and weighing food Bathroom visits after meals Evidence of binge eating (large amounts of food purchased/consumed, evidence of food wrappers hidden in the bin or another location) Restriction followed by binge eating Secretive behaviour regarding food intake and/or exercise behaviour Increasing rigidity or inflexibility in situations
|
| Physical changes | Wearing baggy or layered clothing that hides body shape Relentless, excessive exercise Exercise through injury/illness with inadequate recovery Bone stress injury Hormone dysfunction (including dysregulated menstrual cycle, libido and erectile function) Frequent illness Low body fat Dehydration Bad breath, sore gums or signs of enamel loss on teeth Swelling around jaw Skin effects, including dry skin, fine hairs growing around the face or signs of calluses on the knuckles Unexpected weight gain beyond that expected from growth/development/puberty Dramatic or rapid weight loss or gain or fluctuation
|
| Psychological changes | Persistently poor and/or declining mental health Increased attention to and/or criticism of one’s body Feeling out of control with regard to food Body image dissatisfaction and distortion
|