Eating Disorders: A Midlife Crisis for Some Women

More middle-age women are seeking treatment for anorexia and bulimia

By Dennis Thompson
HealthDay Reporter
Sunday, March 18, 2007; 12:00 AM

Copyright © 2006 ScoutNews, LLC. All rights reserved.

SUNDAY, March 18 (HealthDay News) -- You starve yourself, shedding pounds, and it feels too good to ever stop.

Or you eat lots -- as much as you want, more than you want -- and then sneak away from your loved ones to purge it all.

But you're not 16, not 19, not 21. Not a young woman at all. You're in your 30s, 40s, or 50s. And you can't stop.

Anorexia and bulimia used to be considered health problems that afflicted teenage girls. But doctors are finding that a growing number of older women are now being diagnosed with some sort of eating disorder.

"It can happen to anybody at any stage of their life," said Dr. Alexander Sackeyfio, a psychiatrist and eating-disorder specialist at the Beaumont Hospital in Royal Oak, Mich. "I think we're becoming more aware of it and are better at diagnosing it."

People tend to make another mistake in their perception of eating disorders -- they assume they are relatively benign psychological problems that are easily treated and without lasting physical effects, said Doug Bunnell, clinical director of the Renfrew Center in Wilton, Conn.

"People are surprised when they learn these have the highest mortality rate of any psychiatric diagnosis, somewhere between 10 and 15 percent," said Bunnell, who's also a member of the National Eating Disorders Association board of directors.

Anorexia produces dramatic weight loss caused by excessive or compulsive dieting. An estimated 0.5 percent to 3.7 percent of women suffer from anorexia nervosa at some point in their lifetime, according to the National Institute of Mental Health.

Anorexics see themselves as overweight even though they're dangerously thin. The process of eating becomes an obsessive minefield and unusual eating habits develop, such as picking out just a few foods and eating them in tiny, carefully measured quantities.

Bulimia is characterized by excessive binge eating followed by purging the food through vomiting, laxatives or over-exercising. An estimated 1.1 percent to 4.2 percent of American females will struggle with bulimia nervosa in their lifetime.