Is anorexia just a phase you can grow out of?

You can rarely just 'grow out of anorexia'. Once the illness takes hold, people with anorexia are often in such a deep state of denial about the amount of weight they have lost and the physical and psychological effects, and are so afraid of gaining even a pound in weight, they are terrified of seeking treatment. However, left untreated, anorexia can continue to dominate their lives indefinitely, and in around 10% to 20% of cases it can be fatal. If you or one of your family or friends has anorexia, you must seek help as soon as possible.

Who's the best person to go to for help?

Your GP is normally the best person to approach. They will be able to tell if you have got anorexia, assess its severity and suggest the best course of action. Most people with anorexia are then referred to a psychiatrist or a psychologist, or to a community mental health service. Some areas of the country have specialist eating disorders services, but many don't.

Can anorexia be inherited?

Research is still going on in this area. About half the risk of developing anorexia nervosa is thought to be genetic. It has been found that some people with an eating disorder have imbalances in certain brain chemicals that control hunger, appetite and digestion. Also, people with eating disorders seem to have an unusual way of processing information. Investigation into the implications of these imbalances is still underway.

Is it possible to fully recover from anorexia?

The simple answer is 'yes'. You can make a full recovery from anorexia and all the physical, psychological and social repercussions. However, it is unusual for patients to shake off abnormal attitudes to food, eating and body size and shape completely. Perhaps this is not surprising, given that our attitudes to food and eating can be shaped by all sorts of other things, such as our views of what is attractive and healthy.

Even if you have been OK for two or three years, you can still suffer a relapse, especially if something stressful happens or if weight loss has been triggered for a specific reason. For example, after having a child, the increased stress of looking after a baby combined with the weight changes after birth can lead to a relapse. However, people who have had anorexia are often aware of the danger signs and can stop the illness taking hold again.

How can you stop a child with anorexia turning family life upside down?

This is a common problem and is difficult for any family. Try to plan enjoyable shared activities with all members of the family. Work out ways for dealing with meal times in advance and set limits on the amount of time and energy you devote to a child with anorexia. Ask for help from friends and other people outside the family if necessary.