Eating Disorders

No Such Thing as Harmless Teenage Illnesses

Text last updated: 2026-08-27

Eating Disorders: Not Just Harmless Teenage Ailments

Do you suspect that your child may have an eating disorder? Anorexia, binge eating, and bulimia are serious illnesses that require treatment. These conditions often begin during puberty. The consequences can range from severe organ damage to death. Find out here where to get professional help if your child is affected.

Essstörungen

What are eating disorders?

Eating disorders usually begin between the ages of 14 and 25, sometimes even earlier. Young girls and women are affected significantly more often than boys and men. Their thoughts often revolve around food for hours on end. The most common eating disorders are anorexia, bulimia (binge-purge disorder), and binge eating disorder. However, mixed forms also occur.


What types of eating disorders are there?

Eating disorders take various forms. Three distinct clinical pictures are recognized:

What warning signs indicate an eating disorder?

Signs that your child may have an eating disorder aren’t always obvious at first glance, as the boundaries are often blurred. Warning signs may include:

  • Excessive preoccupation with food
  • Frequent calorie counting
  • Categorizing foods as “allowed” and “forbidden”
  • Negative comments about one’s own appearance and figure
  • Frequent weight checks
  • Being underweight due to significant weight loss
  • Making excuses to avoid participating in main meals
  • Eating in secret
  • Increasing focus on performance
  • Extreme physical activity
  • Social withdrawal, even to the point of isolation

The danger is that eating disorders are often kept secret by those affected for a long time. As a result, you may not notice your child’s condition at first. However, the earlier the condition is recognized, the better the chances of recovery.


Why do eating disorders occur more frequently during puberty?

A lot happens during puberty: It’s generally a phase of personal uncertainty and self-doubt. During this time, a person’s appearance changes significantly. It’s possible that your child’s body becoming rounder could negatively affect their eating habits. People with eating disorders often have low self-esteem and a negative body image. Mental health issues can also be contributing factors.


What are the health consequences of eating disorders?

Constant starvation leads to nutrient deficiencies. This deficiency can result in various health problems, including low blood pressure, fainting spells, low blood sugar, hormonal imbalances, menstrual irregularities—including the absence of menstruation in girls—kidney dysfunction, and heart rhythm disorders. Since the condition is chronic in most cases, seeking therapeutic help is important.


Overcoming an Eating Disorder: What Can You Do as a Parent?

If an eating disorder is present, as with other illnesses, professional help from doctors, psychotherapists, and/or psychologists is needed. As a parent, it is especially important to be observant and to address the issue without placing blame. You can support your child and, through your involvement, help ensure that they seek out and accept medical or therapeutic help.
Treatment options primarily include outpatient or (partially) inpatient therapy programs. For some individuals, it can also be helpful to join self-help groups. However, the first step is always recognizing one’s own behavior as an illness and being willing to seek help. As parents, you play a particularly important role as supporters in this situation. Keep seeking open communication and offer your loving support.



Where can you find counseling services?

There are many counseling centers in North Rhine-Westphalia where you can get in touch for the first time. As a parent, you can get information there if you’re concerned about your child’s eating habits. Specially trained professionals will counsel you in person, over the phone, or online. All counseling sessions are free of charge. Counselors are bound by confidentiality.

In numerous cities and counties in North Rhine-Westphalia, professionals from various sectors of the support system have joined forces with the goal of improving prevention and support services for people with eating disorders. Local and regional networking initiatives provide active support and assistance to those affected and their families. An overview of the existing networks and their respective contact persons can be found on the website of the State Coordination Office for Eating Disorders NRW.

In addition, the Online Counseling Center Search by the Federal Institute for Public Health (BIÖG) takes you directly to an eating disorder counseling center near you.

You Might Also Be Interested in

The Federal Institute for Public Health (BIÖG) helpline for eating disorders offers an initial consultation with specialists at 0221 892031 and provides information on support centers near your home.

Women's counseling centers in North Rhine-Westphalia offer free counseling to girls and young women in a safe and confidential setting. Here you'll find an overview of women's counseling centers in NRW.

On the website of the Ministry of Labor, Health, and Social Affairs, you will find information and related links on the topic of eating disorders.

The Federal Institute for Public Health (BIÖG) offers detailed information on eating disorders on its website.